Our clinic just changed to new medical record; one of my wife's notes had a list that had things like:
Homo/suicidal ideation
Legal Issues
Illegal Drug Use
And so on. I called and they said, oh, it doesn't matter unless there's a "x" next to it. I said, there's no third party in the world who would see that list and interpret it that way. They changed it (illegally) by rewriting the note. Medical notes, if in error, and supposed to be changed either by striking through and initialing, or adding addenda. Deleting a note is falsifying the medical record.
If I were a mean guy, I could file a Qui Tam lawsuit and make millions, as I have found falsifications in other notes.