What type of data should be avoided in objective documentation?

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Objective documentation is intended to provide clear, factual information that can be independently verified and is based on observable data. This type of documentation relies heavily on quantifiable results, standardized assessments, and technical measurements, which can all be precisely defined and recorded.

Interpretative statements, on the other hand, involve personal opinions, judgments, or assumptions about a patient's condition or situation. These interpretations lack the concrete, measurable nature required for objective documentation. They can introduce bias and subjectivity to the record, making it difficult for other healthcare professionals to accurately assess the clinical picture based solely on facts. Therefore, focusing on objective data rather than personal interpretations is crucial for maintaining clarity and reliability in healthcare documentation.

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