Medical documentation refers to the process of recording and documenting patient information throughout their medical care. This includes documenting patient history, symptoms, diagnoses, treatments, medications, and progress notes. Medical documentation serves as a tool for communication among healthcare providers, ensures accuracy and continuity of care, and is essential for legal and billing purposes. In recent years, electronic health records (EHR) have become the standard for medical documentation, allowing for more efficient and secure storage and retrieval of patient information.