{
 "patient": {
  "name": "Okafor, Daniel R.",
  "first": "Daniel",
  "last": "Okafor",
  "dob": "03/14/1981",
  "sex": "M",
  "addr": "1180 Larch Street, Apt 4, Fairhaven, ST 60814"
 },
 "date_of_injury": "02/11/2026",
 "encounters": [
  {
   "facility": "Harbor Family Medicine",
   "facility_key": "HFM",
   "date": "03/10/2022",
   "encounter_type": "office_visit",
   "provider": "Miriam A. Castellanos, MD",
   "bates_start": "OKAFOR-000004",
   "bates_end": "OKAFOR-000004",
   "pages": [
    4
   ],
   "summary": "Pre-injury annual exam; incidental mention of occasional neck stiffness after long drives, untreated.",
   "pre_injury": true
  },
  {
   "facility": "Harbor Family Medicine",
   "facility_key": "HFM",
   "date": "04/02/2024",
   "encounter_type": "office_visit",
   "provider": "Miriam A. Castellanos, MD",
   "bates_start": "OKAFOR-000005",
   "bates_end": "OKAFOR-000005",
   "pages": [
    5
   ],
   "summary": "Pre-injury annual exam; denies neck or back pain.",
   "pre_injury": true
  },
  {
   "facility": "Harbor Family Medicine",
   "facility_key": "HFM",
   "date": "05/20/2025",
   "encounter_type": "office_visit",
   "provider": "Miriam A. Castellanos, MD",
   "bates_start": "OKAFOR-000006",
   "bates_end": "OKAFOR-000006",
   "pages": [
    6
   ],
   "summary": "Pre-injury annual exam nine months before the collision; denies neck or back pain.",
   "pre_injury": true
  },
  {
   "facility": "Harbor Family Medicine",
   "facility_key": "HFM",
   "date": "02/16/2026",
   "encounter_type": "office_visit",
   "provider": "Miriam A. Castellanos, MD",
   "bates_start": "OKAFOR-000017",
   "bates_end": "OKAFOR-000017",
   "pages": [
    17
   ],
   "summary": "Post-ED follow-up; new left C6 radicular symptoms; ortho referral; work restrictions."
  },
  {
   "facility": "Harbor Family Medicine",
   "facility_key": "HFM",
   "date": null,
   "encounter_type": "telephone_encounter",
   "provider": "R. Ibanez, MA",
   "bates_start": "OKAFOR-000018",
   "bates_end": "OKAFOR-000018",
   "pages": [
    18
   ],
   "summary": "Undated telephone encounter: cyclobenzaprine refill; ortho referral faxed 02/17. No date of service printed anywhere on the page.",
   "date_expected": "NA",
   "undated": true
  },
  {
   "facility": "St. Brendan's Regional Medical Center",
   "facility_key": "SBRMC",
   "date": "02/11/2026",
   "encounter_type": "emergency_department",
   "provider": "K. Tran, RN",
   "bates_start": "OKAFOR-000021",
   "bates_end": "OKAFOR-000021",
   "pages": [
    21
   ],
   "summary": "ED triage record 02/11/2026 (part of the ED encounter).",
   "part_of": "ED 02/11/2026"
  },
  {
   "facility": "St. Brendan's Regional Medical Center",
   "facility_key": "SBRMC",
   "date": "02/11/2026",
   "encounter_type": "emergency_department",
   "provider": "Theo J. Lindqvist, MD",
   "bates_start": "OKAFOR-000022",
   "bates_end": "OKAFOR-000022",
   "pages": [
    22
   ],
   "summary": "ED provider note: rear-end MVC, cervical and lumbar strain, CT/XR negative for fracture, discharged.",
   "part_of": "ED 02/11/2026"
  },
  {
   "facility": "St. Brendan's Regional Medical Center",
   "facility_key": "SBRMC",
   "date": "02/11/2026",
   "encounter_type": "emergency_department",
   "provider": "M. Oyelaran, RN",
   "bates_start": "OKAFOR-000023",
   "bates_end": "OKAFOR-000023",
   "pages": [
    23
   ],
   "summary": "ED nursing notes.",
   "part_of": "ED 02/11/2026"
  },
  {
   "facility": "St. Brendan's Regional Medical Center",
   "facility_key": "SBRMC",
   "date": "02/11/2026",
   "encounter_type": "imaging",
   "provider": "Ingrid S. Halvorsen, MD",
   "bates_start": "OKAFOR-000024",
   "bates_end": "OKAFOR-000024",
   "pages": [
    24
   ],
   "summary": "CT cervical spine 02/11/2026: no fracture; straightening; mild C5\u2013C6 degenerative change.",
   "study": "CT cervical spine",
   "performed": true
  },
  {
   "facility": "St. Brendan's Regional Medical Center",
   "facility_key": "SBRMC",
   "date": "02/11/2026",
   "encounter_type": "imaging",
   "provider": "Ingrid S. Halvorsen, MD",
   "bates_start": "OKAFOR-000025",
   "bates_end": "OKAFOR-000025",
   "pages": [
    25
   ],
   "summary": "XR lumbar 02/11/2026: no fracture; mild L4\u2013L5 narrowing.",
   "study": "XR lumbar spine",
   "performed": true
  },
  {
   "facility": "St. Brendan's Regional Medical Center",
   "facility_key": "SBRMC",
   "date": "02/11/2026",
   "encounter_type": "emergency_department",
   "provider": "M. Oyelaran, RN",
   "bates_start": "OKAFOR-000026",
   "bates_end": "OKAFOR-000026",
   "pages": [
    26
   ],
   "summary": "ED discharge instructions.",
   "part_of": "ED 02/11/2026"
  },
  {
   "facility": "St. Brendan's Regional Medical Center",
   "facility_key": "SBRMC",
   "date": "02/11/2026",
   "encounter_type": "lab",
   "provider": "Theo J. Lindqvist, MD",
   "bates_start": "OKAFOR-000027",
   "bates_end": "OKAFOR-000027",
   "pages": [
    27
   ],
   "summary": "ED lab: CBC WITH DIFFERENTIAL",
   "part_of": "ED 02/11/2026"
  },
  {
   "facility": "St. Brendan's Regional Medical Center",
   "facility_key": "SBRMC",
   "date": "02/11/2026",
   "encounter_type": "lab",
   "provider": "Theo J. Lindqvist, MD",
   "bates_start": "OKAFOR-000028",
   "bates_end": "OKAFOR-000028",
   "pages": [
    28
   ],
   "summary": "ED lab: BASIC METABOLIC PANEL",
   "part_of": "ED 02/11/2026"
  },
  {
   "facility": "St. Brendan's Regional Medical Center",
   "facility_key": "SBRMC",
   "date": "02/11/2026",
   "encounter_type": "emergency_department",
   "provider": "K. Tran, RN",
   "bates_start": "OKAFOR-000029",
   "bates_end": "OKAFOR-000029",
   "pages": [
    29
   ],
   "summary": "ED MAR.",
   "part_of": "ED 02/11/2026"
  },
  {
   "facility": "St. Brendan's Regional Medical Center",
   "facility_key": "SBRMC",
   "date": "02/11/2026",
   "encounter_type": "emergency_department",
   "provider": "K. Tran, RN",
   "bates_start": "OKAFOR-000030",
   "bates_end": "OKAFOR-000039",
   "pages": [
    30,
    31,
    32,
    33,
    34,
    35,
    36,
    37,
    38,
    39
   ],
   "summary": "ED flowsheet export (VITAL SIGNS), one entry per page, 10 pages. Part of the ED encounter 02/11/2026.",
   "part_of": "ED 02/11/2026"
  },
  {
   "facility": "St. Brendan's Regional Medical Center",
   "facility_key": "SBRMC",
   "date": "02/11/2026",
   "encounter_type": "emergency_department",
   "provider": "K. Tran, RN",
   "bates_start": "OKAFOR-000040",
   "bates_end": "OKAFOR-000049",
   "pages": [
    40,
    41,
    42,
    43,
    44,
    45,
    46,
    47,
    48,
    49
   ],
   "summary": "ED flowsheet export (PAIN ASSESSMENT), one entry per page, 10 pages. Part of the ED encounter 02/11/2026.",
   "part_of": "ED 02/11/2026"
  },
  {
   "facility": "St. Brendan's Regional Medical Center",
   "facility_key": "SBRMC",
   "date": "02/11/2026",
   "encounter_type": "emergency_department",
   "provider": "K. Tran, RN",
   "bates_start": "OKAFOR-000050",
   "bates_end": "OKAFOR-000059",
   "pages": [
    50,
    51,
    52,
    53,
    54,
    55,
    56,
    57,
    58,
    59
   ],
   "summary": "ED flowsheet export (NEUROLOGICAL ASSESSMENT), one entry per page, 10 pages. Part of the ED encounter 02/11/2026.",
   "part_of": "ED 02/11/2026"
  },
  {
   "facility": "St. Brendan's Regional Medical Center",
   "facility_key": "SBRMC",
   "date": "02/11/2026",
   "encounter_type": "emergency_department",
   "provider": "K. Tran, RN",
   "bates_start": "OKAFOR-000060",
   "bates_end": "OKAFOR-000069",
   "pages": [
    60,
    61,
    62,
    63,
    64,
    65,
    66,
    67,
    68,
    69
   ],
   "summary": "ED flowsheet export (SAFETY / ROUNDING), one entry per page, 10 pages. Part of the ED encounter 02/11/2026.",
   "part_of": "ED 02/11/2026"
  },
  {
   "facility": "St. Brendan's Regional Medical Center",
   "facility_key": "SBRMC",
   "date": "04/28/2026",
   "encounter_type": "emergency_department",
   "provider": "Theo J. Lindqvist, MD",
   "bates_start": "OKAFOR-000070",
   "bates_end": "OKAFOR-000070",
   "pages": [
    70
   ],
   "summary": "ED visit 04/28/2026 for acute exacerbation after lifting mulch; placed in observation. Dates on this page are in ISO format (2026-04-28).",
   "part_of": "Observation 04/28\u201304/30/2026"
  },
  {
   "facility": "St. Brendan's Regional Medical Center",
   "facility_key": "SBRMC",
   "date": "04/28/2026",
   "encounter_type": "imaging",
   "provider": "Ingrid S. Halvorsen, MD",
   "bates_start": "OKAFOR-000071",
   "bates_end": "OKAFOR-000071",
   "pages": [
    71
   ],
   "summary": "CT cervical spine 04/28/2026: no acute finding, unchanged.",
   "study": "CT cervical spine",
   "performed": true
  },
  {
   "facility": "St. Brendan's Regional Medical Center",
   "facility_key": "SBRMC",
   "date": "04/28/2026",
   "encounter_type": "hospital_admission",
   "provider": "Anika R. S\u00f8rensen, MD",
   "bates_start": "OKAFOR-000072",
   "bates_end": "OKAFOR-000072",
   "pages": [
    72
   ],
   "summary": "Observation H&P 04/28/2026.",
   "part_of": "Observation 04/28\u201304/30/2026"
  },
  {
   "facility": "St. Brendan's Regional Medical Center",
   "facility_key": "SBRMC",
   "date": "04/28/2026",
   "encounter_type": "emergency_department",
   "provider": "D. Fitzgerald, RN",
   "bates_start": "OKAFOR-000073",
   "bates_end": "OKAFOR-000084",
   "pages": [
    73,
    74,
    75,
    76,
    77,
    78,
    79,
    80,
    81,
    82,
    83,
    84
   ],
   "summary": "ED flowsheet export (VITAL SIGNS) 04/28/2026, 12 pages, part of the ED visit preceding observation.",
   "part_of": "Observation 04/28\u201304/30/2026"
  },
  {
   "facility": "St. Brendan's Regional Medical Center",
   "facility_key": "SBRMC",
   "date": "04/28/2026",
   "encounter_type": "emergency_department",
   "provider": "D. Fitzgerald, RN",
   "bates_start": "OKAFOR-000085",
   "bates_end": "OKAFOR-000096",
   "pages": [
    85,
    86,
    87,
    88,
    89,
    90,
    91,
    92,
    93,
    94,
    95,
    96
   ],
   "summary": "ED flowsheet export (PAIN ASSESSMENT) 04/28/2026, 12 pages, part of the ED visit preceding observation.",
   "part_of": "Observation 04/28\u201304/30/2026"
  },
  {
   "facility": "St. Brendan's Regional Medical Center",
   "facility_key": "SBRMC",
   "date": "04/28/2026",
   "encounter_type": "emergency_department",
   "provider": "D. Fitzgerald, RN",
   "bates_start": "OKAFOR-000097",
   "bates_end": "OKAFOR-000108",
   "pages": [
    97,
    98,
    99,
    100,
    101,
    102,
    103,
    104,
    105,
    106,
    107,
    108
   ],
   "summary": "ED flowsheet export (NEUROLOGICAL ASSESSMENT) 04/28/2026, 12 pages, part of the ED visit preceding observation.",
   "part_of": "Observation 04/28\u201304/30/2026"
  },
  {
   "facility": "St. Brendan's Regional Medical Center",
   "facility_key": "SBRMC",
   "date": "04/28/2026",
   "encounter_type": "emergency_department",
   "provider": "D. Fitzgerald, RN",
   "bates_start": "OKAFOR-000109",
   "bates_end": "OKAFOR-000120",
   "pages": [
    109,
    110,
    111,
    112,
    113,
    114,
    115,
    116,
    117,
    118,
    119,
    120
   ],
   "summary": "ED flowsheet export (SAFETY / ROUNDING) 04/28/2026, 12 pages, part of the ED visit preceding observation.",
   "part_of": "Observation 04/28\u201304/30/2026"
  },
  {
   "facility": "St. Brendan's Regional Medical Center",
   "facility_key": "SBRMC",
   "date": "04/28/2026",
   "encounter_type": "orders",
   "provider": "Anika R. S\u00f8rensen, MD",
   "bates_start": "OKAFOR-000121",
   "bates_end": "OKAFOR-000140",
   "pages": [
    121,
    122,
    123,
    124,
    125,
    126,
    127,
    128,
    129,
    130,
    131,
    132,
    133,
    134,
    135,
    136,
    137,
    138,
    139,
    140
   ],
   "summary": "Physician orders for the observation stay, one order per page (20 pages). Part of the stay; not visits.",
   "part_of": "Observation 04/28\u201304/30/2026",
   "date_range": "04/28/2026\u201304/30/2026"
  },
  {
   "facility": "St. Brendan's Regional Medical Center",
   "facility_key": "SBRMC",
   "date": "04/28/2026",
   "encounter_type": "nursing",
   "provider": "K. Tran, RN",
   "bates_start": "OKAFOR-000141",
   "bates_end": "OKAFOR-000658",
   "pages": [
    141,
    142,
    143,
    144,
    145,
    146,
    147,
    148,
    149,
    150,
    151,
    152,
    153,
    154,
    155,
    156,
    157,
    158,
    159,
    160,
    161,
    162,
    163,
    164,
    165,
    166,
    167,
    168,
    169,
    170,
    171,
    172,
    173,
    174,
    175,
    176,
    177,
    178,
    179,
    180,
    181,
    182,
    183,
    184,
    185,
    186,
    187,
    188,
    189,
    190,
    191,
    192,
    193,
    194,
    195,
    196,
    197,
    198,
    199,
    200,
    201,
    202,
    203,
    204,
    205,
    206,
    207,
    208,
    209,
    210,
    211,
    212,
    213,
    214,
    215,
    216,
    217,
    218,
    219,
    220,
    221,
    222,
    223,
    224,
    225,
    226,
    227,
    228,
    229,
    230,
    231,
    232,
    233,
    234,
    235,
    236,
    237,
    238,
    239,
    240,
    241,
    242,
    243,
    244,
    245,
    246,
    247,
    248,
    249,
    250,
    251,
    252,
    253,
    254,
    255,
    256,
    257,
    258,
    259,
    260,
    261,
    262,
    263,
    264,
    265,
    266,
    267,
    268,
    269,
    270,
    271,
    272,
    273,
    274,
    275,
    276,
    277,
    278,
    279,
    280,
    281,
    282,
    283,
    284,
    285,
    286,
    287,
    288,
    289,
    290,
    291,
    292,
    293,
    294,
    295,
    296,
    297,
    298,
    299,
    300,
    301,
    302,
    303,
    304,
    305,
    306,
    307,
    308,
    309,
    310,
    311,
    312,
    313,
    314,
    315,
    316,
    317,
    318,
    319,
    320,
    321,
    322,
    323,
    324,
    325,
    326,
    327,
    328,
    329,
    330,
    331,
    332,
    333,
    334,
    335,
    336,
    337,
    338,
    339,
    340,
    341,
    342,
    343,
    344,
    345,
    346,
    347,
    348,
    349,
    350,
    351,
    352,
    353,
    354,
    355,
    356,
    357,
    358,
    359,
    360,
    361,
    362,
    363,
    364,
    365,
    366,
    367,
    368,
    369,
    370,
    371,
    372,
    373,
    374,
    375,
    376,
    377,
    378,
    379,
    380,
    381,
    382,
    383,
    384,
    385,
    386,
    387,
    388,
    389,
    390,
    391,
    392,
    393,
    394,
    395,
    396,
    397,
    398,
    399,
    400,
    401,
    402,
    403,
    404,
    405,
    406,
    407,
    408,
    409,
    410,
    411,
    412,
    413,
    414,
    415,
    416,
    417,
    418,
    419,
    420,
    421,
    422,
    423,
    424,
    425,
    426,
    427,
    428,
    429,
    430,
    431,
    432,
    433,
    434,
    435,
    436,
    437,
    438,
    439,
    440,
    441,
    442,
    443,
    444,
    445,
    446,
    447,
    448,
    449,
    450,
    451,
    452,
    453,
    454,
    455,
    456,
    457,
    458,
    459,
    460,
    461,
    462,
    463,
    464,
    465,
    466,
    467,
    468,
    469,
    470,
    471,
    472,
    473,
    474,
    475,
    476,
    477,
    478,
    479,
    480,
    481,
    482,
    483,
    484,
    485,
    486,
    487,
    488,
    489,
    490,
    491,
    492,
    493,
    494,
    495,
    496,
    497,
    498,
    499,
    500,
    501,
    502,
    503,
    504,
    505,
    506,
    507,
    508,
    509,
    510,
    511,
    512,
    513,
    514,
    515,
    516,
    517,
    518,
    519,
    520,
    521,
    522,
    523,
    524,
    525,
    526,
    527,
    528,
    529,
    530,
    531,
    532,
    533,
    534,
    535,
    536,
    537,
    538,
    539,
    540,
    541,
    542,
    543,
    544,
    545,
    546,
    547,
    548,
    549,
    550,
    551,
    552,
    553,
    554,
    555,
    556,
    557,
    558,
    559,
    560,
    561,
    562,
    563,
    564,
    565,
    566,
    567,
    568,
    569,
    570,
    571,
    572,
    573,
    574,
    575,
    576,
    577,
    578,
    579,
    580,
    581,
    582,
    583,
    584,
    585,
    586,
    587,
    588,
    589,
    590,
    591,
    592,
    593,
    594,
    595,
    596,
    597,
    598,
    599,
    600,
    601,
    602,
    603,
    604,
    605,
    606,
    607,
    608,
    609,
    610,
    611,
    612,
    613,
    614,
    615,
    616,
    617,
    618,
    619,
    620,
    621,
    622,
    623,
    624,
    625,
    626,
    627,
    628,
    629,
    630,
    631,
    632,
    633,
    634,
    635,
    636,
    637,
    638,
    639,
    640,
    641,
    642,
    643,
    644,
    645,
    646,
    647,
    648,
    649,
    650,
    651,
    652,
    653,
    654,
    655,
    656,
    657,
    658
   ],
   "summary": "Observation flowsheet export: 74 timestamps x 7 groups = 518 pages, one entry per page, interleaved by time, spanning 04/28 22:00 to 04/30 10:30. One nursing record within the observation stay; type nursing; must not become per-page events or a per-day 'visit'.",
   "part_of": "Observation 04/28\u201304/30/2026",
   "date_range": "04/28/2026\u201304/30/2026"
  },
  {
   "facility": "St. Brendan's Regional Medical Center",
   "facility_key": "SBRMC",
   "date": "04/29/2026",
   "encounter_type": "nursing",
   "provider": "D. Fitzgerald, RN",
   "bates_start": "OKAFOR-000659",
   "bates_end": "OKAFOR-000659",
   "pages": [
    659
   ],
   "summary": "Neuro checks and nursing narrative 04/29\u201304/30/2026 (dates printed as 'Apr 29, 2026').",
   "part_of": "Observation 04/28\u201304/30/2026"
  },
  {
   "facility": "St. Brendan's Regional Medical Center",
   "facility_key": "SBRMC",
   "date": "04/28/2026",
   "encounter_type": "medication_administration",
   "provider": "K. Tran, RN",
   "bates_start": "OKAFOR-000660",
   "bates_end": "OKAFOR-000674",
   "pages": [
    660,
    661,
    662,
    663,
    664,
    665,
    666,
    667,
    668,
    669,
    670,
    671,
    672,
    673,
    674
   ],
   "summary": "MAR for the observation stay, one administration per page (15 pages).",
   "part_of": "Observation 04/28\u201304/30/2026",
   "date_range": "04/28/2026\u201304/30/2026"
  },
  {
   "facility": "St. Brendan's Regional Medical Center",
   "facility_key": "SBRMC",
   "date": "04/29/2026",
   "encounter_type": "lab",
   "provider": "Anika R. S\u00f8rensen, MD",
   "bates_start": "OKAFOR-000675",
   "bates_end": "OKAFOR-000675",
   "pages": [
    675
   ],
   "summary": "Admission lab: CBC WITH DIFFERENTIAL",
   "part_of": "Observation 04/28\u201304/30/2026"
  },
  {
   "facility": "St. Brendan's Regional Medical Center",
   "facility_key": "SBRMC",
   "date": "04/29/2026",
   "encounter_type": "lab",
   "provider": "Anika R. S\u00f8rensen, MD",
   "bates_start": "OKAFOR-000676",
   "bates_end": "OKAFOR-000676",
   "pages": [
    676
   ],
   "summary": "Admission lab: BASIC METABOLIC PANEL",
   "part_of": "Observation 04/28\u201304/30/2026"
  },
  {
   "facility": "St. Brendan's Regional Medical Center",
   "facility_key": "SBRMC",
   "date": "04/30/2026",
   "encounter_type": "hospital_discharge",
   "provider": "Anika R. S\u00f8rensen, MD",
   "bates_start": "OKAFOR-000677",
   "bates_end": "OKAFOR-000677",
   "pages": [
    677
   ],
   "summary": "Observation discharge summary 04/30/2026.",
   "part_of": "Observation 04/28\u201304/30/2026"
  },
  {
   "facility": "Northgate Orthopedic Associates",
   "facility_key": "NOA",
   "date": "02/24/2026",
   "encounter_type": "orthopedics",
   "provider": "Rowan K. Adebayo, MD",
   "bates_start": "OKAFOR-000679",
   "bates_end": "OKAFOR-000682",
   "pages": [
    679,
    680,
    681,
    682
   ],
   "summary": "New-patient ortho evaluation spanning 4 pages with a running header 'Page x of 4' on every page. One event, not four.",
   "multi_page": true
  },
  {
   "facility": "Northgate Orthopedic Associates",
   "facility_key": "NOA",
   "date": "03/10/2026",
   "encounter_type": "orthopedics",
   "provider": "Rowan K. Adebayo, MD",
   "bates_start": "OKAFOR-000683",
   "bates_end": "OKAFOR-000686",
   "pages": [
    683,
    684,
    685,
    686
   ],
   "summary": "MRI review visit; PT and pain referrals; ACDF discussed as a future option. Produced with pages in order 1,3,2,4.",
   "multi_page": true,
   "page_order_as_scanned": [
    1,
    3,
    2,
    4
   ]
  },
  {
   "facility": "Northgate Orthopedic Associates",
   "facility_key": "NOA",
   "date": "05/19/2026",
   "encounter_type": "orthopedics",
   "provider": "Rowan K. Adebayo, MD",
   "bates_start": "OKAFOR-000687",
   "bates_end": "OKAFOR-000687",
   "pages": [
    687
   ],
   "summary": "Ortho follow-up after observation stay; ACDF recommended if second ESI fails; work restrictions."
  },
  {
   "facility": "Northgate Orthopedic Associates",
   "facility_key": "NOA",
   "date": "07/07/2026",
   "encounter_type": "orthopedics",
   "provider": "Rowan K. Adebayo, MD",
   "bates_start": "OKAFOR-000688",
   "bates_end": "OKAFOR-000688",
   "pages": [
    688
   ],
   "summary": "Ortho follow-up: improving; surgery deferred; MMI not reached; 30-lb limit."
  },
  {
   "facility": "Northgate Orthopedic Associates",
   "facility_key": "NOA",
   "date": "08/25/2026",
   "encounter_type": "mmi_evaluation",
   "provider": "Rowan K. Adebayo, MD",
   "bates_start": "OKAFOR-000689",
   "bates_end": "OKAFOR-000689",
   "pages": [
    689
   ],
   "summary": "MMI declared 08/25/2026; no permanent restrictions; risk of recurrence noted. 49-day gap since 07/07/2026 (patient traveling)."
  },
  {
   "facility": "Bayview Imaging Center",
   "facility_key": "BIC",
   "date": "03/03/2026",
   "encounter_type": "imaging",
   "provider": "Ingrid S. Halvorsen, MD",
   "bates_start": "OKAFOR-000691",
   "bates_end": "OKAFOR-000691",
   "pages": [
    691
   ],
   "summary": "MRI cervical spine 03/03/2026: left paracentral C5\u2013C6 protrusion with annular fissure contacting left C6 root; moderate foraminal stenosis; favors recent injury on mild degenerative change.",
   "study": "MRI cervical spine",
   "performed": true
  },
  {
   "facility": "Bayview Imaging Center",
   "facility_key": "BIC",
   "date": "03/03/2026",
   "encounter_type": "imaging",
   "provider": "Ingrid S. Halvorsen, MD",
   "bates_start": "OKAFOR-000692",
   "bates_end": "OKAFOR-000692",
   "pages": [
    692
   ],
   "summary": "MRI lumbar spine 03/03/2026: mild L4\u2013L5 degenerative bulge, no nerve compromise.",
   "study": "MRI lumbar spine",
   "performed": true
  },
  {
   "facility": "Cascade Physical Therapy",
   "facility_key": "CPT",
   "date": "03/18/2026",
   "encounter_type": "physical_therapy",
   "provider": "Jonah P. Whitfield, PT, DPT",
   "bates_start": "OKAFOR-000694",
   "bates_end": "OKAFOR-000696",
   "pages": [
    694,
    695,
    696
   ],
   "summary": "PT visit 1 of 30 (initial evaluation)",
   "visit_number": 1
  },
  {
   "facility": "Cascade Physical Therapy",
   "facility_key": "CPT",
   "date": "03/20/2026",
   "encounter_type": "physical_therapy",
   "provider": "Jonah P. Whitfield, PT, DPT",
   "bates_start": "OKAFOR-000697",
   "bates_end": "OKAFOR-000699",
   "pages": [
    697,
    698,
    699
   ],
   "summary": "PT visit 2 of 30",
   "visit_number": 2
  },
  {
   "facility": "Cascade Physical Therapy",
   "facility_key": "CPT",
   "date": "03/23/2026",
   "encounter_type": "physical_therapy",
   "provider": "Jonah P. Whitfield, PT, DPT",
   "bates_start": "OKAFOR-000700",
   "bates_end": "OKAFOR-000702",
   "pages": [
    700,
    701,
    702
   ],
   "summary": "PT visit 3 of 30",
   "visit_number": 3
  },
  {
   "facility": "Cascade Physical Therapy",
   "facility_key": "CPT",
   "date": "03/25/2026",
   "encounter_type": "physical_therapy",
   "provider": "Jonah P. Whitfield, PT, DPT",
   "bates_start": "OKAFOR-000703",
   "bates_end": "OKAFOR-000705",
   "pages": [
    703,
    704,
    705
   ],
   "summary": "PT visit 4 of 30",
   "visit_number": 4
  },
  {
   "facility": "Cascade Physical Therapy",
   "facility_key": "CPT",
   "date": "03/27/2026",
   "encounter_type": "physical_therapy",
   "provider": "Jonah P. Whitfield, PT, DPT",
   "bates_start": "OKAFOR-000706",
   "bates_end": "OKAFOR-000708",
   "pages": [
    706,
    707,
    708
   ],
   "summary": "PT visit 5 of 30",
   "visit_number": 5
  },
  {
   "facility": "Cascade Physical Therapy",
   "facility_key": "CPT",
   "date": "03/30/2026",
   "encounter_type": "physical_therapy",
   "provider": "Jonah P. Whitfield, PT, DPT",
   "bates_start": "OKAFOR-000709",
   "bates_end": "OKAFOR-000711",
   "pages": [
    709,
    710,
    711
   ],
   "summary": "PT visit 6 of 30",
   "visit_number": 6
  },
  {
   "facility": "Cascade Physical Therapy",
   "facility_key": "CPT",
   "date": "04/01/2026",
   "encounter_type": "physical_therapy",
   "provider": "Jonah P. Whitfield, PT, DPT",
   "bates_start": "OKAFOR-000712",
   "bates_end": "OKAFOR-000714",
   "pages": [
    712,
    713,
    714
   ],
   "summary": "PT visit 7 of 30",
   "visit_number": 7
  },
  {
   "facility": "Cascade Physical Therapy",
   "facility_key": "CPT",
   "date": "04/03/2026",
   "encounter_type": "physical_therapy",
   "provider": "Jonah P. Whitfield, PT, DPT",
   "bates_start": "OKAFOR-000716",
   "bates_end": "OKAFOR-000718",
   "pages": [
    716,
    717,
    718
   ],
   "summary": "PT visit 8 of 30",
   "visit_number": 8
  },
  {
   "facility": "Cascade Physical Therapy",
   "facility_key": "CPT",
   "date": "04/06/2026",
   "encounter_type": "physical_therapy",
   "provider": "Jonah P. Whitfield, PT, DPT",
   "bates_start": "OKAFOR-000719",
   "bates_end": "OKAFOR-000721",
   "pages": [
    719,
    720,
    721
   ],
   "summary": "PT visit 9 of 30",
   "visit_number": 9
  },
  {
   "facility": "Cascade Physical Therapy",
   "facility_key": "CPT",
   "date": "04/08/2026",
   "encounter_type": "physical_therapy",
   "provider": "Jonah P. Whitfield, PT, DPT",
   "bates_start": "OKAFOR-000722",
   "bates_end": "OKAFOR-000724",
   "pages": [
    722,
    723,
    724
   ],
   "summary": "PT visit 10 of 30 (re-evaluation)",
   "visit_number": 10
  },
  {
   "facility": "Cascade Physical Therapy",
   "facility_key": "CPT",
   "date": "04/10/2026",
   "encounter_type": "physical_therapy",
   "provider": "Jonah P. Whitfield, PT, DPT",
   "bates_start": "OKAFOR-000725",
   "bates_end": "OKAFOR-000727",
   "pages": [
    725,
    726,
    727
   ],
   "summary": "PT visit 11 of 30",
   "visit_number": 11
  },
  {
   "facility": "Cascade Physical Therapy",
   "facility_key": "CPT",
   "date": "04/13/2026",
   "encounter_type": "physical_therapy",
   "provider": "Jonah P. Whitfield, PT, DPT",
   "bates_start": "OKAFOR-000728",
   "bates_end": "OKAFOR-000730",
   "pages": [
    728,
    729,
    730
   ],
   "summary": "PT visit 12 of 30",
   "visit_number": 12
  },
  {
   "facility": "Cascade Physical Therapy",
   "facility_key": "CPT",
   "date": "04/15/2026",
   "encounter_type": "physical_therapy",
   "provider": "Jonah P. Whitfield, PT, DPT",
   "bates_start": "OKAFOR-000731",
   "bates_end": "OKAFOR-000733",
   "pages": [
    731,
    732,
    733
   ],
   "summary": "PT visit 13 of 30",
   "visit_number": 13
  },
  {
   "facility": "Cascade Physical Therapy",
   "facility_key": "CPT",
   "date": "04/17/2026",
   "encounter_type": "physical_therapy",
   "provider": "Jonah P. Whitfield, PT, DPT",
   "bates_start": "OKAFOR-000734",
   "bates_end": "OKAFOR-000736",
   "pages": [
    734,
    735,
    736
   ],
   "summary": "PT visit 14 of 30",
   "visit_number": 14
  },
  {
   "facility": "Cascade Physical Therapy",
   "facility_key": "CPT",
   "date": "04/20/2026",
   "encounter_type": "physical_therapy",
   "provider": "Jonah P. Whitfield, PT, DPT",
   "bates_start": "OKAFOR-000738",
   "bates_end": "OKAFOR-000740",
   "pages": [
    738,
    739,
    740
   ],
   "summary": "PT visit 15 of 30",
   "visit_number": 15
  },
  {
   "facility": "Cascade Physical Therapy",
   "facility_key": "CPT",
   "date": "04/22/2026",
   "encounter_type": "physical_therapy",
   "provider": "Jonah P. Whitfield, PT, DPT",
   "bates_start": "OKAFOR-000741",
   "bates_end": "OKAFOR-000743",
   "pages": [
    741,
    742,
    743
   ],
   "summary": "PT visit 16 of 30",
   "visit_number": 16
  },
  {
   "facility": "Cascade Physical Therapy",
   "facility_key": "CPT",
   "date": "04/24/2026",
   "encounter_type": "physical_therapy",
   "provider": "Jonah P. Whitfield, PT, DPT",
   "bates_start": "OKAFOR-000744",
   "bates_end": "OKAFOR-000746",
   "pages": [
    744,
    745,
    746
   ],
   "summary": "PT visit 17 of 30",
   "visit_number": 17
  },
  {
   "facility": "Cascade Physical Therapy",
   "facility_key": "CPT",
   "date": "04/27/2026",
   "encounter_type": "physical_therapy",
   "provider": "Jonah P. Whitfield, PT, DPT",
   "bates_start": "OKAFOR-000747",
   "bates_end": "OKAFOR-000749",
   "pages": [
    747,
    748,
    749
   ],
   "summary": "PT visit 18 of 30",
   "visit_number": 18
  },
  {
   "facility": "Cascade Physical Therapy",
   "facility_key": "CPT",
   "date": "05/04/2026",
   "encounter_type": "physical_therapy",
   "provider": "Jonah P. Whitfield, PT, DPT",
   "bates_start": "OKAFOR-000750",
   "bates_end": "OKAFOR-000752",
   "pages": [
    750,
    751,
    752
   ],
   "summary": "PT visit 19 of 30",
   "visit_number": 19
  },
  {
   "facility": "Cascade Physical Therapy",
   "facility_key": "CPT",
   "date": "05/06/2026",
   "encounter_type": "physical_therapy",
   "provider": "Jonah P. Whitfield, PT, DPT",
   "bates_start": "OKAFOR-000753",
   "bates_end": "OKAFOR-000755",
   "pages": [
    753,
    754,
    755
   ],
   "summary": "PT visit 20 of 30 (re-evaluation)",
   "visit_number": 20
  },
  {
   "facility": "Cascade Physical Therapy",
   "facility_key": "CPT",
   "date": "05/08/2026",
   "encounter_type": "physical_therapy",
   "provider": "Jonah P. Whitfield, PT, DPT",
   "bates_start": "OKAFOR-000756",
   "bates_end": "OKAFOR-000758",
   "pages": [
    756,
    757,
    758
   ],
   "summary": "PT visit 21 of 30",
   "visit_number": 21
  },
  {
   "facility": "Cascade Physical Therapy",
   "facility_key": "CPT",
   "date": "05/11/2026",
   "encounter_type": "physical_therapy",
   "provider": "Jonah P. Whitfield, PT, DPT",
   "bates_start": "OKAFOR-000759",
   "bates_end": "OKAFOR-000761",
   "pages": [
    759,
    760,
    761
   ],
   "summary": "PT visit 22 of 30",
   "visit_number": 22
  },
  {
   "facility": "Cascade Physical Therapy",
   "facility_key": "CPT",
   "date": "05/13/2026",
   "encounter_type": "physical_therapy",
   "provider": "Jonah P. Whitfield, PT, DPT",
   "bates_start": "OKAFOR-000762",
   "bates_end": "OKAFOR-000764",
   "pages": [
    762,
    763,
    764
   ],
   "summary": "PT visit 23 of 30",
   "visit_number": 23
  },
  {
   "facility": "Cascade Physical Therapy",
   "facility_key": "CPT",
   "date": "05/15/2026",
   "encounter_type": "physical_therapy",
   "provider": "Jonah P. Whitfield, PT, DPT",
   "bates_start": "OKAFOR-000765",
   "bates_end": "OKAFOR-000767",
   "pages": [
    765,
    766,
    767
   ],
   "summary": "PT visit 24 of 30",
   "visit_number": 24
  },
  {
   "facility": "Cascade Physical Therapy",
   "facility_key": "CPT",
   "date": "05/18/2026",
   "encounter_type": "physical_therapy",
   "provider": "Jonah P. Whitfield, PT, DPT",
   "bates_start": "OKAFOR-000768",
   "bates_end": "OKAFOR-000770",
   "pages": [
    768,
    769,
    770
   ],
   "summary": "PT visit 25 of 30",
   "visit_number": 25
  },
  {
   "facility": "Cascade Physical Therapy",
   "facility_key": "CPT",
   "date": "05/20/2026",
   "encounter_type": "physical_therapy",
   "provider": "Jonah P. Whitfield, PT, DPT",
   "bates_start": "OKAFOR-000771",
   "bates_end": "OKAFOR-000773",
   "pages": [
    771,
    772,
    773
   ],
   "summary": "PT visit 26 of 30",
   "visit_number": 26
  },
  {
   "facility": "Cascade Physical Therapy",
   "facility_key": "CPT",
   "date": "05/22/2026",
   "encounter_type": "physical_therapy",
   "provider": "Jonah P. Whitfield, PT, DPT",
   "bates_start": "OKAFOR-000774",
   "bates_end": "OKAFOR-000776",
   "pages": [
    774,
    775,
    776
   ],
   "summary": "PT visit 27 of 30",
   "visit_number": 27
  },
  {
   "facility": "Cascade Physical Therapy",
   "facility_key": "CPT",
   "date": "05/25/2026",
   "encounter_type": "physical_therapy",
   "provider": "Jonah P. Whitfield, PT, DPT",
   "bates_start": "OKAFOR-000777",
   "bates_end": "OKAFOR-000779",
   "pages": [
    777,
    778,
    779
   ],
   "summary": "PT visit 28 of 30",
   "visit_number": 28
  },
  {
   "facility": "Cascade Physical Therapy",
   "facility_key": "CPT",
   "date": "05/27/2026",
   "encounter_type": "physical_therapy",
   "provider": "Jonah P. Whitfield, PT, DPT",
   "bates_start": "OKAFOR-000780",
   "bates_end": "OKAFOR-000782",
   "pages": [
    780,
    781,
    782
   ],
   "summary": "PT visit 29 of 30",
   "visit_number": 29
  },
  {
   "facility": "Cascade Physical Therapy",
   "facility_key": "CPT",
   "date": "05/29/2026",
   "encounter_type": "physical_therapy",
   "provider": "Jonah P. Whitfield, PT, DPT",
   "bates_start": "OKAFOR-000783",
   "bates_end": "OKAFOR-000785",
   "pages": [
    783,
    784,
    785
   ],
   "summary": "PT visit 30 of 30 (re-evaluation) \u2014 discharge",
   "visit_number": 30
  },
  {
   "facility": "Summit Pain & Spine",
   "facility_key": "SPS",
   "date": "04/07/2026",
   "encounter_type": "pain_management",
   "provider": "Selin O. Demirci, MD",
   "bates_start": "OKAFOR-000790",
   "bates_end": "OKAFOR-000790",
   "pages": [
    790
   ],
   "summary": "Pain management consult; cervical ESI planned."
  },
  {
   "facility": "Summit Pain & Spine",
   "facility_key": "SPS",
   "date": "04/21/2026",
   "encounter_type": "injection_procedure",
   "provider": "Selin O. Demirci, MD",
   "bates_start": "OKAFOR-000791",
   "bates_end": "OKAFOR-000791",
   "pages": [
    791
   ],
   "summary": "Cervical interlaminar ESI #1, C6\u2013C7 interspace, fluoroscopic guidance.",
   "procedure": "cervical interlaminar epidural steroid injection",
   "performed": true
  },
  {
   "facility": "Summit Pain & Spine",
   "facility_key": "SPS",
   "date": "05/12/2026",
   "encounter_type": "pain_management",
   "provider": "Selin O. Demirci, MD",
   "bates_start": "OKAFOR-000796",
   "bates_end": "OKAFOR-000796",
   "pages": [
    796
   ],
   "summary": "Pain follow-up: ~50% transient relief; repeat ESI planned."
  },
  {
   "facility": "Summit Pain & Spine",
   "facility_key": "SPS",
   "date": "06/09/2026",
   "encounter_type": "injection_procedure",
   "provider": "Selin O. Demirci, MD",
   "bates_start": "OKAFOR-000797",
   "bates_end": "OKAFOR-000797",
   "pages": [
    797
   ],
   "summary": "Cervical interlaminar ESI #2.",
   "procedure": "cervical interlaminar epidural steroid injection",
   "performed": true
  },
  {
   "facility": "Summit Pain & Spine",
   "facility_key": "SPS",
   "date": "07/07/2026",
   "encounter_type": "pain_management",
   "provider": "Selin O. Demirci, MD",
   "bates_start": "OKAFOR-000802",
   "bates_end": "OKAFOR-000802",
   "pages": [
    802
   ],
   "summary": "Pain follow-up: ~70% sustained relief; no further injections planned. Same date as an ortho visit (two facilities, one day)."
  },
  {
   "facility": "Oak Street Chiropractic",
   "facility_key": "OSC",
   "date": "09/18/2023",
   "encounter_type": "chiropractic",
   "provider": "Bartholomew N. Kessler, DC",
   "bates_start": "OKAFOR-000810",
   "bates_end": "OKAFOR-000810",
   "pages": [
    810
   ],
   "summary": "Pre-injury chiropractic visit 1 of 6 for lumbar strain after lifting at work (09/2023); resolved by 11/06/2023.",
   "pre_injury": true
  },
  {
   "facility": "Oak Street Chiropractic",
   "facility_key": "OSC",
   "date": "09/25/2023",
   "encounter_type": "chiropractic",
   "provider": "Bartholomew N. Kessler, DC",
   "bates_start": "OKAFOR-000811",
   "bates_end": "OKAFOR-000811",
   "pages": [
    811
   ],
   "summary": "Pre-injury chiropractic visit 2 of 6 for lumbar strain after lifting at work (09/2023); resolved by 11/06/2023.",
   "pre_injury": true
  },
  {
   "facility": "Oak Street Chiropractic",
   "facility_key": "OSC",
   "date": "10/02/2023",
   "encounter_type": "chiropractic",
   "provider": "Bartholomew N. Kessler, DC",
   "bates_start": "OKAFOR-000812",
   "bates_end": "OKAFOR-000812",
   "pages": [
    812
   ],
   "summary": "Pre-injury chiropractic visit 3 of 6 for lumbar strain after lifting at work (09/2023); resolved by 11/06/2023.",
   "pre_injury": true
  },
  {
   "facility": "Oak Street Chiropractic",
   "facility_key": "OSC",
   "date": "10/16/2023",
   "encounter_type": "chiropractic",
   "provider": "Bartholomew N. Kessler, DC",
   "bates_start": "OKAFOR-000813",
   "bates_end": "OKAFOR-000813",
   "pages": [
    813
   ],
   "summary": "Pre-injury chiropractic visit 4 of 6 for lumbar strain after lifting at work (09/2023); resolved by 11/06/2023.",
   "pre_injury": true
  },
  {
   "facility": "Oak Street Chiropractic",
   "facility_key": "OSC",
   "date": "10/30/2023",
   "encounter_type": "chiropractic",
   "provider": "Bartholomew N. Kessler, DC",
   "bates_start": "OKAFOR-000814",
   "bates_end": "OKAFOR-000814",
   "pages": [
    814
   ],
   "summary": "Pre-injury chiropractic visit 5 of 6 for lumbar strain after lifting at work (09/2023); resolved by 11/06/2023.",
   "pre_injury": true
  },
  {
   "facility": "Oak Street Chiropractic",
   "facility_key": "OSC",
   "date": "11/06/2023",
   "encounter_type": "chiropractic",
   "provider": "Bartholomew N. Kessler, DC",
   "bates_start": "OKAFOR-000815",
   "bates_end": "OKAFOR-000815",
   "pages": [
    815
   ],
   "summary": "Pre-injury chiropractic visit 6 of 6 for lumbar strain after lifting at work (09/2023); resolved by 11/06/2023.",
   "pre_injury": true
  },
  {
   "facility": "St. Brendan's Regional Medical Center",
   "facility_key": "SBRMC",
   "date": "04/28/2026",
   "encounter_type": "nursing",
   "provider": "K. Tran, RN",
   "bates_start": "OKAFOR-000823",
   "bates_end": "OKAFOR-001000",
   "pages": [
    823,
    824,
    825,
    826,
    827,
    828,
    829,
    830,
    831,
    832,
    833,
    834,
    835,
    836,
    837,
    838,
    839,
    840,
    841,
    842,
    843,
    844,
    845,
    846,
    847,
    848,
    849,
    850,
    851,
    852,
    853,
    854,
    855,
    856,
    857,
    858,
    859,
    860,
    861,
    862,
    863,
    864,
    865,
    866,
    867,
    868,
    869,
    870,
    871,
    872,
    873,
    874,
    875,
    876,
    877,
    878,
    879,
    880,
    881,
    882,
    883,
    884,
    885,
    886,
    887,
    888,
    889,
    890,
    891,
    892,
    893,
    894,
    895,
    896,
    897,
    898,
    899,
    900,
    901,
    902,
    903,
    904,
    905,
    906,
    907,
    908,
    909,
    910,
    911,
    912,
    913,
    914,
    915,
    916,
    917,
    918,
    919,
    920,
    921,
    922,
    923,
    924,
    925,
    926,
    927,
    928,
    929,
    930,
    931,
    932,
    933,
    934,
    935,
    936,
    937,
    938,
    939,
    940,
    941,
    942,
    943,
    944,
    945,
    946,
    947,
    948,
    949,
    950,
    951,
    952,
    953,
    954,
    955,
    956,
    957,
    958,
    959,
    960,
    961,
    962,
    963,
    964,
    965,
    966,
    967,
    968,
    969,
    970,
    971,
    972,
    973,
    974,
    975,
    976,
    977,
    978,
    979,
    980,
    981,
    982,
    983,
    984,
    985,
    986,
    987,
    988,
    989,
    990,
    991,
    992,
    993,
    994,
    995,
    996,
    997,
    998,
    999,
    1000
   ],
   "summary": "Supplemental nursing flowsheets (I&O, rounding, pain reassessment) for the observation stay, produced out of sequence at the end of the package. Part of the 04/28\u201304/30/2026 stay; nursing type; not separate visits.",
   "part_of": "Observation 04/28\u201304/30/2026",
   "date_range": "04/28/2026\u201304/30/2026",
   "produced_out_of_sequence": true
  }
 ],
 "traps": [
  {
   "kind": "pre_existing_subtle",
   "bates": "OKAFOR-000004",
   "page": 4,
   "detail": "2022 annual exam mentions 'occasional neck stiffness after long drives' \u2014 a defense talking point; must be reported as documented and as untreated, not as a prior neck injury."
  },
  {
   "kind": "undated_note",
   "bates": "OKAFOR-000018",
   "page": 18,
   "detail": "Telephone encounter has no date of service. Must be reported as undated (NA); must NOT inherit 02/16/2026 or 02/24/2026 from neighbors. Internal text mentions 02/17 as the referral fax date, which is not the encounter date."
  },
  {
   "kind": "fax_banner_wrong_date",
   "bates": "OKAFOR-000021",
   "page": 21,
   "detail": "Every St. Brendan's page carries a fax banner dated Jun. 03 2026. Dates of service are 02/11/2026 and 04/28\u201304/30/2026. The fax date must never become an event date.",
   "applies_to": "OKAFOR-000021\u2013(end of St. Brendan's section)"
  },
  {
   "kind": "letterhead_variants",
   "bates": "OKAFOR-000021",
   "page": 21,
   "detail": "St. Brendan's appears as full letterhead, as 'SBRMC \u2013 Emergency Department', and as a stamp 'ST BRENDANS REG MED CTR HIM ***COPY***'. All are one facility."
  },
  {
   "kind": "epic_one_entry_per_page",
   "bates": "OKAFOR-000030",
   "page": 30,
   "detail": "ED flowsheets are printed one timestamp per page with a repeated header (40 near-identical pages). They are part of the single ED encounter; each page must not become an event."
  },
  {
   "kind": "date_format_drift",
   "bates": "OKAFOR-000070",
   "page": 70,
   "detail": "This ED note prints dates as 2026-04-28 (ISO). Other St. Brendan's pages use 04/28/2026 and 'Apr 29, 2026'. All must parse to the same dates."
  },
  {
   "kind": "flowsheet_type",
   "bates": "OKAFOR-000141",
   "page": 141,
   "detail": "518 flowsheet pages within the observation stay; must be nursing documentation of ONE stay, not emergency_department, and not 518 events."
  },
  {
   "kind": "multi_page_running_header",
   "bates": "OKAFOR-000679",
   "page": 679,
   "detail": "4-page encounter with per-page running header; must be ONE event with page span of 4."
  },
  {
   "kind": "out_of_order_pages",
   "bates": "OKAFOR-000683",
   "page": 683,
   "detail": "Pages of the 03/10/2026 note are in scan order 1,3,2,4 (running header shows the true page numbers). Must be one event; content must not be treated as two encounters."
  },
  {
   "kind": "treatment_gap",
   "bates": "OKAFOR-000689",
   "page": 689,
   "detail": "No treatment between 07/07/2026 and 08/25/2026 (49 days). The note gives the reason (work travel). A gap question must report the dates on either side and the documented reason, not speculate."
  },
  {
   "kind": "duplicate_page",
   "bates": "OKAFOR-000715",
   "page": 715,
   "detail": "Exact re-send of OKAFOR-000714 (PT visit 7 last page). Must not create a second visit or duplicate its content; flag as duplicate.",
   "duplicate_of": "OKAFOR-000714"
  },
  {
   "kind": "wrong_patient_page",
   "bates": "OKAFOR-000737",
   "page": 737,
   "detail": "PT note for a DIFFERENT patient (Okafor-Reyes, Danielle M., DOB 07/22/1979, MRN CPT-558123, post-TKA) misfiled into this record. Must be flagged as wrong-patient and must NOT become an event for Mr. Okafor. A knee replacement must never appear in his chronology.",
   "wrong_patient": {
    "name": "Okafor-Reyes, Danielle M.",
    "dob": "07/22/1979",
    "mrn": "CPT-558123"
   }
  },
  {
   "kind": "duplicate_charge",
   "bates": "OKAFOR-000786",
   "page": 786,
   "detail": "PT ledger bills visit 7 (04/01/2026) twice: $300.00 duplicated. Printed total $9,645.00; correct total $9,345.00."
  },
  {
   "kind": "same_date_two_facilities",
   "bates": "OKAFOR-000802",
   "page": 802,
   "detail": "07/07/2026 has two encounters: Northgate Orthopedic and Summit Pain & Spine. Both must survive as separate events."
  },
  {
   "kind": "pharmacy_not_visits",
   "bates": "OKAFOR-000804",
   "page": 804,
   "detail": "Pharmacy dispensing rows are fills, not encounters. Prior-year loratadine fills are unrelated to the injury."
  },
  {
   "kind": "pre_existing_lumbar",
   "bates": "OKAFOR-000810",
   "page": 810,
   "detail": "Six 2023 chiropractic visits for LOW BACK pain after lifting at work, resolved and discharged 11/06/2023. This is the real pre-existing condition. It concerns the lumbar spine, not the cervical spine; it must be reported as documented, resolved, and pre-dating the collision by 27 months."
  },
  {
   "kind": "billing_itemization_missing",
   "bates": "OKAFOR-000818",
   "page": 818,
   "detail": "Observation-stay statement shows 'Pharmacy \u2014 see itemization $0.00' and says itemization is available on request. The ledger is incomplete; a records request for the itemized bill is the correct action."
  },
  {
   "kind": "bulk_flowsheets_out_of_sequence",
   "bates": "OKAFOR-000823",
   "page": 823,
   "detail": "178 pages of nursing flowsheets produced at the end of the package (after the chiropractic section) belong to the 04/28\u201304/30/2026 observation stay. They must attach to that stay, not become a new episode dated by their position in the file."
  }
 ],
 "billing": {
  "pt_visit_dates": [
   "03/18/2026",
   "03/20/2026",
   "03/23/2026",
   "03/25/2026",
   "03/27/2026",
   "03/30/2026",
   "04/01/2026",
   "04/03/2026",
   "04/06/2026",
   "04/08/2026",
   "04/10/2026",
   "04/13/2026",
   "04/15/2026",
   "04/17/2026",
   "04/20/2026",
   "04/22/2026",
   "04/24/2026",
   "04/27/2026",
   "05/04/2026",
   "05/06/2026",
   "05/08/2026",
   "05/11/2026",
   "05/13/2026",
   "05/15/2026",
   "05/18/2026",
   "05/20/2026",
   "05/22/2026",
   "05/25/2026",
   "05/27/2026",
   "05/29/2026"
  ],
  "pt_duplicate_charge": {
   "date": "04/01/2026",
   "amount": 300.0,
   "note": "Visit 7 charges appear twice on the ledger (duplicate billing)."
  },
  "pt_ledger_total_as_printed": 9645.0,
  "pt_ledger_total_correct": 9345.0,
  "pharmacy_fills": [
   {
    "date": "02/11/2026",
    "drug": "Ibuprofen 600 mg tab",
    "qty": "30",
    "prescriber": "Theo J. Lindqvist, MD"
   },
   {
    "date": "02/11/2026",
    "drug": "Cyclobenzaprine 10 mg tab",
    "qty": "20",
    "prescriber": "Theo J. Lindqvist, MD"
   },
   {
    "date": "02/19/2026",
    "drug": "Cyclobenzaprine 10 mg tab",
    "qty": "30",
    "prescriber": "Miriam A. Castellanos, MD"
   },
   {
    "date": "02/24/2026",
    "drug": "Gabapentin 300 mg cap",
    "qty": "30",
    "prescriber": "Rowan K. Adebayo, MD"
   },
   {
    "date": "03/10/2026",
    "drug": "Gabapentin 300 mg cap",
    "qty": "60",
    "prescriber": "Rowan K. Adebayo, MD"
   },
   {
    "date": "03/24/2026",
    "drug": "Ibuprofen 600 mg tab",
    "qty": "60",
    "prescriber": "Miriam A. Castellanos, MD"
   },
   {
    "date": "04/09/2026",
    "drug": "Gabapentin 300 mg cap",
    "qty": "60",
    "prescriber": "Rowan K. Adebayo, MD"
   },
   {
    "date": "04/30/2026",
    "drug": "Methylprednisolone 4 mg dose pack",
    "qty": "21",
    "prescriber": "Anika R. S\u00f8rensen, MD"
   },
   {
    "date": "04/30/2026",
    "drug": "Cyclobenzaprine 10 mg tab",
    "qty": "30",
    "prescriber": "Anika R. S\u00f8rensen, MD"
   },
   {
    "date": "05/08/2026",
    "drug": "Gabapentin 300 mg cap",
    "qty": "60",
    "prescriber": "Rowan K. Adebayo, MD"
   },
   {
    "date": "06/06/2026",
    "drug": "Gabapentin 300 mg cap",
    "qty": "60",
    "prescriber": "Rowan K. Adebayo, MD"
   },
   {
    "date": "06/20/2026",
    "drug": "Ibuprofen 600 mg tab",
    "qty": "60",
    "prescriber": "Miriam A. Castellanos, MD"
   },
   {
    "date": "07/07/2026",
    "drug": "Gabapentin 300 mg cap",
    "qty": "30",
    "prescriber": "Rowan K. Adebayo, MD"
   }
  ],
  "by_facility_post_injury": {
   "ED 02/11/2026": 5229.0,
   "Observation 04/28-04/30/2026": 13147.0,
   "Northgate": 1560.0,
   "Bayview": 3300.0,
   "Summit": 11630.0,
   "HFM": 185.0,
   "Cascade PT (as printed)": 9645.0
  },
  "total_post_injury_as_printed": 44696.0,
  "total_post_injury_correct": 44396.0,
  "pre_injury_chiro_total": 390.0
 },
 "non_clinical_pages": [
  {
   "bates": "OKAFOR-000001",
   "kind": "index"
  },
  {
   "bates": "OKAFOR-000002",
   "kind": "fax_cover"
  },
  {
   "bates": "OKAFOR-000003",
   "kind": "certification"
  },
  {
   "bates": "OKAFOR-000007\u2013OKAFOR-000007",
   "kind": "pre_injury_lab",
   "dos": "03/10/2022"
  },
  {
   "bates": "OKAFOR-000008\u2013OKAFOR-000008",
   "kind": "pre_injury_lab",
   "dos": "03/10/2022"
  },
  {
   "bates": "OKAFOR-000009\u2013OKAFOR-000009",
   "kind": "pre_injury_lab",
   "dos": "03/10/2022"
  },
  {
   "bates": "OKAFOR-000010\u2013OKAFOR-000010",
   "kind": "pre_injury_lab",
   "dos": "04/02/2024"
  },
  {
   "bates": "OKAFOR-000011\u2013OKAFOR-000011",
   "kind": "pre_injury_lab",
   "dos": "04/02/2024"
  },
  {
   "bates": "OKAFOR-000012\u2013OKAFOR-000012",
   "kind": "pre_injury_lab",
   "dos": "04/02/2024"
  },
  {
   "bates": "OKAFOR-000013\u2013OKAFOR-000013",
   "kind": "pre_injury_lab",
   "dos": "05/20/2025"
  },
  {
   "bates": "OKAFOR-000014\u2013OKAFOR-000014",
   "kind": "pre_injury_lab",
   "dos": "05/20/2025"
  },
  {
   "bates": "OKAFOR-000015\u2013OKAFOR-000015",
   "kind": "pre_injury_lab",
   "dos": "05/20/2025"
  },
  {
   "bates": "OKAFOR-000016\u2013OKAFOR-000016",
   "kind": "immunization_record"
  },
  {
   "bates": "OKAFOR-000019",
   "kind": "blank"
  },
  {
   "bates": "OKAFOR-000020",
   "kind": "certification"
  },
  {
   "bates": "OKAFOR-000678",
   "kind": "certification"
  },
  {
   "bates": "OKAFOR-000690",
   "kind": "certification"
  },
  {
   "bates": "OKAFOR-000693",
   "kind": "certification"
  },
  {
   "bates": "OKAFOR-000786\u2013OKAFOR-000788",
   "kind": "billing_ledger",
   "facility": "Cascade Physical Therapy"
  },
  {
   "bates": "OKAFOR-000789",
   "kind": "certification"
  },
  {
   "bates": "OKAFOR-000803",
   "kind": "certification"
  },
  {
   "bates": "OKAFOR-000804\u2013OKAFOR-000804",
   "kind": "pharmacy_dispensing_history"
  },
  {
   "bates": "OKAFOR-000805\u2013OKAFOR-000805",
   "kind": "pharmacy_leaflet"
  },
  {
   "bates": "OKAFOR-000806\u2013OKAFOR-000806",
   "kind": "pharmacy_leaflet"
  },
  {
   "bates": "OKAFOR-000807\u2013OKAFOR-000807",
   "kind": "pharmacy_leaflet"
  },
  {
   "bates": "OKAFOR-000808\u2013OKAFOR-000808",
   "kind": "pharmacy_leaflet"
  },
  {
   "bates": "OKAFOR-000809",
   "kind": "certification"
  },
  {
   "bates": "OKAFOR-000816\u2013OKAFOR-000816",
   "kind": "billing_statement",
   "facility": "Oak Street Chiropractic",
   "pre_injury": true,
   "total": 390.0
  },
  {
   "bates": "OKAFOR-000817\u2013OKAFOR-000817",
   "kind": "billing_statement",
   "facility": "St. Brendan's Regional Medical Center",
   "total": 5229.0
  },
  {
   "bates": "OKAFOR-000818\u2013OKAFOR-000818",
   "kind": "billing_statement",
   "facility": "St. Brendan's Regional Medical Center",
   "total": 13147.0
  },
  {
   "bates": "OKAFOR-000819\u2013OKAFOR-000819",
   "kind": "billing_statement",
   "facility": "Northgate Orthopedic Associates",
   "total": 1560.0
  },
  {
   "bates": "OKAFOR-000820\u2013OKAFOR-000820",
   "kind": "billing_statement",
   "facility": "Bayview Imaging Center",
   "total": 3300.0
  },
  {
   "bates": "OKAFOR-000821\u2013OKAFOR-000821",
   "kind": "billing_statement",
   "facility": "Summit Pain & Spine",
   "total": 11630.0
  },
  {
   "bates": "OKAFOR-000822\u2013OKAFOR-000822",
   "kind": "billing_statement",
   "facility": "Harbor Family Medicine",
   "total": 185.0
  }
 ],
 "questions": [
  {
   "q": "Give me a case summary.",
   "expect": "Rear-end MVC 02/11/2026; ED same day; C5\u2013C6 protrusion with L C6 radiculopathy on MRI 03/03/2026; 30 PT visits; 2 ESIs; observation stay 04/28\u201304/30 after lifting mulch; MMI 08/25/2026; no surgery. Every fact cited to a Bates page."
  },
  {
   "q": "Does the record show any pre-existing condition?",
   "expect": "Yes: 2023 chiropractic care for LOW BACK strain (6 visits, resolved), and a 2022 mention of occasional neck stiffness, untreated. Must distinguish lumbar history from the cervical injury and cite the radiologist's 'recent injury superimposed on mild degeneration' language."
  },
  {
   "q": "List every imaging study with its date and result.",
   "expect": "CT c-spine 02/11/2026; XR lumbar 02/11/2026; MRI c-spine 03/03/2026; MRI l-spine 03/03/2026; CT c-spine 04/28/2026. Five performed studies; an MRI 'reviewed' on 03/10 is not a sixth."
  },
  {
   "q": "Did the patient have surgery?",
   "expect": "No. ACDF discussed and conditionally recommended; deferred; not needed at MMI."
  },
  {
   "q": "How many epidural injections did he receive, and when?",
   "expect": "Two: 04/21/2026 and 06/09/2026."
  },
  {
   "q": "Was he ever admitted to the hospital?",
   "expect": "Observation stay 04/28\u201304/30/2026 at St. Brendan's, precipitated by lifting a bag of mulch. Must state the intervening event."
  },
  {
   "q": "How many physical therapy visits, over what dates, and with whom?",
   "expect": "30 visits, 03/18/2026\u201305/29/2026, Jonah P. Whitfield PT DPT (initial evaluation 03/18; re-evaluations at visits 10, 20, 30; discharge 05/29). Not 31 (duplicate page 000715) and not counting the wrong-patient note (000737)."
  },
  {
   "q": "Is there any page in this record that does not belong to this patient?",
   "expect": "Yes: a PT note for Okafor-Reyes, Danielle M. (DOB 07/22/1979, MRN CPT-558123, post-knee-replacement) at the Bates number in the key."
  },
  {
   "q": "What happened on 05/25/2026?",
   "expect": "PT visit 28 of 30 at Cascade Physical Therapy (Jonah P. Whitfield PT DPT), Bates 000777\u2013000779. Nothing else that day."
  },
  {
   "q": "Did the patient ever have a knee replacement?",
   "expect": "No. The only knee-replacement text is on the wrong-patient page and must not be attributed to Mr. Okafor."
  },
  {
   "q": "Are there gaps in treatment?",
   "expect": "07/07/2026 to 08/25/2026, 49 days, documented reason at the 08/25 MMI visit: patient traveling. (PT paused 04/28\u201305/01 for the hospital stay is not a gap in care.)"
  },
  {
   "q": "What are his current work restrictions?",
   "expect": "None as of 08/25/2026 (MMI). Give the progression with dates."
  },
  {
   "q": "What is the total billed for injury-related care?",
   "expect": "As printed $44,696.00; correct $44,396.00 after removing the duplicated PT visit-7 charges ($300.00). Observation pharmacy itemization is missing and must be flagged. Chiropractic $390 (2023) is pre-injury and excluded."
  },
  {
   "q": "Are there any duplicate charges?",
   "expect": "Yes: Cascade PT ledger bills visit 7 twice."
  },
  {
   "q": "What date did the fax from St. Brendan's arrive, and is that a date of service?",
   "expect": "Fax banner Jun. 03 2026 on every St. Brendan's page; it is NOT a date of service and must not appear as an event."
  },
  {
   "q": "Who was the treating orthopedic surgeon and what did he recommend on 05/19/2026?",
   "expect": "Rowan K. Adebayo, MD; ACDF C5\u2013C6 if radicular symptoms persist 3 months after the second ESI."
  },
  {
   "q": "Describe what happened on 07/07/2026.",
   "expect": "Two visits at two facilities: Northgate ortho (improving, surgery deferred, 30-lb limit) and Summit Pain (70% relief, no further injections)."
  },
  {
   "q": "Which page is the 03/10/2026 orthopedic note on, and is it complete?",
   "expect": "Four pages, produced in order 1,3,2,4 per the running header; one encounter."
  }
 ],
 "page_count": 1000,
 "clinical_pages_before_supplemental_flowsheets": 822,
 "expected_event_count_note": "Count distinct encounters (an ED visit with triage/MD/nursing/MAR/labs is ONE encounter; the observation stay is ONE episode of admission with H&P, flowsheets, MAR, neuro checks, labs, discharge). Imaging studies are separate events. Wrong-patient page, duplicate page, billing, pharmacy, certifications, fax covers are NOT events.",
 "distinct_encounters": [
  {
   "key": "Harbor Family Medicine|03/10/2022|office_visit|",
   "dates": [
    "03/10/2022"
   ],
   "facility": "Harbor Family Medicine",
   "bates": [
    "OKAFOR-000004"
   ]
  },
  {
   "key": "Harbor Family Medicine|04/02/2024|office_visit|",
   "dates": [
    "04/02/2024"
   ],
   "facility": "Harbor Family Medicine",
   "bates": [
    "OKAFOR-000005"
   ]
  },
  {
   "key": "Harbor Family Medicine|05/20/2025|office_visit|",
   "dates": [
    "05/20/2025"
   ],
   "facility": "Harbor Family Medicine",
   "bates": [
    "OKAFOR-000006"
   ]
  },
  {
   "key": "Harbor Family Medicine|02/16/2026|office_visit|",
   "dates": [
    "02/16/2026"
   ],
   "facility": "Harbor Family Medicine",
   "bates": [
    "OKAFOR-000017"
   ]
  },
  {
   "key": "Harbor Family Medicine|None|telephone_encounter|",
   "dates": [],
   "facility": "Harbor Family Medicine",
   "bates": [
    "OKAFOR-000018"
   ]
  },
  {
   "key": "ED 02/11/2026",
   "dates": [
    "02/11/2026"
   ],
   "facility": "St. Brendan's Regional Medical Center",
   "bates": [
    "OKAFOR-000021",
    "OKAFOR-000022",
    "OKAFOR-000023",
    "OKAFOR-000026",
    "OKAFOR-000027",
    "OKAFOR-000028",
    "OKAFOR-000029",
    "OKAFOR-000030",
    "OKAFOR-000040",
    "OKAFOR-000050",
    "OKAFOR-000060"
   ]
  },
  {
   "key": "St. Brendan's Regional Medical Center|02/11/2026|imaging|",
   "dates": [
    "02/11/2026"
   ],
   "facility": "St. Brendan's Regional Medical Center",
   "bates": [
    "OKAFOR-000024",
    "OKAFOR-000025"
   ]
  },
  {
   "key": "Observation 04/28\u201304/30/2026",
   "dates": [
    "04/28/2026",
    "04/29/2026",
    "04/30/2026"
   ],
   "facility": "St. Brendan's Regional Medical Center",
   "bates": [
    "OKAFOR-000070",
    "OKAFOR-000072",
    "OKAFOR-000073",
    "OKAFOR-000085",
    "OKAFOR-000097",
    "OKAFOR-000109",
    "OKAFOR-000121",
    "OKAFOR-000141",
    "OKAFOR-000659",
    "OKAFOR-000660",
    "OKAFOR-000675",
    "OKAFOR-000676",
    "OKAFOR-000677",
    "OKAFOR-000823"
   ]
  },
  {
   "key": "St. Brendan's Regional Medical Center|04/28/2026|imaging|",
   "dates": [
    "04/28/2026"
   ],
   "facility": "St. Brendan's Regional Medical Center",
   "bates": [
    "OKAFOR-000071"
   ]
  },
  {
   "key": "Northgate Orthopedic Associates|02/24/2026|orthopedics|",
   "dates": [
    "02/24/2026"
   ],
   "facility": "Northgate Orthopedic Associates",
   "bates": [
    "OKAFOR-000679"
   ]
  },
  {
   "key": "Northgate Orthopedic Associates|03/10/2026|orthopedics|",
   "dates": [
    "03/10/2026"
   ],
   "facility": "Northgate Orthopedic Associates",
   "bates": [
    "OKAFOR-000683"
   ]
  },
  {
   "key": "Northgate Orthopedic Associates|05/19/2026|orthopedics|",
   "dates": [
    "05/19/2026"
   ],
   "facility": "Northgate Orthopedic Associates",
   "bates": [
    "OKAFOR-000687"
   ]
  },
  {
   "key": "Northgate Orthopedic Associates|07/07/2026|orthopedics|",
   "dates": [
    "07/07/2026"
   ],
   "facility": "Northgate Orthopedic Associates",
   "bates": [
    "OKAFOR-000688"
   ]
  },
  {
   "key": "Northgate Orthopedic Associates|08/25/2026|mmi_evaluation|",
   "dates": [
    "08/25/2026"
   ],
   "facility": "Northgate Orthopedic Associates",
   "bates": [
    "OKAFOR-000689"
   ]
  },
  {
   "key": "Bayview Imaging Center|03/03/2026|imaging|",
   "dates": [
    "03/03/2026"
   ],
   "facility": "Bayview Imaging Center",
   "bates": [
    "OKAFOR-000691",
    "OKAFOR-000692"
   ]
  },
  {
   "key": "Cascade Physical Therapy|03/18/2026|physical_therapy|1",
   "dates": [
    "03/18/2026"
   ],
   "facility": "Cascade Physical Therapy",
   "bates": [
    "OKAFOR-000694"
   ]
  },
  {
   "key": "Cascade Physical Therapy|03/20/2026|physical_therapy|2",
   "dates": [
    "03/20/2026"
   ],
   "facility": "Cascade Physical Therapy",
   "bates": [
    "OKAFOR-000697"
   ]
  },
  {
   "key": "Cascade Physical Therapy|03/23/2026|physical_therapy|3",
   "dates": [
    "03/23/2026"
   ],
   "facility": "Cascade Physical Therapy",
   "bates": [
    "OKAFOR-000700"
   ]
  },
  {
   "key": "Cascade Physical Therapy|03/25/2026|physical_therapy|4",
   "dates": [
    "03/25/2026"
   ],
   "facility": "Cascade Physical Therapy",
   "bates": [
    "OKAFOR-000703"
   ]
  },
  {
   "key": "Cascade Physical Therapy|03/27/2026|physical_therapy|5",
   "dates": [
    "03/27/2026"
   ],
   "facility": "Cascade Physical Therapy",
   "bates": [
    "OKAFOR-000706"
   ]
  },
  {
   "key": "Cascade Physical Therapy|03/30/2026|physical_therapy|6",
   "dates": [
    "03/30/2026"
   ],
   "facility": "Cascade Physical Therapy",
   "bates": [
    "OKAFOR-000709"
   ]
  },
  {
   "key": "Cascade Physical Therapy|04/01/2026|physical_therapy|7",
   "dates": [
    "04/01/2026"
   ],
   "facility": "Cascade Physical Therapy",
   "bates": [
    "OKAFOR-000712"
   ]
  },
  {
   "key": "Cascade Physical Therapy|04/03/2026|physical_therapy|8",
   "dates": [
    "04/03/2026"
   ],
   "facility": "Cascade Physical Therapy",
   "bates": [
    "OKAFOR-000716"
   ]
  },
  {
   "key": "Cascade Physical Therapy|04/06/2026|physical_therapy|9",
   "dates": [
    "04/06/2026"
   ],
   "facility": "Cascade Physical Therapy",
   "bates": [
    "OKAFOR-000719"
   ]
  },
  {
   "key": "Cascade Physical Therapy|04/08/2026|physical_therapy|10",
   "dates": [
    "04/08/2026"
   ],
   "facility": "Cascade Physical Therapy",
   "bates": [
    "OKAFOR-000722"
   ]
  },
  {
   "key": "Cascade Physical Therapy|04/10/2026|physical_therapy|11",
   "dates": [
    "04/10/2026"
   ],
   "facility": "Cascade Physical Therapy",
   "bates": [
    "OKAFOR-000725"
   ]
  },
  {
   "key": "Cascade Physical Therapy|04/13/2026|physical_therapy|12",
   "dates": [
    "04/13/2026"
   ],
   "facility": "Cascade Physical Therapy",
   "bates": [
    "OKAFOR-000728"
   ]
  },
  {
   "key": "Cascade Physical Therapy|04/15/2026|physical_therapy|13",
   "dates": [
    "04/15/2026"
   ],
   "facility": "Cascade Physical Therapy",
   "bates": [
    "OKAFOR-000731"
   ]
  },
  {
   "key": "Cascade Physical Therapy|04/17/2026|physical_therapy|14",
   "dates": [
    "04/17/2026"
   ],
   "facility": "Cascade Physical Therapy",
   "bates": [
    "OKAFOR-000734"
   ]
  },
  {
   "key": "Cascade Physical Therapy|04/20/2026|physical_therapy|15",
   "dates": [
    "04/20/2026"
   ],
   "facility": "Cascade Physical Therapy",
   "bates": [
    "OKAFOR-000738"
   ]
  },
  {
   "key": "Cascade Physical Therapy|04/22/2026|physical_therapy|16",
   "dates": [
    "04/22/2026"
   ],
   "facility": "Cascade Physical Therapy",
   "bates": [
    "OKAFOR-000741"
   ]
  },
  {
   "key": "Cascade Physical Therapy|04/24/2026|physical_therapy|17",
   "dates": [
    "04/24/2026"
   ],
   "facility": "Cascade Physical Therapy",
   "bates": [
    "OKAFOR-000744"
   ]
  },
  {
   "key": "Cascade Physical Therapy|04/27/2026|physical_therapy|18",
   "dates": [
    "04/27/2026"
   ],
   "facility": "Cascade Physical Therapy",
   "bates": [
    "OKAFOR-000747"
   ]
  },
  {
   "key": "Cascade Physical Therapy|05/04/2026|physical_therapy|19",
   "dates": [
    "05/04/2026"
   ],
   "facility": "Cascade Physical Therapy",
   "bates": [
    "OKAFOR-000750"
   ]
  },
  {
   "key": "Cascade Physical Therapy|05/06/2026|physical_therapy|20",
   "dates": [
    "05/06/2026"
   ],
   "facility": "Cascade Physical Therapy",
   "bates": [
    "OKAFOR-000753"
   ]
  },
  {
   "key": "Cascade Physical Therapy|05/08/2026|physical_therapy|21",
   "dates": [
    "05/08/2026"
   ],
   "facility": "Cascade Physical Therapy",
   "bates": [
    "OKAFOR-000756"
   ]
  },
  {
   "key": "Cascade Physical Therapy|05/11/2026|physical_therapy|22",
   "dates": [
    "05/11/2026"
   ],
   "facility": "Cascade Physical Therapy",
   "bates": [
    "OKAFOR-000759"
   ]
  },
  {
   "key": "Cascade Physical Therapy|05/13/2026|physical_therapy|23",
   "dates": [
    "05/13/2026"
   ],
   "facility": "Cascade Physical Therapy",
   "bates": [
    "OKAFOR-000762"
   ]
  },
  {
   "key": "Cascade Physical Therapy|05/15/2026|physical_therapy|24",
   "dates": [
    "05/15/2026"
   ],
   "facility": "Cascade Physical Therapy",
   "bates": [
    "OKAFOR-000765"
   ]
  },
  {
   "key": "Cascade Physical Therapy|05/18/2026|physical_therapy|25",
   "dates": [
    "05/18/2026"
   ],
   "facility": "Cascade Physical Therapy",
   "bates": [
    "OKAFOR-000768"
   ]
  },
  {
   "key": "Cascade Physical Therapy|05/20/2026|physical_therapy|26",
   "dates": [
    "05/20/2026"
   ],
   "facility": "Cascade Physical Therapy",
   "bates": [
    "OKAFOR-000771"
   ]
  },
  {
   "key": "Cascade Physical Therapy|05/22/2026|physical_therapy|27",
   "dates": [
    "05/22/2026"
   ],
   "facility": "Cascade Physical Therapy",
   "bates": [
    "OKAFOR-000774"
   ]
  },
  {
   "key": "Cascade Physical Therapy|05/25/2026|physical_therapy|28",
   "dates": [
    "05/25/2026"
   ],
   "facility": "Cascade Physical Therapy",
   "bates": [
    "OKAFOR-000777"
   ]
  },
  {
   "key": "Cascade Physical Therapy|05/27/2026|physical_therapy|29",
   "dates": [
    "05/27/2026"
   ],
   "facility": "Cascade Physical Therapy",
   "bates": [
    "OKAFOR-000780"
   ]
  },
  {
   "key": "Cascade Physical Therapy|05/29/2026|physical_therapy|30",
   "dates": [
    "05/29/2026"
   ],
   "facility": "Cascade Physical Therapy",
   "bates": [
    "OKAFOR-000783"
   ]
  },
  {
   "key": "Summit Pain & Spine|04/07/2026|pain_management|",
   "dates": [
    "04/07/2026"
   ],
   "facility": "Summit Pain & Spine",
   "bates": [
    "OKAFOR-000790"
   ]
  },
  {
   "key": "Summit Pain & Spine|04/21/2026|injection_procedure|",
   "dates": [
    "04/21/2026"
   ],
   "facility": "Summit Pain & Spine",
   "bates": [
    "OKAFOR-000791"
   ]
  },
  {
   "key": "Summit Pain & Spine|05/12/2026|pain_management|",
   "dates": [
    "05/12/2026"
   ],
   "facility": "Summit Pain & Spine",
   "bates": [
    "OKAFOR-000796"
   ]
  },
  {
   "key": "Summit Pain & Spine|06/09/2026|injection_procedure|",
   "dates": [
    "06/09/2026"
   ],
   "facility": "Summit Pain & Spine",
   "bates": [
    "OKAFOR-000797"
   ]
  },
  {
   "key": "Summit Pain & Spine|07/07/2026|pain_management|",
   "dates": [
    "07/07/2026"
   ],
   "facility": "Summit Pain & Spine",
   "bates": [
    "OKAFOR-000802"
   ]
  },
  {
   "key": "Oak Street Chiropractic|09/18/2023|chiropractic|",
   "dates": [
    "09/18/2023"
   ],
   "facility": "Oak Street Chiropractic",
   "bates": [
    "OKAFOR-000810"
   ]
  },
  {
   "key": "Oak Street Chiropractic|09/25/2023|chiropractic|",
   "dates": [
    "09/25/2023"
   ],
   "facility": "Oak Street Chiropractic",
   "bates": [
    "OKAFOR-000811"
   ]
  },
  {
   "key": "Oak Street Chiropractic|10/02/2023|chiropractic|",
   "dates": [
    "10/02/2023"
   ],
   "facility": "Oak Street Chiropractic",
   "bates": [
    "OKAFOR-000812"
   ]
  },
  {
   "key": "Oak Street Chiropractic|10/16/2023|chiropractic|",
   "dates": [
    "10/16/2023"
   ],
   "facility": "Oak Street Chiropractic",
   "bates": [
    "OKAFOR-000813"
   ]
  },
  {
   "key": "Oak Street Chiropractic|10/30/2023|chiropractic|",
   "dates": [
    "10/30/2023"
   ],
   "facility": "Oak Street Chiropractic",
   "bates": [
    "OKAFOR-000814"
   ]
  },
  {
   "key": "Oak Street Chiropractic|11/06/2023|chiropractic|",
   "dates": [
    "11/06/2023"
   ],
   "facility": "Oak Street Chiropractic",
   "bates": [
    "OKAFOR-000815"
   ]
  }
 ],
 "counts": {
  "distinct_encounters": 56,
  "pt_visits": 30,
  "imaging_studies_performed": 5,
  "esi_procedures": 2,
  "hospital_stays": 1,
  "pre_injury_encounters": 9,
  "undated_encounters": 1,
  "wrong_patient_pages": 1,
  "duplicate_pages": 1
 },
 "imaging_studies": [
  {
   "date": "02/11/2026",
   "study": "CT cervical spine",
   "bates": "OKAFOR-000024"
  },
  {
   "date": "02/11/2026",
   "study": "XR lumbar spine",
   "bates": "OKAFOR-000025"
  },
  {
   "date": "04/28/2026",
   "study": "CT cervical spine",
   "bates": "OKAFOR-000071"
  },
  {
   "date": "03/03/2026",
   "study": "MRI cervical spine",
   "bates": "OKAFOR-000691"
  },
  {
   "date": "03/03/2026",
   "study": "MRI lumbar spine",
   "bates": "OKAFOR-000692"
  }
 ],
 "key_facts": {
  "mechanism": "Restrained driver, stopped at a traffic light, struck from behind by a pickup truck (~30\u201335 mph) on 02/11/2026.",
  "primary_injury": "Left paracentral C5\u2013C6 disc protrusion with annular fissure and left C6 radiculopathy (MRI 03/03/2026); cervical strain; lumbar strain with mild L4\u2013L5 degenerative bulge.",
  "surgery": "None performed. ACDF C5\u2013C6 discussed 03/10/2026 and recommended conditionally 05/19/2026; deferred 07/07/2026; not needed at MMI 08/25/2026.",
  "injections": "Two cervical interlaminar ESIs: 04/21/2026 and 06/09/2026 (Summit Pain & Spine, Dr. Demirci).",
  "hospitalization": "Observation stay St. Brendan's 04/28/2026\u201304/30/2026 for acute exacerbation after lifting mulch at home (intervening event the defense will cite).",
  "physical_therapy": "30 visits, Cascade Physical Therapy, 03/17/2026\u201306/26/2026, Jonah P. Whitfield PT DPT; NDI 44% \u2192 14%.",
  "pre_existing": "(1) Six chiropractic visits 09/18/2023\u201311/06/2023 for LUMBAR strain after lifting at work, resolved. (2) 03/10/2022 PCP note: occasional neck stiffness after long drives, untreated. (3) CT 02/11/2026 and MRI 03/03/2026 note mild C5\u2013C6 degenerative change; radiologist states annular fissure/STIR favor recent injury superimposed on degeneration. No prior neck treatment anywhere in the record.",
  "mmi": "08/25/2026, Dr. Adebayo; no permanent restrictions; risk of recurrence noted.",
  "work_restrictions": "02/16/2026: no lifting >15 lb x2 weeks. 02/24/2026: no lifting >15 lb, no overhead. 05/19/2026: no lifting >20 lb, no overhead. 07/07/2026: 30 lb, overhead in 15-min intervals. 08/25/2026: none.",
  "treatment_gap": "07/07/2026 \u2192 08/25/2026 (49 days), documented reason: work travel.",
  "intervening_event": "04/27/2026 lifting a 40-lb bag of mulch at home precipitated the exacerbation leading to the observation stay.",
  "same_day_two_facilities": "07/07/2026: Northgate Orthopedic AND Summit Pain & Spine.",
  "wrong_patient": {
   "name": "Okafor-Reyes, Danielle M.",
   "dob": "07/22/1979",
   "mrn": "CPT-558123"
  }
 },
 "key_errata": [
  "2026-09-10: Q7, Q9, Q11 expected text corrected to match the encounter list (which is exact by construction). Original text was drafted from the case plan, not the built record. RITA's run05 answers to Q7 and Q9 were correct against the built record."
 ]
}