{
  "document_metadata": {
    "page_number": "1",
    "document_number": "DOJ-OGR-00024111",
    "date": "07/24/2019",
    "document_type": "Clinical Encounter - Administrative Note",
    "has_handwriting": false,
    "has_stamps": false
  },
  "full_text": "Bureau of Prisons Health Services Clinical Encounter - Administrative Note Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Note Date: 07/24/2019 15:10 Sex: M Race: WHITE Reg #: 76318-054 Provider: (b)(6). (b)(7)(C) MD Facility: NYM Unit: H01 Admin Note - General Administrative Note encounter performed at Health Services. Administrative Notes: ADMINISTRATIVE NOTE 1 Provider: (b)(6). (b)(7)(C) MD PATIENT WAS OFFERED TO HAVE AN OPTOMETRIST EVALUATION. HE REFUSED. REFUSAL FORM SIGNED. Copay Required: No Cosign Required: No Telephone/Verbal Order: No Completed by (b)(6). (b)(7)(C) MD on 07/24/2019 15:17 Generated 07/24/2019 15:17 by (b)(6). (b)(7)(C) MD Bureau of Prisons - NYM Page 1 of 1 DOJ-OGR-00024111",
  "text_blocks": [
    {
      "type": "printed",
      "content": "Bureau of Prisons Health Services Clinical Encounter - Administrative Note",
      "position": "header"
    },
    {
      "type": "printed",
      "content": "Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Note Date: 07/24/2019 15:10 Sex: M Race: WHITE Reg #: 76318-054 Provider: (b)(6). (b)(7)(C) MD Facility: NYM Unit: H01",
      "position": "top"
    },
    {
      "type": "printed",
      "content": "Admin Note - General Administrative Note encounter performed at Health Services. Administrative Notes: ADMINISTRATIVE NOTE 1 Provider: (b)(6). (b)(7)(C) MD PATIENT WAS OFFERED TO HAVE AN OPTOMETRIST EVALUATION. HE REFUSED. REFUSAL FORM SIGNED.",
      "position": "middle"
    },
    {
      "type": "printed",
      "content": "Copay Required: No Cosign Required: No Telephone/Verbal Order: No Completed by (b)(6). (b)(7)(C) MD on 07/24/2019 15:17",
      "position": "middle"
    },
    {
      "type": "printed",
      "content": "Generated 07/24/2019 15:17 by (b)(6). (b)(7)(C) MD Bureau of Prisons - NYM Page 1 of 1 DOJ-OGR-00024111",
      "position": "footer"
    }
  ],
  "entities": {
    "people": [
      "JEFFREY EDWARD EPSTEIN"
    ],
    "organizations": [
      "Bureau of Prisons",
      "Health Services"
    ],
    "locations": [
      "NYM"
    ],
    "dates": [
      "01/20/1953",
      "07/24/2019"
    ],
    "reference_numbers": [
      "76318-054",
      "DOJ-OGR-00024111"
    ]
  },
  "additional_notes": "The document contains redacted names and has a clear structure for clinical encounters. It appears to be a standard form used by the Bureau of Prisons for administrative notes."
}