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Physician Case Review Consult

EHR Timeline Reconstruction

A chronological reconstruction built from documentation, order, result, and medication timestamps, flowsheets, audit logs, and metadata.

What this service is

A chronological reconstruction built from documentation, order, result, and medication-administration timestamps, flowsheets, audit logs, access logs, alert activity, and metadata.

When attorneys use it

When documentation timing, sequence, or contemporaneousness is disputed.

Questions it may answer

  • When were events documented versus when they occurred?
  • Are the timestamps internally consistent?

Evidence reviewed

  • Documentation and system timestamps, flowsheets, audit and access logs, metadata.

Deliverables

  • A reconciled timeline with flagged discrepancies.

Limitations

Timestamps require interpretation and, at times, the native system, data dictionary, or vendor context.