Assess OPQRST symptoms

OPQRST is an mnemonic initialism used by medical providers to facilitate taking a patient's symptoms and history in the event of an acute illness. Each letter stands for an important line of questioning for the patient assessment. The parts of the mnemonic are: Onset , Provocation/palliation, Quality, Region/Radiation, Severity, and Time.

  1. (If you have not done so already) Add a new incident, or open an existing incident, as described in Add or edit an incident.

    By default, the Response tab and Incident Information sub-tab are selected.

  2. Click the Situation tab, and then click the OPQRST sub-tab.

    Fields for gathering information related to the OPQRST symptoms appear on the left side of the interface.

  3. Under Time, enter data as described in Understand the interface and data entry in it.

    Field Information needed

    Days, Hours, Minutes

    The number of days, hours, and minutes that have elapsed since the patient began experiencing the complaint for this call.

    Onset Date / Time

    The date and time when the patient initially experienced the complaint for this call.

    Provocation

    A description of any movement, pressure (such as palpation) or other external factor makes the problem better or worse. This can also include whether the symptoms relieve with rest.

    Quality

    The patient's description of the pain (sharp, dull, crushing, burning, tearing, or some other feeling, along with the pattern, such as intermittent, constant, or throbbing).

    Radiation

    Where the pain is on the body and whether it radiates (extends) or moves to any other area. This can give indications for conditions such as a myocardial infarction, which can radiate through the jaw and arms. Other referred pains can provide clues to underlying medical causes.

    Severity

    The pain score (usually on a scale of 0 to 10). Zero is no pain and ten is the worst-possible pain.