Which section of the clinical medical record includes a patient's subjective data collected during intake?

The health history section of a clinical medical record is where a patient's subjective data collected during intake is documented. This information typically includes the patient's personal account of their health, such as symptoms, concerns, medical history, family history, and lifestyle factors. It is essential for healthcare providers to gather this subjective data to understand the patient's perspective, which can guide diagnosis and treatment decisions.

The other sections, while important, focus on different types of information. The physical examination records objective findings from the clinician's assessment, such as vital signs and physical observations. Progress notes document the ongoing management of the patient’s condition and any changes in their status over time but primarily reflect objective data and clinical observations rather than subjective input. Laboratory results provide specific data derived from tests conducted, which are also objective and do not capture the patient's own narrative or experiences.