How is subjective data characterized in medical documentation?

Subjective data in medical documentation is characterized by encompassing the patient's personal experiences and symptoms. This type of information is derived from the patient's point of view, including their feelings, thoughts, and perceptions about their health and well-being. For example, a patient might describe their pain level, mood, or how they are feeling overall. This data is crucial because it helps healthcare providers understand the patient's perspective and informs clinical decision-making.

In contrast to subjective data, objective data, which includes lab results or measurable and observable facts, is based on observable findings that can be verified through tests or physical examinations. While subjective data is significant in painting a complete picture of the patient's health status, objective data provides the concrete evidence needed for diagnosis and treatment.