{ "document_metadata": { "page_number": "2", "document_number": "DOJ-OGR-00024097", "date": "07/30/2019", "document_type": "Medical Examination Report", "has_handwriting": false, "has_stamps": false }, "full_text": "Inmate Name: EPSTEIN, JEFFREY EDWARD\nDate of Birth: 01/20/1953\nEncounter Date: 07/30/2019 11:12\nSex: M\nRace: WHITE\nReg #: 76318-054\nProvider:\nFacility: NYM\nUnit: Z01\nDate\nTime\nLbs\nKg\nWaist Circum.\nProvider\n07/30/2019\n09:30 NYM\n194.2\n88.1\n(b)(6) (b)(7)(C)\nMD\nExam:\nGeneral\nAffect\nYes: Cooperative\nAppearance\nYes: Appears Well, Alert and Oriented x 3\nNo: Appears Distressed, Dyspneic, Appears in Pain, Writhing in Pain, Pale, Pallor, Cyanotic, Diaphoretic, Disheveled, Unkempt, Acutely Ill\nNutrition\nNo: Appears Obese\nPulmonary\nAuscultation\nYes: Clear to Auscultation\nCardiovascular\nAuscultation\nYes: Regular Rate and Rhythm (RRR), Normal S1 and S2\nNo: M/R/G\nMusculoskeletal\nTibia / Fibula\nNo: Edema\nNeurologic\nCranial Nerves (CN)\nYes: Within Normal Limits\nMotor System-General\nYes: Normal Exam\nMotor System-Strength\nYes: Normal Muscular Strength\nASSESSMENT:\nBody mass index (BMI) 27.0-27.9, adult, Z6827 - Current\nConstipation, unspecified, K5900 - Current\nEssential (primary) hypertension, I10 - Current - BY HX.\nHyperlipidemia, unspecified, E785 - Current\nLow back pain, M545 - Current\nNeuralgia and neuritis, unspecified, M792 - Current\nPrediabetes, R7303 - Current\nSleep apnea, G4730 - Current\nPLAN:\nNew Medication Orders:\nRx#\nMedication\nOrder Date\nPrescriber Order\nGenerated 07/30/2019 14:05 by (b)(6) (b)(7)(C)\nMD\nBureau of Prisons - NYM\nPage 2 of 3", "text_blocks": [ { "type": "printed", "content": "Inmate Name: EPSTEIN, JEFFREY EDWARD\nDate of Birth: 01/20/1953\nEncounter Date: 07/30/2019 11:12\nSex: M\nRace: WHITE\nReg #: 76318-054\nProvider:\nFacility: NYM\nUnit: Z01", "position": "header" }, { "type": "printed", "content": "Date\nTime\nLbs\nKg\nWaist Circum.\nProvider\n07/30/2019\n09:30 NYM\n194.2\n88.1\n(b)(6) (b)(7)(C)\nMD", "position": "top" }, { "type": "printed", "content": "Exam:\nGeneral\nAffect\nYes: Cooperative\nAppearance\nYes: Appears Well, Alert and Oriented x 3\nNo: Appears Distressed, Dyspneic, Appears in Pain, Writhing in Pain, Pale, Pallor, Cyanotic, Diaphoretic, Disheveled, Unkempt, Acutely Ill\nNutrition\nNo: Appears Obese\nPulmonary\nAuscultation\nYes: Clear to Auscultation\nCardiovascular\nAuscultation\nYes: Regular Rate and Rhythm (RRR), Normal S1 and S2\nNo: M/R/G\nMusculoskeletal\nTibia / Fibula\nNo: Edema\nNeurologic\nCranial Nerves (CN)\nYes: Within Normal Limits\nMotor System-General\nYes: Normal Exam\nMotor System-Strength\nYes: Normal Muscular Strength", "position": "middle" }, { "type": "printed", "content": "ASSESSMENT:\nBody mass index (BMI) 27.0-27.9, adult, Z6827 - Current\nConstipation, unspecified, K5900 - Current\nEssential (primary) hypertension, I10 - Current - BY HX.\nHyperlipidemia, unspecified, E785 - Current\nLow back pain, M545 - Current\nNeuralgia and neuritis, unspecified, M792 - Current\nPrediabetes, R7303 - Current\nSleep apnea, G4730 - Current", "position": "middle" }, { "type": "printed", "content": "PLAN:\nNew Medication Orders:\nRx#\nMedication\nOrder Date\nPrescriber Order", "position": "middle" }, { "type": "printed", "content": "Generated 07/30/2019 14:05 by (b)(6) (b)(7)(C)\nMD\nBureau of Prisons - NYM\nPage 2 of 3", "position": "footer" } ], "entities": { "people": [ "JEFFREY EDWARD EPSTEIN" ], "organizations": [ "Bureau of Prisons" ], "locations": [ "NYM" ], "dates": [ "01/20/1953", "07/30/2019" ], "reference_numbers": [ "76318-054", "DOJ-OGR-00024097" ] }, "additional_notes": "The document contains redacted information, marked as '(b)(6) (b)(7)(C)'. The document is a medical examination report for an inmate." }