Medical Malpractice Summary

med-mal-summary

Produces structured medical malpractice case summaries from medical records for personal injury litigation. Extracts chronological care narratives, identifies potential standard-of-care breaches, traces causation, assesses damages, and flags expert needs and statute of limitations issues. Use whe...

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SKILL.md

Full skill instructions

Medical Malpractice Summary

Produces a structured med-mal case summary from medical records for attorney case evaluation and litigation planning.

Prerequisites

Medical records — hospital charts, physician notes, nursing notes, discharge summaries
Diagnostic materials — lab results, imaging/radiology reports, pathology reports
Procedure documentation — operative reports, anesthesia records, consent forms
Pharmacy records — medication administration records, prescription history
Patient intake — chief complaint, date of incident, treating providers, patient demographics

Output Structure

1. Case Overview Table

Field	Content
Patient	Name, DOB, relevant medical history
Date(s) of alleged negligence	Specific dates
Facility/Provider(s)	Names, specialties, roles
Chief complaint / Presenting condition	Initial presentation
Alleged injury/outcome	Summary of harm
SOL flag	Statute date + discovery rule considerations

2. Chronological Care Narrative

For each treatment episode:

Date	Provider (Specialty)	Clinical Findings	Diagnosis	Treatment/Orders	Outcome/Notes
...	...	...	...	...	...

Flag entries with ⚠ where potential standard-of-care issues exist.

3. Standard of Care Analysis

For each identified deviation:

Provider: Name and specialty
Action/Omission: What was done or not done
Expected standard: What a reasonably competent provider in that specialty would have done
Supporting basis: Clinical guidelines, protocols, or accepted practice (cite where identifiable)
Severity: Critical / Significant / Minor

Breach categories to evaluate:

Diagnostic errors — missed, delayed, or wrong diagnosis
Failure to order appropriate tests
Misinterpretation of test results
Treatment selection errors
Surgical/procedural errors
Medication errors (wrong drug, dose, interaction)
Failure to obtain informed consent
Monitoring failures (post-op, medication, vitals)
Premature discharge
Failure to refer to specialist
Communication failures between providers
Documentation gaps or alterations

4. Causation Analysis

For each breach, trace: Breach → Mechanism of Harm → Injury/Outcome

Classify each harm:

Category	Description
Attributable to negligence	Would not have occurred but for the breach
Underlying condition	Natural disease progression
Unavoidable complication	Known risk of necessary treatment
Concurrent/intervening cause	Other contributing factors

5. Damages Assessment

Category	Details	Documentation Source
Additional medical treatment	Surgeries, hospitalizations, rehab, future care	Page/record refs
Physical impairment	Permanent injury, disability, functional limitations	Page/record refs
Pain and suffering	Duration, severity, ongoing nature	Page/record refs
Lost wages / Earning capacity	Work restrictions, vocational impact	Page/record refs
Life expectancy impact	If applicable	Page/record refs

6. Legal & Evidentiary Flags

Expert specialties needed — list by specialty based on providers and issues involved
Statute of limitations — calculate from treatment dates; note discovery rule triggers
Record red flags — gaps, late entries, alterations, inconsistencies between providers
Provider admissions — documented apologies, acknowledgments of error, incident reports
Applicable guidelines — cite specific clinical practice guidelines or hospital protocols implicated
Strengths — strongest facts supporting liability and damages
Weaknesses — defenses, contributory factors, documentation gaps undermining the claim

Guidelines

Cite every factual assertion to specific page numbers, dates, and document sources
Use medical terminology with parenthetical plain-language explanations on first use
Present balanced analysis — identify both strengths and weaknesses of the claim
Do not render legal conclusions on ultimate liability; frame as "potential" breaches for attorney evaluation
Flag any records that appear incomplete or were not provided
If standard-of-care analysis requires subspecialty knowledge beyond the records, note that expert consultation is needed
Mark any cited clinical guidelines or statistics with [VERIFY] unless directly quoted from provided records

Install skill

Copy and run in your terminal

npx -y skills add https://github.com/CaseMark/skills --skill med-mal-summary

View on GitHub

skills/legal/med-mal-summary/SKILL.md

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