Forensic EMR review for plaintiff attorneys
Do you have the complete medical record?
The chart is only part of the story. We examine audit trails and metadata to help establish what changed, what may be missing, and what to request next.
Free initial review. No obligation.
Behind the record
Illustrative exampleOne note. Two different times.
- In the produced chart
March 11 · 10:47 pm
Date shown on the progress note
- In the audit trail
March 12 · 9:14 am
System-recorded creation time
The system history can reveal a later entry.
Simulated data. A timing difference calls for review; it does not by itself establish wrongdoing.
- CHPSE-certified
- 15+ years in healthcare IT
- Nationwide litigation support
What an EMR check examines
Audit trail analysis
Identify who did what, when it occurred, and which entries changed.
Timeline reconstruction
Rebuild the sequence of events using system timestamps and activity.
Forensic chart review
Compare the visible chart with the history behind the electronic record.
The work product
From system history
to a clearer case record.
Findings you can trace to the source, understand in context, and use to guide the next request.
Simulated report · No patient data
The note’s displayed time precedes its creation.
A closer look at the timestamp difference shown above.
- Produced chart
Time shown on the progress note
- Audit trail
Note created in the system
- Audit trail
Note signed
Review the entry’s history and context. A timing difference alone does not establish wrongdoing.
What you receive
Evidence, organized for your review.
- 01
Record findings
An authenticity and completeness report, with audit-trail and metadata findings tied to the available evidence.
- 02
Case chronology
An annotated timeline, with standards-of-care cross-references for counsel’s review.
- 03
Supporting materials
A provider background summary and declaration or affidavit language for counsel’s review.
The scope of work is agreed for each engagement.
Gagan Singh Founder, EMRCheck
Who reviews your records
A view from inside
healthcare IT.
I’m Gagan Singh, a forensic EMR analyst with more than 15 years in enterprise healthcare IT, including work at Temple University Health System.
That experience informs how I examine the systems behind a production: how records are created, how activity is captured, and what to ask for when the history is incomplete.
CHPSE Certified HIPAA Privacy Security Expert
Meet your analystTrusted by attorneys
Jon Lomurro
Lomurro Law
William O. Crutchlow, Esq.
Eichen Crutchlow Zaslow, LLP
Jack Hoyt, Esq.
Tracey Bauer, Esq.
How it works
A clear path
through the record.
Start with a conversation about the production. We’ll identify what is available and what the review needs to address.
- 01
Discuss the production
Tell us what you received and where a gap, discrepancy, or unexplained chronology raises a question.
- 02
Examine the record
Review the available chart, audit trails, timestamps, amendments, and system history.
- 03
Clarify the next steps
Receive findings that help you understand the record and identify additional material to request.
For your next request
Start with
the right questions.
Practical guides to the records, systems, and rules behind a production.
Browse the resource libraryHow do I get the audit trail?
What to request, in what format, and how to frame the production.
EMR discovery guideWhat may be missing from the chart?
The timestamps, amendments, and metadata behind the visible record.
Metadata analysisWhat do my state’s rules require?
Jurisdiction-specific guides to retention, authentication, and spoliation.
State coverage
Systems & service areas
Specific to the system.
Relevant to the jurisdiction.
Explore the guide for the EMR in your matter, or find the record-retention and discovery guidance for your state.
EMR systems
All EMR system guidesNationwide litigation support
State guides bring the jurisdiction-specific research together in one place.
Find your state guideBrowse all 13 published state guides
What is an EMR check?
An independent forensic review of an electronic medical record’s audit trail and metadata. It helps assess the completeness and history of the production, including late entries, edits, deletions, and gaps that may not be visible in the chart.
What is an EMR/EHR audit trail?
A system-generated history of activity in an electronic health record. The available events and export formats vary by platform; a review examines what the supplied data actually records, including creation, access, changes, and signatures.
What is EMR forensics?
EMR forensics examines a record’s history through audit trails and metadata, translating system data into findings and a chronology for discovery, deposition, and trial.
Can EMRCheck serve as an EMR expert witness?
Yes. Engagements can include written findings, declarations and affidavits, and testimony explaining audit-trail and metadata evidence. The work is provided by Gagan Singh, a CHPSE-certified forensic EMR analyst.
How does this differ from reviewing the printed chart?
The printed chart shows the visible documentation. An EMR check compares it with available system history to understand when entries were created, changed, and signed, and whether additional records may be needed.
Which EMR systems do you analyze?
Epic, Oracle Health (Cerner), MEDITECH, athenahealth, eClinicalWorks, Veradigm (Allscripts), and NextGen. Review depends on the platform, its configuration, and the data available in your matter.
Start a conversation
What does your
production leave unanswered?
Tell us what you received and what concerns you. We’ll discuss whether an EMR review can help clarify the record.
Free initial review. No obligation.
Do not include PHI, patient names, dates of birth, or privileged case details in this message. Share specifics securely after we connect.