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Medical Malpractice Summary

Produces structured medical malpractice case summaries from medical records for personal injury litigation. Extracts chronological care narratives, identifies potential standard-of-care breaches, traces causation, assesses damages, and flags expert needs and statute of limitations issues. Use when evaluating medical negligence claims, onboarding med-mal matters, or assessing case merits during pre-filing or discovery.

ID: 0525f9a6-260e-488a-9d2b-e6290bdff044 Version: 0.1.0 License: Apache-2.0 Author: CaseMark Language: en Added: 2026-06-15
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Medical Malpractice Summary

Produces a structured med-mal case summary from medical records for attorney case evaluation and litigation planning.

Prerequisites

  1. Medical records — hospital charts, physician notes, nursing notes, discharge summaries
  2. Diagnostic materials — lab results, imaging/radiology reports, pathology reports
  3. Procedure documentation — operative reports, anesthesia records, consent forms
  4. Pharmacy records — medication administration records, prescription history
  5. Patient intake — chief complaint, date of incident, treating providers, patient demographics

Output Structure

1. Case Overview Table

Field Content
Patient Name, DOB, relevant medical history
Date(s) of alleged negligence Specific dates
Facility/Provider(s) Names, specialties, roles
Chief complaint / Presenting condition Initial presentation
Alleged injury/outcome Summary of harm
SOL flag Statute date + discovery rule considerations

2. Chronological Care Narrative

For each treatment episode:

Date Provider (Specialty) Clinical Findings Diagnosis Treatment/Orders Outcome/Notes
... ... ... ... ... ...

Flag entries with where potential standard-of-care issues exist.

3. Standard of Care Analysis

For each identified deviation:

  • Provider: Name and specialty
  • Action/Omission: What was done or not done
  • Expected standard: What a reasonably competent provider in that specialty would have done
  • Supporting basis: Clinical guidelines, protocols, or accepted practice (cite where identifiable)
  • Severity: Critical / Significant / Minor

Breach categories to evaluate:

  • [ ] Diagnostic errors — missed, delayed, or wrong diagnosis
  • [ ] Failure to order appropriate tests
  • [ ] Misinterpretation of test results
  • [ ] Treatment selection errors
  • [ ] Surgical/procedural errors
  • [ ] Medication errors (wrong drug, dose, interaction)
  • [ ] Failure to obtain informed consent
  • [ ] Monitoring failures (post-op, medication, vitals)
  • [ ] Premature discharge
  • [ ] Failure to refer to specialist
  • [ ] Communication failures between providers
  • [ ] Documentation gaps or alterations

4. Causation Analysis

For each breach, trace: Breach → Mechanism of Harm → Injury/Outcome

Classify each harm:

Category Description
Attributable to negligence Would not have occurred but for the breach
Underlying condition Natural disease progression
Unavoidable complication Known risk of necessary treatment
Concurrent/intervening cause Other contributing factors

5. Damages Assessment

Category Details Documentation Source
Additional medical treatment Surgeries, hospitalizations, rehab, future care Page/record refs
Physical impairment Permanent injury, disability, functional limitations Page/record refs
Pain and suffering Duration, severity, ongoing nature Page/record refs
Lost wages / Earning capacity Work restrictions, vocational impact Page/record refs
Life expectancy impact If applicable Page/record refs

6. Legal & Evidentiary Flags

  • Expert specialties needed — list by specialty based on providers and issues involved
  • Statute of limitations — calculate from treatment dates; note discovery rule triggers
  • Record red flags — gaps, late entries, alterations, inconsistencies between providers
  • Provider admissions — documented apologies, acknowledgments of error, incident reports
  • Applicable guidelines — cite specific clinical practice guidelines or hospital protocols implicated
  • Strengths — strongest facts supporting liability and damages
  • Weaknesses — defenses, contributory factors, documentation gaps undermining the claim

Guidelines

  • Cite every factual assertion to specific page numbers, dates, and document sources
  • Use medical terminology with parenthetical plain-language explanations on first use
  • Present balanced analysis — identify both strengths and weaknesses of the claim
  • Do not render legal conclusions on ultimate liability; frame as "potential" breaches for attorney evaluation
  • Flag any records that appear incomplete or were not provided
  • If standard-of-care analysis requires subspecialty knowledge beyond the records, note that expert consultation is needed
  • Mark any cited clinical guidelines or statistics with [VERIFY] unless directly quoted from provided records

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