Medical malpractice cases average 3,000+ pages of records — hospital charts, nursing notes, physician orders, billing records, and specialist reports. The gap that proves the case is rarely obvious. It's the four-hour window where nursing notes stop, or the informed consent that references a procedure never performed.
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Chronological treatment timeline built across all providers
ProvaLens extracts every timestamped entry — nursing notes, physician orders, vital signs, lab results, radiology reads — and builds a minute-by-minute clinical timeline across the entire hospitalization.
ProvaLens automates this
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Documentation gaps by hour flagged
Periods where clinical documentation stops — where notes should exist but don't — are identified precisely. A four-hour gap in nursing documentation during a post-operative period is flagged immediately.
Critical for standard of care
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Nursing notes vs. physician orders cross-referenced
Physician orders are compared against nursing documentation of administration and compliance — flagging cases where an order was given but execution was not documented or was delayed.
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Vital signs flow sheets cross-referenced against clinical notes
Vital sign deterioration visible in the flow sheets is compared against the clinical notes — identifying cases where the data was recorded but no clinical response was documented.
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Informed consent documents verified for each procedure
Every procedure performed is cross-referenced against the informed consent documentation — identifying procedures performed without documented consent, or consent forms that reference risks not discussed in the clinical notes.
ProvaLens automates this
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Pre-procedure checklist completion verified
Hospital pre-procedure checklists — time-out documentation, site marking, allergy verification — are identified and reviewed for completeness against the institutional protocol.
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Medication orders vs. administration records compared
Each medication order is cross-referenced against the medication administration record (MAR) — flagging doses that were ordered but not administered, or administered at the wrong time or incorrect dose.
Medication error indicator
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Protocol compliance documentation identified
Sepsis protocols, fall prevention protocols, pressure ulcer prevention, and other clinical protocols referenced in the record are identified and the compliance documentation is reviewed for completeness.
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Late entries and amendments identified by timestamp
Electronic medical record metadata — including original entry timestamps and amendment timestamps — is analyzed to identify notes that were added or modified after the fact, particularly following an adverse event.
Critical for fraud claims
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Nursing notes vs. physician notes contradictions flagged
Discrepancies between nursing observations and physician assessments for the same time period are surfaced — particularly where the nursing record documents a deterioration the physician note doesn't acknowledge.
ProvaLens automates this
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Discharge summary vs. clinical record discrepancies noted
The discharge summary — often written after the fact — is compared against the contemporaneous clinical record to identify any retrospective recharacterization of events or outcomes.
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Consultant notes compared against ordering physician documentation
Specialist consultation notes are compared against the referring physician's documentation — identifying cases where the consultant's recommendations were not followed or not documented as considered.
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All records cited in defense expert report cross-referenced
Every record cited in the defense expert's opinion is cross-referenced against your document set — confirming you have reviewed every document the defense expert relied upon.
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Records referenced but not produced identified
References to records, studies, or prior incidents in the clinical documentation that were not included in the production are flagged — forming the basis for supplemental records requests.
ProvaLens automates this
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Billing records cross-referenced against treatment documentation
Charges billed to the patient or insurer are compared against the documented clinical activity — identifying billing for services not reflected in the clinical record.
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Prior similar incidents in facility records identified
References to prior similar events, incident reports, or quality assurance activities related to the same issue are identified and indexed for use in establishing notice and pattern evidence.
Pattern evidence
From the field: A 4-hour gap in nursing documentation — identified by ProvaLens in a 2,800-page hospital record — contradicted the defense expert's opinion on timing. The gap was on page 1,847. The case settled the following week.
Charting contradictions
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ProvaLens processes hospital records and builds a minute-by-minute clinical timeline — flagging possible gaps, late entries, and charting conflicts.
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