Postoperative infection: identify missing originals first
Real sources · Illustrative request · Sample version
Customer question
A hypothetical lawyer has a discharge summary and a family account, and commissions one question: are early infection signs and management records complete?
Which facts can be located, what is missing and which specialist should review them?
Turn a broad allegation of delay into concrete records and reviewer tasks before deciding whether to commission a full case package.
Initial record-location map
| Check / stage | Chart content |
|---|---|
| Discharge summary | MR-01, p.3: infection diagnosis recorded; original awaiting verification |
| Temperature and nursing records | MR-02: absent from this illustrative inventory; first abnormality unresolved |
| Cultures and medication orders | MR-03: absent; sampling and treatment order cannot be checked |
Record IDs, pages and status are fictional demonstration inputs. Legal sources inform preparation; they do not establish case facts.
Analysis excerpt
| Check | Finding / sample content | Use |
|---|---|---|
| Recorded fact | The sample summary mentions postoperative infection but lacks the early sequence. | Retain page locations and verify the original. |
| Unresolved inference | A diagnosis alone does not establish infection cause or liability. | Keep causation and professional conclusions pending. |
| Next task | Obtain temperature, nursing, laboratory and order records first. | Lawyer confirms access; infection/perioperative expert reviews substance. |
Delivery manifest
| File | Format | Contents |
|---|---|---|
| 01 Assessment memorandum | One issue, recorded facts, open inferences and next steps. | |
| 02 Record gaps and reviewer roles | XLSX | Record IDs, pages, gaps, collection owner and specialist role. |
| 03 Task time log | XLSX | Actual search, checking and discussion hours against the agreed cap. |
This is an illustrative formal delivery manifest. This pack supplies an HTML report, CSV tables and a source register. Agree formal formats, quantities and scope in the quote.
Acceptance criteria
- The agreed issue links to original locations, gaps, contemporaneous evidence direction, reviewers and next steps. Settlement follows completed tasks and actual hours, not a favorable conclusion.
Sources
- SPC civil evidence provisions (2019 revision; originals, electronic records and specialists)
https://www.court.gov.cn/zixun/xiangqing/212721.html - SPC medical damage interpretation (2020 revision, in the 27-interpretation amendment)
https://www.court.gov.cn/zixun/xiangqing/282621.html