Which term describes specific medical interventions performed on a patient during their visit?

• A. ROS
• B. Procedures
• C. Diagnostic tests
• D. Consultations

Answer: (B)

The key idea is identifying actions that directly intervene with the patient’s care during the visit. These hands-on actions—like suturing a wound, performing a biopsy, injecting medication, draining a fluid, or other minor surgical tasks—are what clinicians document as procedures. They differ from the review of systems, which is history-taking about symptoms; diagnostic tests, which are orders or results of tests to gather information; and consultations, which are referrals or expert opinions from other providers. Because procedures specifically describe the actual interventions performed on the patient during the encounter, they are the best fit.