Professional Case Simulations for Legal Nurse Consultants
THE
CHART FILES
The medical record is evidence. Your job is to determine what it actually establishes.
Work a realistic case the way an LNC actually receives it: an engagement letter, a Bates-labeled production, supplemental disclosures, and EHR audit data. Commit to your findings at each checkpoint. Then break the seal and compare your reasoning to the analysis.
NewCase 006: Numerator Met. A two-level merit review and case investigation. $39.95.
See the Case FilesInstant PDF download • Six cases, from 60 minutes to two sittings • Printable workbook included
Investigations
The Case Files
Each file presents a medical-legal problem through the records, system data, and evidence an investigator actually encounters. The answer isn't supplied. You work the evidence — in stages — and commit before you see what comes next.
What makes The Chart Files different? Read about the investigative approach behind the series.
The 14:06 Administration
The MAR says hydromorphone was given at 14:06. The order says 14:19. Was the medication given before it was ordered — and did it cause the respiratory event?
A postoperative patient deteriorates on the floor. The record tells a clean story. The audit trail, and then the bedside monitor data, tell you what that story is built on.
The Diagnosis That Grew
An expert calls her bipolar II diagnosis "well-documented … by multiple providers independently." How did the chart come to know that — and how sure was it at the time?
Fourteen months of primary care, urgent care, psychiatry, ED, and inpatient records. Then outside records, pharmacy data, and EHR audits showing where "independent" documentation actually came from.
- 81-page case file
- 35 record documents + expert opinion
- 22-point scored analysis
- Moderate · 60–90 minutes
The Clean Copy
The family's portal download of the ED note doesn't match the hospital's certified copy. Both show the same signature time. Which one did the doctor sign — and when was the other one written?
A patient leaves the ED and dies hours later. Then come the version history, the access log, and the print template, which show what happened to her record after she died. The hospital's accounting of disclosures lists one entry. The access log shows seven users.
- 49-page case file
- 19 record documents + 2 exhibits
- 21-point scored analysis
- Advanced · 90–120 minutes
The Strip
Our expert says the emergency C-section was never needed, and the nursing chart backs her up. Does the fetal monitor?
A healthy baby, a lacerated bladder, and a labor flowsheet that looks reassuring. Then the monitoring archive, the pump log, and the phone records arrive, and the clocks don't agree. The hardest part: testing the foundation of your own side's expert.
- 55-page case file
- 20 documents + monitoring strips
- 22-point scored analysis
- Expert · 2–3 hours
The Clean Timeline
Counsel's AI chronology says the sepsis bundle started six minutes after the order. It's polished and fully cited. Can anyone rely on it?
A defense-retained capstone. Build your chronology from a 46-page chart, with AI if you choose. Then audit it against alert, device, dispensing, pump, and access data, and audit a prior reviewer's AI work product before counsel files it.
- Staged 5-file package (94 pages)
- 42 documents
- 25-point scored analysis
- Capstone · 3–4 hours
Numerator Met
She walked in with pneumonia and left without her leg. Every quality measure on the chart says the care was compliant. Is there a case?
A two-level investigation built on duty, standard, breach, causation, and damages. Write the merit memo from a 192-page certified record. Then the audit trail, messages, document versions, policies, and depositions arrive, and responsibility moves. Not everything that looks wrong is a breach.
- Staged 4-file package (230 pages)
- 192-page record + 15 discovery exhibits
- 100-point scored analysis
- Two-Level · 8–12 hours
Short on time? Work a mini-case.
Twenty to thirty minutes, four record excerpts, one question from counsel, and a sealed answer with the follow-up record that changes the picture. A real test, not a worksheet, and the fastest way into the full case files.
Within Defined Limits
"Our admission skin assessment says within defined limits. Was this pressure injury present on admission?"
Defense counsel wants the flowsheet to answer the question. Read what "WDL" actually asserts, then set it beside the records made on either side of it.
The Stated Weight
"Somebody typed her weight in pounds. That's how she got a double dose. Was the enoxaparin dose wrong?"
Plaintiff's counsel has a theory. Do the arithmetic before you accept it, then trace the number every dose was built on back to its first source.
MD Aware
"The nurse wrote 'MD aware.' The attending testified nobody called him. Who's telling the truth?"
A critical potassium, a two-word nursing note, and a deposition. Which MD, aware of what, and when?
Want to try the format first? The Quiet Night is free.
Group and classroom licenses are available for firms, LNC certificate programs, and nursing education.
Look Inside
These aren't worksheets.
They're records.
Every document is formatted as a printed EHR report: patient banners, status fields, signature times, Bates numbers. You read headers and metadata the way you would in practice, because they're evidence too. A few excerpts:
Case 001The entry that starts the investigation. What does 14:06 actually prove?
Case 002A "noted" date. Who typed it, when, and what does it establish?
Case 002EHR metadata that shows where "independent" documentation came from.
WorkbookCommit to written answers before the next disclosure opens.
Case 003The family's copy. Same signature time as the certified copy. Different words.
Case 003The accounting of disclosures lists one entry. The access log tells a longer story.
Case 004Our own expert relied on these entries. When were they actually typed?
Case 004Every clock is a witness. This one runs six minutes fast.
Case 005Your AI will turn this into a timeline in seconds. Is it when it happened?
Case 005Polished, fully cited, and AI-generated. Audit it before counsel relies on it.
- Engagement letter from counsel
- Certified, Bates-labeled production
- Staged supplemental disclosures
- EHR audit & system data
- STOP pages & written checkpoints
- 60-second Final Challenge
- Sealed Investigator's Analysis
- Model response & scoring rubric
- Records-to-request list
Who It's For
A case to work before someone
pays you to work theirs.
New & aspiring LNCs
You've learned the concepts. This is where you practice them against a realistic production — with staged evidence, a deadline-style challenge, and an analysis to check yourself against.
Experienced LNCs
Test your process when nothing is riding on it. Can you resist premature closure? Tell repetition from corroboration? Separate the documented time from the actual event?
Forensic nurses & reviewers
Nurse reviewers, forensic nurses, UR/QA staff, and litigation-support professionals who want sharper, more defensible record analysis.
Questions
Before you open a file.
Which case should I start with?
Every case works on its own, but they build on each other. Case 001 (Intermediate) focuses on time: what a timestamp actually proves. Case 002 (Intermediate) focuses on provenance: how a diagnosis travels through a chart. Case 003 (Advanced) is about revised notes and audit trails. Case 004 (Expert) adds fetal monitoring strips, device clocks, and testing your own expert's foundation. Case 005 (Capstone) combines all of it with AI-assisted review. If you're newer to record review, start with 001. For Case 005, we recommend completing 003 and 004 first. If you purchased the EHR Audit Trails program, Case 003 is already included as its capstone.
Not sure the format is for you yet? Start with a $9.95 mini-case: Within Defined Limits, The Stated Weight, or MD Aware. Each takes 20 to 30 minutes. Or try The Quiet Night, which is free.
Do I need to be an LNC?
No. The cases are written for Legal Nurse Consultants, but nurse reviewers, forensic nurses, UR/QA staff, and litigation-support professionals use the same skills. A clinical background helps. No legal background is required.
What format is it? Can I print it?
Cases 001 through 004 are each a single PDF, and each mini-case is a single short PDF. Case 005 is a staged package of five PDFs with a README: a workbook, the clinical record, the digital record, a prior reviewer's AI chronology, and the sealed analysis. You open each file only when the workbook tells you to. Everything is an instant download and designed to print. Most people work the checkpoints on paper and keep the sealed analysis closed until the end.
Is there an answer key?
Yes. In Cases 001 through 004 and in every mini-case, it's sealed at the back of the file. In Case 005 it's a separate sealed file, so the answer isn't sitting in the same PDF as the evidence. Every full-case key includes the investigator's findings, a model response to the Final Challenge, a records-to-request list, and a scoring rubric. It explains what the evidence permits you to say and why, not just "the answer."
Can I use AI?
Case 005 is built for it: AI use is permitted and encouraged, but optional, and you can complete the case without it. The case teaches you to verify what the tool produces, not just accept it. For the other cases, AI is your choice, but the reasoning is the point. In any case, never upload a sealed analysis or a later-stage file to an AI tool. And never upload real patient records to any AI tool without the retaining attorney's approval of the specific tool and its data handling.
Are these real cases?
No. All patients, clinicians, facilities, and events are fictional. The documentation behaviors, EHR mechanics, and evidentiary problems are drawn from how real records work.
Do the cases offer continuing-education credit?
Not yet, but I am working on this!
What's your refund policy?
Because each case file is a complete, instantly downloadable investigation, and the sealed analysis can't be un-read once it's opened, all sales are final. That said, if anything goes wrong (a download that won't open, a missing page, a file that isn't what was described), let me know and I'll make it right, quickly.
Can I use these to train a team or a class?
Yes, with a group license. Individual purchases are licensed for one person. For firms, LNC programs, and educators, get in touch about classroom and team pricing.
Will there be more cases?
Yes, new cases will be released monthly. Join the list below to hear first.
The file is waiting
The record is not the event.
Find out what it proves.
Staged evidence, real-format records, and a sealed analysis to measure your reasoning against.
Short on time? Try a 20-minute mini-case for $9.95: Within Defined Limits · The Stated Weight · MD Aware · or The Quiet Night, free.