{ "document_metadata": { "page_number": "2433", "document_number": "DOJ-OGR-00026109", "date": "07/24/2019", "document_type": "Clinical Encounter - Administrative Note", "has_handwriting": false, "has_stamps": false }, "full_text": "Page 2433\nBureau of Prisons\nHealth Services\nClinical Encounter - Administrative Note\nInmate Name: EPSTEIN, JEFFREY EDWARD\nDate of Birth: 01/20/1953\nNote Date: 07/24/2019 15:10\nSex: M\nRace: WHITE\nReg #: 76318-054\nProvider: [b(6); (b(7)(C)] MD\nFacility: NYM\nUnit: H01\nAdmin Note - General Administrative Note encounter performed at Health Services.\nAdministrative Notes:\nADMINISTRATIVE NOTE 1\nProvider: [b(6); (b(7)(C)] MD\nPATIENT WAS OFFERED TO HAVE AN OPTOMETRIST EVALUATION. HE REFUSED. REFUSAL FORM SIGNED.\nCopay Required: No\nTelephone/Verbal Order: No\nCosign Required: No\nCompleted by [b(6); (b(7)(C)] MD on 07/24/2019 15:17\nGenerated 07/24/2019 15:17 by [b(6); (b(7)(C)] MD Bureau of Prisons - NYM\nPage 1 of 1\nDOJ-OGR-00026109", "text_blocks": [ { "type": "printed", "content": "Bureau of Prisons\nHealth Services\nClinical Encounter - Administrative Note", "position": "header" }, { "type": "printed", "content": "Inmate Name: EPSTEIN, JEFFREY EDWARD\nDate of Birth: 01/20/1953\nNote Date: 07/24/2019 15:10\nSex: M\nRace: WHITE\nReg #: 76318-054\nProvider: [b(6); (b(7)(C)] MD\nFacility: NYM\nUnit: H01", "position": "top" }, { "type": "printed", "content": "Admin Note - General Administrative Note encounter performed at Health Services.\nAdministrative Notes:\nADMINISTRATIVE NOTE 1\nProvider: [b(6); (b(7)(C)] MD\nPATIENT WAS OFFERED TO HAVE AN OPTOMETRIST EVALUATION. HE REFUSED. REFUSAL FORM SIGNED.", "position": "middle" }, { "type": "printed", "content": "Copay Required: No\nTelephone/Verbal Order: No\nCosign Required: No\nCompleted 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\nPage 1 of 1", "position": "footer" } ], "entities": { "people": [ "JEFFREY EDWARD EPSTEIN" ], "organizations": [ "Bureau of Prisons", "NYM" ], "locations": [], "dates": [ "01/20/1953", "07/24/2019" ], "reference_numbers": [ "76318-054", "DOJ-OGR-00026109" ] }, "additional_notes": "The document contains redacted names of medical providers." }