Title: Module 1 Introduction: (CU2 M1) The Medical Record and HPI
Course: SkillsCom CMA 111 16.0 > Section: Credit Unit 2 Module 1

Patient outcomes are more important than ever in evaluating the quality of care provided. This fact casts documentation in an even brighter spotlight. Documentation is not always easy and it isn't always a priority. Time constraints may make other patient care activities seem more important. When one considers the burdensome amount of information that must be recorded, documentation is often pushed to the bottom of the list. Documentation is less burdensome if it is gathered and organized in very specific ways. This Module will focus on the documentation that occurs based on what the patient says or in other words, the information obtained directly from the patient or from others.

Module Outcomes:

- Compare and contrast the difference between subjective and objective patient data.
- List the 8 components of HPI
- Describe HPI.