Medical chronology & records

Personal injury medical chronology

Medical chronology in PI practice

Direct answer

In personal injury practice a medical chronology serves the demand: it establishes that treatment began promptly, continued logically, escalated where indicated and produced documented findings. Unlike a clinical summary, it is built to be attached as an exhibit and cited from the narrative, so page references and gap handling matter as much as content.

NORBU Demand Editorial · Last reviewed 2026-08-31

What the demand needs from the chronology

  • The interval between the incident and first treatment
  • Continuity of complaint across providers
  • Referral chains showing why care escalated
  • Objective findings tied to the body regions claimed
  • Discharge, plateau or return-to-baseline documentation

Handling gaps inside the chronology

Gaps belong in the chronology, marked as intervals, with any documented explanation attached. Hiding an interval does not remove it from the billing, and the billing is attached.

IntervalHandling
Under 30 daysUsually unremarkable; no special treatment
30-60 daysNote the interval and any documented reason
Over 60 daysAddress explicitly in the narrative with support

Integration with the exhibit set

The chronology should be paginated as part of the package and reference the same page numbers used everywhere else. When pagination changes at assembly, citations must be re-verified.

NORBU Demand provides analytical support for counsel. It does not determine legal value, predict settlement outcomes, or provide legal advice. Every observation is presented for attorney review.

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