# Check a birth injury file for missing strips, MAR and NICU pages

> How to use the missing records list, the timeline and search in Medrecords AI to spot gaps in a birth injury file before your expert reads it.

Canonical page: https://medrecords.ai/help/case-types/birth-injury/missing/

---
New — **Missing Records Detection:** flags every visit, provider, and date missing from the file. [See how →](https://medrecords.ai/product/missing-records-identification/)
[Home](https://medrecords.ai/) ›[Help](https://medrecords.ai/help/) ›[Birth injury](https://medrecords.ai/help/case-types/birth-injury/) › — Check a birth injury file for missing strips, MAR and NICU pages
MEDRECORDS AI HELP

## Check a birth injury file for missing strips, MAR and NICU pages

Medrecords AI lists records that your file mentions but does not have, such as a lab result that was ordered and never arrived. It does not check fetal monitor strips for missing hours. For strips, MAR pages and NICU notes, you check the gaps yourself with the timeline, filters and search. This page shows how.

Last checked 2026-10-24 — ·Written by Ahmed Jemaa

**Help center contents26 articles**
Start here

- [Choose the right case type](https://medrecords.ai/help/tasks/choose-case-type/)
- [Which files can you upload?](https://medrecords.ai/help/tasks/file-types-limits/)
- [Confirm the case details, key date and focus](https://medrecords.ai/help/tasks/confirm-case/)
- [Fix a failed upload or a stuck case](https://medrecords.ai/help/tasks/troubleshooting/)

Work with the records

- [Read the medical chronology](https://medrecords.ai/help/tasks/chronology/)
- [Check any fact against its source page](https://medrecords.ai/help/tasks/verify-source/)
- [Search your records with exact text or keywords](https://medrecords.ai/help/tasks/search/)
- [Filter and group the documents index](https://medrecords.ai/help/tasks/documents-index/)
- [Add flags, highlights and notes to records](https://medrecords.ai/help/tasks/annotations/)
- [How duplicate pages are found and removed](https://medrecords.ai/help/tasks/deduplication/)
- [Work through the missing records list](https://medrecords.ai/help/tasks/missing-records/)
- [Add records to an existing case](https://medrecords.ai/help/tasks/add-records-later/)

Write and share

- [Edit the chronological narrative](https://medrecords.ai/help/tasks/narrative/)
- [Create a report in Report Studio](https://medrecords.ai/help/tasks/report-studio/)
- [Set up report templates](https://medrecords.ai/help/tasks/templates/)
- [Export your work](https://medrecords.ai/help/tasks/export/)

Account and trust

- [Set your role](https://medrecords.ai/help/tasks/roles/)
- [Is Medrecords AI HIPAA compliant, and who can see my cases?](https://medrecords.ai/help/tasks/security-hipaa/)
- [How accurate is Medrecords AI, and what are its limits?](https://medrecords.ai/help/tasks/accuracy-limits/)
- [Glossary of terms](https://medrecords.ai/help/glossary/)

Case type playbooks

- [Work a birth injury case](https://medrecords.ai/help/case-types/birth-injury/)
- [Work a nursing home neglect case](https://medrecords.ai/help/case-types/nursing-home/)
- [Work a VA disability case](https://medrecords.ai/help/case-types/va-disability/)
- [Work a mass tort case](https://medrecords.ai/help/case-types/mass-tort/)
- [Work a medical malpractice case](https://medrecords.ai/help/case-types/medical-malpractice/)
- [Work a personal injury or car crash case](https://medrecords.ai/help/case-types/personal-injury/)

[See every topic on the help center home](https://medrecords.ai/help/)

### Step 1: read the missing records list

The list opens on its own the first time a finished case has missing items. You can also open it from the **Needs attention** card on the Overview.

1. Start on the **Outstanding** tab.
2. Use the **Type** menu to look at lab, imaging, consult and hospitalization items first. Cord gases, brain imaging and NICU transfers fall in these groups.
3. Pick **Ordered** to see items that were ordered with no result on file.
4. For each "Possible match found", answer **Yes, this is it** or **Not a match** .
5. Use **Dismiss as** for items you do not need. Nothing is deleted.

The list costs no credits. See [work through the missing records list](https://medrecords.ai/help/tasks/missing-records/).

### Step 2: check the strips by hand

The app has no fetal monitor strip logic. A missing hour of strip only shows on the list if another record mentions it. So check by hand.

1. Open the **Timeline** and press **Filters** .
2. Set the dates to the labor and delivery window.
3. Pick **Date by date** and step through with **Next date** .
4. Use search in **Exact** mode for "strip" and "EFM". Exact finds parts of words too.
5. Write down the first and last time on the strips you have. Compare them with the times in the nursing notes.

If the nurses chart times that the strips do not cover, part of the strip may be missing. Flag the pages and add a note.

### Step 3: check the MAR

The MAR shows when each drug was given. Gaps here matter for Pitocin, magnesium and pain drugs.

1. Search in **Keywords** mode for "Pitocin" and "oxytocin". Choose **Any** so you see pages with either word.
2. Open each order and look for a matching MAR entry.
3. If an order has no MAR page, note it.

### Step 4: check the NICU stay

- Filter by **Facility** to the NICU or the hospital.
- Look for the NICU admission note, daily notes and a discharge summary.
- Search for "transfer". A transfer to another hospital means a second chart to request.
- Search for "MRI" and "EEG". If the notes mention a study but there is no report, request it.

### Things to look for

| Record | A sign it may be missing |
| --- | --- |
| Fetal monitor strips | Nursing notes describe the tracing at times no strip covers |
| Mother's MAR | An order for Pitocin with no matching dose entries |
| Cord gas | A note says a gas was sent, but no result page is on file |
| Delivery room notes | The baby's chart starts at the NICU, not at birth |
| NICU records | The discharge summary names a study with no report |
| Transfer records | A note says "transferred" with no chart from the other hospital |

### Request what is missing

Press **Request from provider** on an item, or **Request all from provider** for a group. The app opens your own email program with a drafted request. It does not send anything for you. Press **Export** for an Excel file of the list.

For a written report on the gaps, use **Missing Records & Gap Analysis** . See [pick your reports](https://medrecords.ai/help/case-types/birth-injury/reports/). When the records arrive, [add them to the same case](https://medrecords.ai/help/tasks/add-records-later/).

Our page on [birth injury record review](https://medrecords.ai/solutions/birth-injury-record-review/) lists the records most files need.

Medrecords AI organizes and cites the records. Its output is not a medical or legal opinion and does not replace your expert.

### Related help

- [Review a birth injury case in Medrecords AI](https://medrecords.ai/help/case-types/birth-injury/)
- [Which labor, delivery and NICU records to upload](https://medrecords.ai/help/case-types/birth-injury/records/)
- [Work through the missing records list](https://medrecords.ai/help/tasks/missing-records/)
- [Search your records](https://medrecords.ai/help/tasks/search/)

Facts checked against the Medrecords AI app code on 2026-10-24.

### Try it on a real file

Upload a case and see the page count and cost before you confirm.

[Book a demo](https://medrecords.ai/demo/)
