Question

The first part of most medical notes that includes such information as medical history, duration and quality of the problem, and any exacerbating or relieving factors for that problem is known as the _______ part.

Answer 1

Answer:

A. subjective.

Explanation:

The complete question is as follows:

The first part of most medical notes that includes such information as medical history, duration and quality of the problem, and any exacerbating or relieving factors for that problem is known as the _______ part.

A. subjective.

B. objective.

C. assessment.

D. plan.

E. none of these.

• Medical notes are made by the healthcare providers as an entry in the medical records of the patients which ensures systematic documentation of the diagnosis, treatment, medical history and care of the patient which allows for a better assessment and follow up.
• A medical note typically consists of four parts- subjective, objective, assessment and plan.
• The subjective part of the medical note consists of the observations made by the healthcare based on the verbally expressed facts by the patient such as the symptoms, history, duration, quality of the problem, any related troubles and relieving factors.
• Since there is no way to measure the information provided verbally by the patients it is termed as subjective.