Subjective vs. Objective Data
ROS- include PQRSTU
Subjective
Lab data- chem7, CBC, Cultures
objective
Physical examination
objective
Vital Signs- HR, BP, RR, Temperature
objective
imaging- MRI, CXR, CT
objective
What is objective data?
obtained by observing and examining patient
What is subjective data?
patient testimony (Data that only the subject or "patient" can feel and will tell you. Usually in a statement. you might not be able to verify.)
Past Medical History (PMH)
subjective
Surgical history
subjective
family history
subjective
history of present illness (HPI)
subjective
medication history
subjective
social history
subjective
Chief Complaint (CC)
subjective
