Discovery & Chain of Custody

The Truth is in the
Audit Trail.

We specialize in the forensic extraction of raw data from Epic, Cerner, and Meditech. We decode the metadata that proves negligence, establishing a clear timeline for litigation.

Forensic Capabilities

Beyond the PDF.
Inside the System.

A PDF of a medical chart is a flat summary. It hides the timeline. We extract the native data to show you the “Shadow Chart”—the edits, the views, and the alerts that were ignored.

✓ Native Epic & Cerner Extraction Support
✓ DICOM (MRI/CT) Cloud Hosting
✓ HIPAA-Secured Review Environments

Audit Trail Analysis

We visualize the audit logs to prove exactly when a physician accessed a chart—and for how long. We turn metadata into admissibility.

Secure Radiology Hosting

Eliminate physical chain of custody risks. We host terabytes of DICOM imaging in an encrypted cloud viewer accessible to your experts.

Litigation Support

Forensic Briefings

White Paper

The Silent Witness

Leveraging “Audit Trail” metadata to prove note modification post-adverse event.

Read Briefing →

Strategy

The “Smart Phrase” Risk

Analyzing “Note Bloat” and copy-paste errors to demonstrate breach of standard of care.

Read Strategy →

Tech Specs

DICOM to Jury

Protocols for converting radiology files into high-fidelity courtroom exhibits.

Read Tech Spec →

Eliminate Discovery Waste.

Medical cases generate massive data sets (Radiology + EHR). We cull irrelevant history and offer Zero-Cost Hosting for the first 90 days.

DATA VOLUME (IMG + EHR) 2 TB

100 GB 10 TB

Standard Vendor Cost

$108,000

Based on $18/GB avg (3 mos)

Direct Savings

$108,000

Retained for Expert Witnesses

Confidential Case Review

Select a time below for a secure, HIPAA-compliant consultation to discuss specific case files.

Forensic Intelligence • White Paper

The Silent Witness: Decoding the Audit Trail

Target: Epic / Cerner Systems

In medical malpractice litigation, the printed medical record (the “Legal Medical Record” or LMR) serves as a sanitized narrative. It displays the final clinical note, but obscures the user behavior that generated it.

The “Access Log” Methodology

We routinely extract backend access logs to answer critical questions regarding standard of care and data integrity:

Pre-Order Verification: Did the physician actually review the vital signs in the EHR panel before ordering the contraindicated medication?
Retroactive Editing: Did the nurse modify the timestamp of an entry after the Code Blue was called to align with protocol?
Duration of Review: How long was the “Review of Systems” actually open on the active interface? (This is primary evidence in proving “copy-paste” negligence).

By transforming raw metadata into a linear forensic timeline, we shift the burden of proof. We do not rely on visual estimates; we rely on server-side timestamps precise to the millisecond.

EHR Analysis Strategy

The “Smart Phrase” Risk: Note Bloat as Liability

Target: Documentation Errors

The Copy-Paste Epidemic

Modern EHRs facilitate “Note Bloat”—the automated propagation of clinical data from previous encounters into the current note. This creates voluminous records that appear comprehensive but often contain outdated, contradictory, or impossible data.

Forensic Identification

We utilize text comparison algorithms to identify identical string blocks across multiple days of care. When a physical exam note is 100% identical for five consecutive days—including unique typographical errors—it provides compelling evidence that the patient was not physically examined on days two through five, directly impacting the Standard of Care defense.

Technical Specifications

DICOM to Jury: Handling Radiology Data

Handling medical imaging (DICOM files) in eDiscovery presents significant logistical challenges. Files are massive, proprietary, and require specialized viewing software (Horos, Osirix) that is rarely deployed on standard legal workstations.

The Cloud Viewer Solution

Medical Litigation Lab hosts DICOM data in a secure, zero-footprint cloud viewer. This allows experts, counsel, and potentially jurors to view MRIs, CT scans, and X-rays directly in a web browser without the need for local software installation or physical media transfer, maintaining a pristine digital chain of custody.

Privacy & Data Governance Policy

Effective Date: September 1, 2025 | Compliance Level: HIPAA/HITECH

1. Scope of Data Collection We limit data collection to that which is strictly necessary for forensic analysis. For general website visitors, we utilize minimal analytics cookies. For clients, data intake is governed exclusively by our Master Services Agreement (MSA) and Business Associate Agreement (BAA).

2. Chain of Custody & PHI Handling Voluntary Submission Warning: Do not submit Protected Health Information (PHI) through standard web contact forms. Case files must be transmitted via our encrypted, audit-logged client portal.

Security Infrastructure: All forensic environments are air-gapped or secured via AES-256 encryption at rest and TLS 1.3 in transit. We maintain immutable logs of all data access to preserve the evidentiary integrity of the files entrusted to us.

3. Third-Party Disclosure We do not sell, trade, or transfer data to outside parties. Disclosure occurs only when legally mandated by court order or subpoena, at which point we will make reasonable efforts to notify the data owner (Client) to allow for a Motion to Quash.

Terms & Conditions of Service

Last Updated: September 1, 2025

1. Nature of Services (Forensic Support vs. Legal Advice) Medical Litigation Lab provides technical forensic analysis, data hosting, and litigation support services. We are not a law firm. Our reports, white papers, and consultations constitute technical findings, not legal advice or medical diagnoses. Clients are responsible for the legal strategy and application of our forensic findings in court.

2. Forensic Integrity & Liability While we employ industry-standard methodologies for data extraction, we cannot guarantee that extracted metadata will result in a specific legal outcome. Our liability is limited to the accuracy of the data extraction process itself. We assume no liability for spoliation of evidence that occurred prior to our engagement.

3. Data Retention Unless otherwise specified in a specific Statement of Work (SOW), hosted data is retained for the duration of the active litigation plus 90 days, after which it is cryptographically shredded.

Accessibility Statement

Commitment to Digital Inclusion

Medical Litigation Lab is dedicated to ensuring our digital assets are accessible to all legal professionals, regardless of ability. We strive to adhere to the Web Content Accessibility Guidelines (WCAG) 2.1 Level AA standards.

Ongoing Monitoring

We regularly audit our client portals and public-facing content to ensure compatibility with screen readers and assistive technologies. If you encounter barriers to access, please contact our compliance officer immediately for an alternative format provision.

The Truth is in theAudit Trail.