{ "document_metadata": { "page_number": "2", "document_number": "DOJ-OGR-00024118", "date": "07/12/2019", "document_type": "Medical Examination Report", "has_handwriting": false, "has_stamps": true }, "full_text": "Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Encounter Date: 07/12/2019 13:10 Sex: M Race: WHITE Reg #: 76318-054 Provider: (b)(6). (b)(7)(C) MD Facility: NYM Unit: Z05 EXAM: Eyes General Yes: PERRLA, Extraocular Movements Intact Pulmonary Auscultation Yes: Clear to Auscultation Cardiovascular Auscultation Yes: Regular Rate and Rhythm (RRR), Normal S1 and S2 No: M/R/G Abdomen Auscultation Yes: Normo-Active Bowel Sounds Palpation Yes: Within Normal Limits Musculoskeletal Tibia / Fibula No: Edema Back Yes: Tenderness Neurologic Cranial Nerves (CN) Yes: Within Normal Limits Motor System-General Yes: Normal Exam ASSESSMENT: Constipation, unspecified, K5900 - Current Hyperlipidemia, unspecified, E785 - Current Low back pain, M545 - Current Neuralgia and neuritis, unspecified, M792 - Current Sleep apnea, G4730 - Current PLAN: New Medication Orders: Rx# Medication Order Date Prescriber Order Magnesium Hydroxide Susp 07/12/2019 13:10 30 CC Orally - Two Times a Day PRN x 2 day(s) MethylPREDNISolone Tab 4 MG (Dose Pack 21 tab) 07/12/2019 13:10 AS DIRECTED Orally - daily x 6 day(s) Indication: Constipation, unspecified Indication: Neuralgia and neuritis, unspecified Disposition: Generated 07/12/2019 14:20 by (b)(6). (b)(7)(C) MD Bureau of Prisons - NYM Page 2 of 3 DOJ-OGR-00024118 See Amendment", "text_blocks": [ { "type": "printed", "content": "Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Encounter Date: 07/12/2019 13:10 Sex: M Race: WHITE Reg #: 76318-054 Provider: (b)(6). (b)(7)(C) MD Facility: NYM Unit: Z05", "position": "header" }, { "type": "printed", "content": "EXAM: Eyes General Yes: PERRLA, Extraocular Movements Intact Pulmonary Auscultation Yes: Clear to Auscultation Cardiovascular Auscultation Yes: Regular Rate and Rhythm (RRR), Normal S1 and S2 No: M/R/G Abdomen Auscultation Yes: Normo-Active Bowel Sounds Palpation Yes: Within Normal Limits Musculoskeletal Tibia / Fibula No: Edema Back Yes: Tenderness Neurologic Cranial Nerves (CN) Yes: Within Normal Limits Motor System-General Yes: Normal Exam", "position": "middle" }, { "type": "printed", "content": "ASSESSMENT: Constipation, unspecified, K5900 - Current Hyperlipidemia, unspecified, E785 - Current Low back pain, M545 - Current Neuralgia and neuritis, unspecified, M792 - Current Sleep apnea, G4730 - Current", "position": "middle" }, { "type": "printed", "content": "PLAN: New Medication Orders: Rx# Medication Order Date Prescriber Order Magnesium Hydroxide Susp 07/12/2019 13:10 30 CC Orally - Two Times a Day PRN x 2 day(s) MethylPREDNISolone Tab 4 MG (Dose Pack 21 tab) 07/12/2019 13:10 AS DIRECTED Orally - daily x 6 day(s) Indication: Constipation, unspecified Indication: Neuralgia and neuritis, unspecified Disposition:", "position": "middle" }, { "type": "stamp", "content": "See Amendment", "position": "middle" }, { "type": "printed", "content": "Generated 07/12/2019 14:20 by (b)(6). (b)(7)(C) MD Bureau of Prisons - NYM Page 2 of 3 DOJ-OGR-00024118", "position": "footer" } ], "entities": { "people": [ "JEFFREY EDWARD EPSTEIN", "(b)(6). (b)(7)(C)" ], "organizations": [ "Bureau of Prisons" ], "locations": [ "NYM" ], "dates": [ "01/20/1953", "07/12/2019" ], "reference_numbers": [ "76318-054", "DOJ-OGR-00024118" ] }, "additional_notes": "The document is a medical examination report for Jeffrey Epstein, with a 'See Amendment' stamp across it. The report includes details about the examination, assessment, and new medication orders. Some personal identifiable information is redacted." }