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When filing a claim for medical malpractice, medical documentation and evidence are essential to support the facts and have evidence about the facts, responsibilities and rights of the affected people. Today on the LEX & CO blog we will tell you about the importance of medical documentation in legal claims and its use as evidence to support your case.


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Importance of evidence in medical negligence

Testing and evidence plays a very important role in medical liability cases, as it helps determine whether the criteria for filing a medical malpractice claim are met. Evidence refers to the objective facts and data that support the arguments, while proofs are those documents that can be presented before a court or legal process.

The types of medical documentation for legal claims are:

Accurate recording of medical history

Having a record of the patient’s previous illnesses, allergies, treatments for chronic illnesses, prescribed medications, imaging tests and any other information that serves as a basis for having a record is essential to understand the context of the medical care provided and the needs. of the patient.

Having a record of the treatments and prescriptions administered is essential to evaluate whether the diagnosis and medical decisions were appropriate for the patient’s health status.


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Medical expertise

The expert opinion is one of the most reliable pieces of evidence since it is carried out by completely objective medical experts, whose mission is to evaluate whether the standards of medical care, the recommended treatments, or whether there was any error, omission or malpractice were followed.

Imaging tests

X-rays, MRIs, CT scans or ultrasound results are visual evidence of the patient’s conditions before and after medical care, as well as the consequences or sequelae of the treatment provided.


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Medical documentation is essential to determine a case of negligence and establish medical liability. Gathering and presenting your evidence is part of the process of obtaining a fair resolution that helps you obtain the reparation for the damages that you or your loved one affected by malpractice deserve.


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At LEX & CO we are medical negligence lawyers, write to us through the contact form, WhatsApp button, at firma.lex.co@gmail.com or call us at 5568401076 and tell us about your case. Learn the Art of Winning with LEX & CO.

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