{ "document_metadata": { "page_number": "2", "document_number": "76318-054", "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 Race: WHITE Reg #: 76318-054\nProvider: (b)(6). (b)(7)(C) MD Facility: NYM Unit: Z01\nDate Time Lbs Kg Waist Circum. Provider\n07/30/2019 09:30 NYM 194.2 88.1 (b)(6). (b)(7)(C) MD\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# Medication Order Date Prescriber Order\nGenerated 07/30/2019 14:05 by (b)(6). (b)(7)(C) MD Bureau of Prisons - NYM Page 2 of 3 DOJ-OGR-00024100", "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 Race: WHITE Reg #: 76318-054\nProvider: (b)(6). (b)(7)(C) MD Facility: NYM Unit: Z01", "position": "top" }, { "type": "printed", "content": "Date Time Lbs Kg Waist Circum. Provider\n07/30/2019 09:30 NYM 194.2 88.1 (b)(6). (b)(7)(C) MD", "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# Medication Order Date Prescriber Order", "position": "middle" }, { "type": "printed", "content": "Generated 07/30/2019 14:05 by (b)(6). (b)(7)(C) MD Bureau of Prisons - NYM Page 2 of 3 DOJ-OGR-00024100", "position": "bottom" } ], "entities": { "people": [ "JEFFREY EDWARD EPSTEIN" ], "organizations": [ "Bureau of Prisons" ], "locations": [ "NYM" ], "dates": [ "01/20/1953", "07/30/2019" ], "reference_numbers": [ "76318-054", "DOJ-OGR-00024100" ] }, "additional_notes": "The document contains redacted information marked as '(b)(6). (b)(7)(C)'. The document is marked 'See Amendment' diagonally across the page." }