A medical assistant is documenting a patient's visit. Which of the following components is considered subjective information gathered from the patient?
The review of systems (ROS) is a core component of the subjective data in a patient's medical record. It consists of an inventory of body systems obtained by asking the patient a series of questions about symptoms they may be experiencing. In contrast, vital signs, physical examination findings, and laboratory results are all considered objective data because they are directly measured, observed, or tested by a healthcare professional.
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What is the difference between subjective and objective information in a patient’s medical record?
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Why is the review of systems (ROS) considered subjective data?
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Can subjective data, like the ROS, influence how a medical assistant collects objective data?
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AAMA CMA
Clinical Competency
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