What is typically included in the 'objective' part of a health record?

Prepare for the RHIT Domain 1 Test. Study with flashcards and multiple choice questions with hints and explanations. Get ready for your certification exam!

The 'objective' part of a health record refers to the information that is observable and measurable by healthcare professionals. This section typically includes data obtained through physical examinations, laboratory tests, imaging studies, and other diagnostic procedures. Professional evaluation conclusions fall into this category because they are conclusions drawn from the objective measures observed by the clinician, which help inform the diagnosis and treatment plan.

In contrast, the other options relate to subjective elements. For instance, patient complaints and symptoms represent the subjective feelings and experiences of the patient, which are documented in the 'subjective' section of the health record. The patient's emotional response also pertains to their personal feelings, which could be documented but would not belong in the 'objective' section. External factors affecting patient care may provide context and influence treatment decisions, but they typically reside in notes rather than in the factual observations that characterize the 'objective' part of the health record.

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