Services
Forensic EMR services built for litigation
Every engagement is anchored to the record's audit trail and metadata — the data that establishes whether a medical record means what it appears to mean. Here's how I help attorneys put that evidence to work.
Audit trail & metadata analysis
The core engagement. I analyze the EMR audit trail and underlying metadata to establish who did what to the record and when — surfacing late entries, backdating, deletions, copy-paste cloning, and edits made after the events the documentation describes.
- Entry-timing reconstruction: when documentation was authored versus when events occurred
- Edit, addendum, and deletion history
- Copy-forward and cloned-content detection
- User attribution and access correlation
Revision-history reconstruction
Where a note exists in multiple states, I reconstruct its full revision history from the system's logs — distinguishing a disclosed, timestamped addendum from a silent alteration of the original, and showing the order in which content actually appeared.
- Save-versus-sign timestamp analysis
- Sequence reconstruction across versions
- Identifying undisclosed post-finalization edits
Discovery support & model RFP language
I draft request-for-production language tuned to the specific EMR so your discovery asks for what the system can actually produce — by function, not by an ambiguous label that invites a 'that report doesn't exist' objection.
- System-specific RFP language for audit trails and access logs
- Anticipating and countering 'too burdensome' and 'not a standard report' objections
- Guidance on scoping patient, encounter, and date range
Deposition prep & expert consulting
I prepare you to question custodians of record and IT witnesses, translate the technical findings into plain language, and consult through motion practice. Where appropriate, I can serve as a testifying or consulting expert.
- Deposition outlines for records custodians and EMR administrators
- Plain-language translation of technical findings
- Consulting or testifying expert engagement
Audit trail vs. access log completeness review
A focused review of what a provider actually produced. An access log shows who viewed the chart; an audit trail shows what changed. I identify which you received, what's missing, and exactly what to demand next.
- Classifying produced data: access log vs. action audit
- Gap analysis against the system's documented capabilities
- A prioritized list of what to demand in the next request
Discovery language is tuned to the platform — see the system-specific discovery guides. Not sure which applies? Send the production you have and I'll tell you what the record can show.