A lot of newbie medical transcriptionists have problems deciding where to insert certain items in the chart note.
Usually the provider dictates the note specifically as he/she wants it typed out. However, there are the occasional providers who bounce around or don’t say exactly where to type things.
One confusing aspect for the newbie is history of present illness (or HPI) and review of systems (or ROS). The HPI is where things are listed that pertain only to what the chief complaint is. The ROS would be anything that pertains to the actual systems of the body such as fever, chills, nausea, etc.
These two headings can seem one and the same to the unexperienced MT but indeed they are not.