Database Expert Witness Evaluates Electronic Medical Record Errors

Database Expert Witness This case involves electronic medical record (EMR) entries and the subsequent revisions made by a physician. There was an incident which resulted in the permanent paralysis of a 30-year-old male. Counsel seeks an expert with familiarity of electronic medical document tracking and forensics. The medical data management expert must be able to determine which entries were adjusted and modified, as well as extract all entry data for purposes of review.

Question(s) For Expert Witness

  • 1) Please explain why you're qualified to serve as an expert on this matter.
  • 2) Have you ever conducted this sort of an audit/forensic assessment for medical legal matter, and have you served as an expert witness?

Expert Witness Response E-041129

I am have been a digital forensic expert for nearly a decade. I have reviewed many EMR and medico legal cases, including some that are very similar to this. These cases typically require a thorough examination of the back end of the system to determine who made, edited, or deleted entries; including when the event occurred. Medical records systems vary wildly in their complexity and audit tracking ability. In some cases they consist of flat files, old legacy databases, and propriety systems that rely on programming languages that were developed in the 1960s. It will be important to have an expert who is capable of sifting through all of these details in order to make an accurate assessment of what happened in this case.

Expert Witness Response E-007526

I have over a decade of experience with electronic health records, as well a BS in Computer Systems Engineering, and a Masters in Public Health in health care information systems. I have spent my entire career analyzing and programming health care IT software systems. When necessary, I have also reverse engineered these systems. I have worked on similar cases in the past, where I promptly delivered the advice counsel was seeking.


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