{
  "document_metadata": {
    "page_number": "2615",
    "document_number": "76318-054",
    "date": "07/26/2019",
    "document_type": "Dental Health History Screen",
    "has_handwriting": false,
    "has_stamps": false
  },
  "full_text": "Page 2615\nBureau of Prisons\nHealth Services\nDental Health History Screen\nInmate Name: EPSTEIN, JEFFREY EDWARD\nDate of Birth: 01/20/1953\nEncounter Date: 07/26/2019 07:54\nSex: M\nRace: WHITE\nReg #: 76318-054\nFacility: NYM\nProvider: (b)(6); (b)(7)(C) DDS\nUnit: H01\nASSESSMENTS:\nHealth Problems as of Dental Health History Encounter date: 07/26/2019 07:54\nHealth Problems\nHealth Problem Status\nHyperlipidemia, unspecified\nHYPERTRIGLYCERIDEMIA\nCurrent\nSleep apnea\nCurrent\nConstipation, unspecified\nCurrent\nLow back pain\nCurrent\nNeuralgia and neuritis, unspecified\nCurrent\nNo Diagnosis\nCurrent\nInjury, unspecified\nR/O self inflicted injuries.\nCurrent\nMedical History as of Dental Health History Encounter date: 07/26/2019 07:54\nMedical History:\nAllergies: Denied\nSeizures: Denied\nDiabetes: Denied\nCardiovascular: Denied\nCVA: Denied\nHypertension: Denied\nRespiratory: Denied\nSickle Cell Anemia: Denied\nCarcinoma/Lymphoma: Denied\nHIV History:\nWhen Tested: 2019\nTest Result: Negative\nWhen Diagnosed AIDS:\nLast CD4:\nComments:\nHepatitis: Denied\nGenerated 07/26/2019 07:59 by (b)(6); (b)(7)(C) DDS Bureau of Prisons - NYM\nPage 1 of 3\nDOJ-OGR-00026275",
  "text_blocks": [
    {
      "type": "printed",
      "content": "Bureau of Prisons\nHealth Services\nDental Health History Screen",
      "position": "header"
    },
    {
      "type": "printed",
      "content": "Inmate Name: EPSTEIN, JEFFREY EDWARD\nDate of Birth: 01/20/1953\nEncounter Date: 07/26/2019 07:54\nSex: M\nRace: WHITE\nReg #: 76318-054\nFacility: NYM\nProvider: (b)(6); (b)(7)(C) DDS\nUnit: H01",
      "position": "top"
    },
    {
      "type": "printed",
      "content": "ASSESSMENTS:\nHealth Problems as of Dental Health History Encounter date: 07/26/2019 07:54\nHealth Problems\nHealth Problem Status\nHyperlipidemia, unspecified\nHYPERTRIGLYCERIDEMIA Current\nSleep apnea Current\nConstipation, unspecified Current\nLow back pain Current\nNeuralgia and neuritis, unspecified Current\nNo Diagnosis Current\nInjury, unspecified R/O self inflicted injuries. Current",
      "position": "middle"
    },
    {
      "type": "printed",
      "content": "Medical History as of Dental Health History Encounter date: 07/26/2019 07:54\nMedical History:\nAllergies: Denied\nSeizures: Denied\nDiabetes: Denied\nCardiovascular: Denied\nCVA: Denied\nHypertension: Denied\nRespiratory: Denied\nSickle Cell Anemia: Denied\nCarcinoma/Lymphoma: Denied\nHIV History:\nWhen Tested: 2019\nTest Result: Negative\nWhen Diagnosed AIDS:\nLast CD4:\nComments:\nHepatitis: Denied",
      "position": "middle"
    },
    {
      "type": "printed",
      "content": "Generated 07/26/2019 07:59 by (b)(6); (b)(7)(C) DDS Bureau of Prisons - NYM\nPage 1 of 3\nDOJ-OGR-00026275",
      "position": "footer"
    }
  ],
  "entities": {
    "people": [
      "JEFFREY EDWARD EPSTEIN"
    ],
    "organizations": [
      "Bureau of Prisons"
    ],
    "locations": [
      "NYM"
    ],
    "dates": [
      "01/20/1953",
      "07/26/2019"
    ],
    "reference_numbers": [
      "76318-054",
      "DOJ-OGR-00026275"
    ]
  },
  "additional_notes": "The document appears to be a medical record from the Bureau of Prisons. Some personal identifying information is redacted."
}