The component that includes History of Present Illness, Review of Systems, Past Medical, Past Surgical, Family, and Social History, Medications, and Allergies is called...

The component that includes History of Present Illness, Review of Systems, Past Medical, Past Surgical, Family, and Social History, Medications, and Allergies is called...

• A. Objective Information
• B. Plan
• C. Subjective Information
• D. Assessment

Answer: (C)

These items are the patient-reported history gathered during the interview, so they fall under subjective information. The History of Present Illness, Review of Systems, Past Medical and Past Surgical histories, Family and Social histories, along with medications and allergies, reflect what the patient or family tells you about symptoms, medical background, and current therapies. They are not measured or observed data from the exam or tests. Objective information would be things you observe or measure (vital signs, exam findings, labs). The Plan and the Assessment are about what you will do next and the clinician’s diagnoses. So this collection is the subjective portion—the information the patient reports.

These items are the patient-reported history gathered during the interview, so they fall under subjective information. The History of Present Illness, Review of Systems, Past Medical and Past Surgical histories, Family and Social histories, along with medications and allergies, reflect what the patient or family tells you about symptoms, medical background, and current therapies. They are not measured or observed data from the exam or tests. Objective information would be things you observe or measure (vital signs, exam findings, labs). The Plan and the Assessment are about what you will do next and the clinician’s diagnoses. So this collection is the subjective portion—the information the patient reports.