Medical Chronology — Case Review Template
This must be completed before any analysis, scoring, or reporting.
Purpose
You are building a **factually accurate, time-sequenced reconstruction of care**.

This is NOT a summary.
This is the **clinical reality timeline** that everything else depends on.
Step 1 — AI Extraction (Raw Facts)
AI MUST extract:
  • All dates and timestamps
  • All encounters (ER, inpatient, outpatient)
  • All providers involved
  • Vital signs and trends
  • Labs and imaging results
  • Medications and treatments
  • Orders vs actions taken
  • Documentation timestamps (when written vs when event occurred)
Output must be: ✔ Chronological ✔ Source-linked ✔ Fact-only (no interpretation)
Step 2 — Clinical Validation (Required)
YOU MUST CONFIRM:
  • Timeline is complete (no missing periods)
  • Events are in correct order
  • All key encounters are included
  • No duplicate or conflicting entries
  • Time gaps are identified
If timeline gaps exist → STOP. Do not proceed.
Step 3 — Identify Critical Events
YOU MUST IDENTIFY:
  • Initial presentation
  • First abnormal findings
  • Clinical deterioration points
  • Key decisions made
  • Missed opportunities
  • Interventions and timing
  • Outcome event
Step 4 — Inflection Point (Most Important Step)
Define the exact moment where:
  • Action SHOULD have occurred
  • Action did NOT occur (or was delayed)
This becomes: 👉 The anchor for causation 👉 The anchor for liability 👉 The anchor for case value
Step 5 — Data Integrity Check
YOU MUST CHECK:
  • Missing documentation
  • Late entries / addenda
  • Conflicting notes
  • Orders not carried out
  • Unexplained delays
These issues directly impact: ✔ credibility ✔ defensibility ✔ cross-examination risk
Step 6 — Litigation Filtering
Every timeline entry must answer:
  • Does this impact decision-making?
  • Does this show deterioration?
  • Does this support or weaken breach?
  • Does this affect causation?
If NO → REMOVE IT
Final Chronology Validation
You must confirm:
  • Timeline is complete
  • Inflection point is clearly identified
  • All critical events are included
  • No irrelevant data remains
  • Chronology tells a clear clinical story
If unclear → STOP. Do not proceed to analysis or reporting.
Final Output
A litigation-ready chronology must provide:
  • Clear sequence of events
  • Identified decision points
  • Defined inflection point
  • Clean, defensible timeline
Extract → Validate → Identify Events → Define Inflection Point → Clean Timeline → Ready for Analysis