OUR BLOG
Welcome to our blog, where law and healthcare come together. Discover expert insights, updates, and resources designed to support your legal cases.
The Note Says 10:15 AM. But Was It Actually Written at 10:15 AM?
A timestamp in a medical record can look very definitive. 10:15 AM. But what exactly does that time represent? Was that when the clinical event occurred? When the provider began documenting? When the note was entered? When it was signed? Or was the documentation...
The printed medical record may tell only part of the electronic story
Depending on the EHR system and the data produced, metadata may reveal: When information was originally entered Whether documentation was later changed Which users accessed the record When entries were signed or finalized These details can help clarify the sequence of...
What an EHR Audit Trail Can Reveal That the Medical Record Cannot
When attorneys review a medical record, they are typically looking at the clinical story presented in the chart. But sometimes there is another story behind that record. An Electronic Health Record (EHR) audit trail can provide information about activity occurring...
Metadata: The Information About the Information
“Metadata” sounds highly technical. But the basic concept is actually pretty simple: Metadata is information about data. In the context of an electronic health record, the clinical note is the information you read. Metadata may provide information about the electronic...
Who does the service connection evaluation for veterans?
In the United States, the Department of Veterans Affairs (VA) conducts service connection evaluations for veterans. Specifically, the Veterans Benefits Administration (VBA), a division of the VA, is responsible for reviewing claims to determine if a veteran’s...