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Medical record review prompts for plaintiff firms

Medical record review prompts for plaintiff firms turn a record set into documented damages: pain and life disruption tied to specific diagnoses, capacity loss by domain, and future care. The last two prompts run the case against you, because every argument the defense will make is already sitting in the file.

The job

Establish what happened, prove it caused the injuries, document the full extent of the harm, and find every weakness before the other side does.

Produces

Demand letter, mediation brief, settlement evaluation, discovery responses.

Spine priority

S1, S5, S6, S9, S10, S13, S14, S18, S21. Run S15, S16, S17, S19 and S20 defensively even though they cut against you, because they exist in the record whether or not you look.

Run order

Full spine, then P1 through P5 for the affirmative case, then P6 and P7 to stress-test it.

The prompts

Run these after the spine prompts marked priority above. Placeholders in angle brackets need filling in.

P1

Damages narrative

Using the medical records, deposition testimony, and any life-impact documentation, identify specific documented examples of physical pain, emotional distress, and disruption to daily life. Connect each example to a specific diagnosis and its treatment. Cite the source for every example. Do not generalize beyond what the records document.

The final clause matters more than the rest. A damages narrative that outruns the record is a narrative that collapses on cross.

P2

Life impact by domain

Describe how the documented injuries affected the client's capacity in three domains: occupational, household, and recreational. For each domain give the pre-incident baseline as documented, the post-incident status, and specific cited examples.

The baseline is the half people skip. A documented decline requires a documented starting point, and if the record has no baseline, that is worth knowing before mediation rather than during it.

P3

Relationship and psychological impact

Extract documented evidence of social isolation, strain on family relationships, and psychological consequence from medical records, mental health notes, and provider observations. Cite each. Distinguish clinician observation from patient self-report.
P4

Lost earning capacity

Extract everything the records establish about work capacity: pre-incident occupation and earnings where documented, post-incident restrictions, time missed, accommodations, and any provider statement on future work capacity. Identify what the records establish and what would require outside evidence.

Medical records rarely establish earnings. The closing clause tells you what to go get.

P5

Future care for valuation

Extract every documented recommendation for future treatment, with provider, frequency, duration, and stated basis. Flag recommendations that are stated as necessary versus stated as optional.

Overlaps deliberately with C1 in the life care planner lane. If the file will support a life care plan, run C1 instead, since it is built for the purpose.

P6

Defense argument anticipation

Identify the record-based arguments the defense is most likely to raise: gaps, pre-existing conditions, inconsistencies, unrelated causes, treatment timing. For each: the underlying record evidence, the strength of the argument, and the record evidence that answers it. Present as a three-column table.

Run this before the demand goes out, not after the response comes back.

P7

Element support assembly

For each element of damages claimed, list the specific records supporting it with citations. Flag any element with thin or absent record support.

Lane failure mode: anchoring. This lane asks the record to support a theory it already holds, which is the exact condition in which failure mode 5.6 appears. The correction is P6, run honestly. If P6 returns a short list, the prompt is not working. Every file has a defense case in it.

Professional responsibility. Competence now includes understanding the benefits and risks of the technology you use, and supervision duties extend to nonlawyer assistance, which is a reasonable frame for AI-assisted work product. Anything filed or served is Tier 1 verification. Confidentiality obligations govern what client records go into which system, and that question belongs to your firm's policy rather than to this document.

Lane failure mode: anchoring

This lane asks the record to support a theory it already holds, which is the exact condition in which failure mode 5.6 appears. The correction is P6, run honestly. If P6 returns a short list, the prompt is not working. Every file has a defense case in it.

Professional responsibility

Competence now includes understanding the benefits and risks of the technology you use, and supervision duties extend to nonlawyer assistance, which is a reasonable frame for AI-assisted work product. Anything filed or served is Tier 1 verification. Confidentiality obligations govern what client records go into which system, and that question belongs to your firm's policy rather than to this document.

Issues to raise, not answers. Requirements vary by jurisdiction, and none of this is legal advice.

Run these on a file you already have

Send one real record set. You get back a cited chronology, and you review it, you revise it, you sign it.

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Last verified: 2026-09-08 · ← All 71 prompts