Electronic medical records – easier to alter after the event?

We hardly ever see cases where medical records have been changed after the event.  We believe this is vanishingly rare and the vast majority of cases are dealt with in good faith by healthcare providers facing an allegation of clinical negligence.  However, we know of two cases where the court has found that records were falsified, so this does occur.

I came across the article below this week.  An American claimant believes her electronic records were changed, years after the event but shortly after her claim was issued.  Just three characters in an electronic mammogram result code, changed from NEG to ABN, were the difference between a breast lesion being followed up or not.  It’s a fascinating read, showing how easy it is to edit a digital record and how a digital forensic expert can track and time any changes.  Here’s a link to the full article: