The patient denies experiencing any general symptoms such as fever, chills, weight loss, fatigue, or night sweats, other than those specifically described in the History of Present Illness (HPI) section.
Used in the Review of Systems (ROS) to document the absence of general systemic symptoms, while acknowledging that specific symptoms may be present and documented elsewhere in the note.
"Constitutional symptoms negative except as noted in HPI, where patient described fatigue."
Used when a patient denies constitutional symptoms in the ROS but has already mentioned specific constitutional symptoms in the HPI. This ensures clarity and avoids contradictions within the note.
Common questions about using medical phrases in clinical documentation