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Physicians creating formal documentation for patient visits is a recent practice in medicine. In antiquity, medical care was based on patient reported symptoms and treated with rituals, prayers, surgery, and herbal potions. Journaling in medical care began in Greece and Egypt, with private notes being recorded by some practitioners inspired by astronomy. Case reports for didactic purposes became more common during the era of the Hippocratic school in Greece. The Enlightenment further advanced the practice of documenting medical cases.