Medical Chronology

An organized, succinct record of medical facts

A medical chronology from Excelas gives you an efficient, unbiased summary of what happened during a patient’s care over a specific period of time. Provided in a user-friendly format, our chronology is arranged so it can be reviewed quickly. It highlights only the most pertinent information from a patient’s medical record.

What information is found in an Excelas medical chronology?

Prepared by legal nurse consultants, our medical chronologies outline the details of significant medical events related to named allegations and other identified areas of concern. These details include the date of service or date of care, the facility and provider of care, the Bates number, and the most relevant information documented in the medical record.  Bates numbers hyperlink to their corresponding record pages for instant cross-reference capability.

All of our chronologies are fully customizable to meet your specifications. Our nurses will highlight areas of concern or focus, to assure all information is included in your reports. If, at any time, a chronology needs to be updated, we simply add the new information by building on the work already completed.

If needed, we can prepare topic chronologies, chronologies by record type, and chronologies by care provider. Topic chronologies are a subset of the full report and delve deeper into identified areas of risk. Your strategy may benefit from a chronology that focuses on skin integrity, nutrition, safety, infection, patient / resident behavior, or staff compliance. At a glance, you will have access to these critical facts.

Chronologies by record type allow you to see a summary of all entries captured within the medical chronology related to a single document type. For example, chronologies can be created from nursing documentation, physical therapy documentation, or any record type that will assist in the assessment of your case. This will allow you to quickly see if nursing implemented pertinent interventions if progress was made during therapy, if overall improvement was documented in MDS forms, or even if a dietitian was involved with assessments of nutritional status.

Chronologies by care provider will provide detailed information for all entries from a care provider. This is essential when a claim or complaint identifies specific individuals and access to the entries they authored is essential.

Why choose Excelas to prepare your medical chronology?

  • Expertise. Our legal nurse consultants understand the unique language of medical records. They can easily decipher terminology and analyze medical data. More importantly, they know what elements in a medical record are most critical to report and can identify gaps in documentation.
  • Efficiency. We created our own software to both streamline the medical review process for us internally and provide a valuable tool for our clients. It allows us to meet fast turnaround requests and gives our clients the ability to view and search their records and reports online at any time.
  • Flexibility. We don’t offer a one-size-fits-all solution. We work with our clients to ensure they get exactly what they need, at the right price point.

To find out more about our medical chronologies, CONTACT US today.



Excelas Medical Chronology

It’s clear that the Excelas team has a real interest in healthcare and a desire to keep our focus on resident care. Your analyses always examine what matters most—the standard of care, and the real, documented facts of the case.

- A claims manager from TX