Medical chronology | Medical summary | Best practices

Medical chronologies

Medical data is generally ordered by time to make sense. Telegenisys supports a series of uses for medical chronologies including for insurance risk assessments, (underwriter underwriting insurance risk, policy value assessments, pharmacological, and biomedical research, and healthcare among many others.

Medical fact chronologies for Legal Use

Perhaps the most common use of the chronological arrangement of data is to review facts of legal action. After many years of research, it is evident that simply identifying medical events and ordering them is not generally adequate to specific legal actions that demand use case presentations.

Personal Injury:

• Motor Vehicle Accidents
• Medical Malpractice
• Care-related Torts (Nursing Homes, Long Term Care, etc.)
• Wrongful Death
• Workplace Accident
• Premises Liability
• Product Liability
• Assault, Battery, and Other Intentional Torts

In each of these cases, chronological presentations of medical data supporting the injury must be customized to expose the factors demonstrating the nature, extent, and perhaps value of each injury. Telegenisys has built use case-specific medical data probes for each injury type so our chronologies can expose use related facts with precision.

Motor Vehicle Accident Example

Automobile accident injuries must demonstrate a timeline of facts with timestamp precision. This allows reviewers to see the sequence of events on the day of the accident and beyond. The nature of these injuries and the subsequent substantiation of claim requires such timelines to precede and follow injury dates. We often help our attorney clients obtain medical records so they provide sufficient data to attorneys . Metadata used in the chronology for legal use requires specialized contextual information. In automotive cases we examine the records we obtain for:

• Treatment gaps
• Pre-injury ambulatory propensities such as balance or gait issues in elderly
• Conflicting medical service provider opinions
• Missing records based on medical facts or treatment plans
• Improper attribution of confusing medical provider identity for actions or assertions
• Mixed records from other patients

We have developed such data probes and presentations for application of these uses as well with perhaps the most extensive mass tort evaluation where chronologies are developed with injury factors over groups. Our software-based chronologies output the entire medical data model in a database for comparison of groups.

Customizing medical chronologies for specific uses

Leveraging our experience we have developed contextual chronologies for several uses.

• Legal uses including personal injury and mass tort actions
• Workman’s compensation and other claims
• Life and medical insurance
• Life insurance valuation and settlement markets
• Pharma research support for retrospective data used in studies and trials
• Genomics research and consultations
• Patient intake and healthcare support

Review patient record In minutes

Highly hyperlinked for rapid review, our medical summaries are designed for fast and comprehensive review. All patient files from all sources are unified into one pdf. When organized all medical events are viewable chronologically. Since our chronologies are developed by our software medical event data is also viewable by provider, event type, ICD disease codes, medications and special deep probes depending on the use of the chronology.

Medical Condition Navigation

Or printable indexes for exhibit submission

Medications timeline

Consistency of claimant’s statements as noted in records

To provide a comprehensive medical summary Telegenisys sifts through complex medical records identifying, organizing and cleaning up the documents first into a medical intervention timeline. Data is then classified based on report type (types of physician notes, labs, radiology, prognosis and treatment plans). Once classified a summary is prepared both chronologically and by each condition. If the summary is being created as a result of an incident, pre-incident and post-incident reports are indicated on the timeline. All timelines are hyperlinked first to the medical chronologies and then to the medical summary. All elements are presented in one PDF file so that attorneys do not need to search for paperwork while discussing case strategy, Preparing briefs, Taking depositions, Filing actions, etc. A unified view of medical reports provides faster and improved attorney action.

Outsourcing can streamline the process and make it much more efficient.

When attorneys can focus on strategy and actual case actions with well-prepared materials they become more efficient and can process more volume of work. It can be very time consuming to sort through medical records. Telegenisys medical chronologies solve such workflow issues.

Frequently asked questions

What is a medical chronology?

Medical chronology is a document that presents relevant details of medical events on a timeline. Typically medical chronologies list the category of service, the healthcare provider, date of visit, and outcome of the medical event.  Generally, a chronology itself is of limited use unless hyperlinked references are provided into the medical record. Medical chronologies are evolving by referencing document types, provider taxonomies (specialties), medical conditions (typically using ICD 10, and ICD 9 codes that specify the problem) among other references. Good chronologies speed up the medical review process and provide the exact nature of the patient’s medical issues.

How do medical chronologies help in a medical review?

A medical record can be hundreds of pages especially when there are a large number of medical issues being managed by a variety of healthcare providers. Medical chronologies ensure that medical events can be reviewed rapidly so that decisions can be made on legal, insurance, or healthcare actions to be taken.  Our medical-grade summaries are respected by attorneys, insurance companies, and healthcare providers because they are based on a deep understanding gained through the review of a large number of cases.

How our medical chronologies are built?

Simply higher quality medical review reference! Telegenisys develops medical data for medical research, healthcare, insurance, and legal uses. We have a deep understanding of medical conditions and our hyper referencing system is unique.  We use 5.4 million healthcare providers database maintained by the department Of health and human services (hhs.gov) to identify hospitals and doctors with their declared specialties (taxonomy codes). Similarly, When we look at conditions we use the entire ICD 10 & 9 billing code indexes to reference medical conditions found in the record. Our software references every known drug approved by the FDA (US Food & Drug Administration) and every known abbreviation known. Our system is designed to reference over 500,000 medical attributes providing clear reference and categorization of medical data.

Why choose us?

Unlike many others who develop medical summaries, Telegenisys is a medical services business. We bring our expertise in developing medical grade documentation for healthcare to your law practice. Seeking expertise in this field can be hard so we have produced a research report on how we do work and if you would like to know what distinguishes us I highly recommend reading it.

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