{ "document_metadata": { "page_number": "3", "document_number": "DOJ-OGR-00026205", "date": "07/30/2019", "document_type": "Medical Record", "has_handwriting": false, "has_stamps": false }, "full_text": "Page 2545 Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: M Race: WHITE Reg #: 76318-054 Encounter Date: 07/30/2019 11:12 Provider: (b)(6); (b)(7)(C) MD Facility: NYM Unit: Z01 New Medication Orders: Rx# Medication Order Date Prescriber Order Magnesium Hydroxide Susp conc 800 MG/5ML 07/30/2019 11:12 10 CC Orally - Two Times a Day PRN x 90 day(s) Indication: Constipation, unspecified INsulin REG - Human 07/30/2019 11:12 SLIDING SCALE Subcutaneously - Two Times a Day x 7 day(s) Pill Line Only Indication: Prediabetes Renew Medication Orders: Rx# Medication Order Date Prescriber Order 121836-NYM methylPREDNISolone 4 MG Tab (21 count Pack) 07/30/2019 11:12 Take the tablet by mouth as directed x 6 day(s) Indication: Neuralgia and neuritis, unspecified New Laboratory Requests: Details Frequency Due Date Priority Lab Tests - Short List-General-CBC w/diff One Time 08/01/2019 00:00 Routine Lab Tests-P-PSA, Total Lab Tests-U-Uric Acid Lab Tests - Short List-General-Comprehensive Metabolic Profile (CMP) Lab Tests-U-Urinalysis w/Reflex to Microscopic New Radiology Request Orders: Details Frequency End Date Due Date Priority General Radiology-Spine / Cervical-General One Time 08/29/2019 Routine Specific reason(s) for request (Complaints and findings): 66 YR OLD MALE WITH COMPLAINT OF RIGHT ARM NUMBNESS FOR 2-3 MINUTES 3 DAYS AGO. PLEASE PERFORM C SPINE SERIES Disposition: Follow-up at Sick Call as Needed Patient Education Topics: Date Initiated Format Handout/Topic Provider Outcome 07/30/2019 Counseling Access to Care (b)(6); (b)(7)(C) Verbalizes Understanding 07/30/2019 Counseling Plan of Care (b)(6); (b)(7)(C) Verbalizes Understanding Copay Required: No Cosign Required: No Telephone/Verbal Order: No Completed by (b)(6); (b)(7)(C) MD on 07/30/2019 14:05 Generated 07/30/2019 14:05 by (b)(6); (b)(7)(C) MD Bureau of Prisons - NYM Page 3 of 3 DOJ-OGR-00026205", "text_blocks": [ { "type": "printed", "content": "Page 2545", "position": "header" }, { "type": "printed", "content": "Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: M Race: WHITE Reg #: 76318-054 Encounter Date: 07/30/2019 11:12 Provider: (b)(6); (b)(7)(C) MD Facility: NYM Unit: Z01", "position": "top" }, { "type": "printed", "content": "New Medication Orders: Rx# Medication Order Date Prescriber Order Magnesium Hydroxide Susp conc 800 MG/5ML 07/30/2019 11:12 10 CC Orally - Two Times a Day PRN x 90 day(s) Indication: Constipation, unspecified INsulin REG - Human 07/30/2019 11:12 SLIDING SCALE Subcutaneously - Two Times a Day x 7 day(s) Pill Line Only Indication: Prediabetes", "position": "middle" }, { "type": "printed", "content": "Renew Medication Orders: Rx# Medication Order Date Prescriber Order 121836-NYM methylPREDNISolone 4 MG Tab (21 count Pack) 07/30/2019 11:12 Take the tablet by mouth as directed x 6 day(s) Indication: Neuralgia and neuritis, unspecified", "position": "middle" }, { "type": "printed", "content": "New Laboratory Requests: Details Frequency Due Date Priority Lab Tests - Short List-General-CBC w/diff One Time 08/01/2019 00:00 Routine Lab Tests-P-PSA, Total Lab Tests-U-Uric Acid Lab Tests - Short List-General-Comprehensive Metabolic Profile (CMP) Lab Tests-U-Urinalysis w/Reflex to Microscopic", "position": "middle" }, { "type": "printed", "content": "New Radiology Request Orders: Details Frequency End Date Due Date Priority General Radiology-Spine / Cervical-General One Time 08/29/2019 Routine Specific reason(s) for request (Complaints and findings): 66 YR OLD MALE WITH COMPLAINT OF RIGHT ARM NUMBNESS FOR 2-3 MINUTES 3 DAYS AGO. PLEASE PERFORM C SPINE SERIES", "position": "middle" }, { "type": "printed", "content": "Disposition: Follow-up at Sick Call as Needed", "position": "middle" }, { "type": "printed", "content": "Patient Education Topics: Date Initiated Format Handout/Topic Provider Outcome 07/30/2019 Counseling Access to Care (b)(6); (b)(7)(C) Verbalizes Understanding 07/30/2019 Counseling Plan of Care (b)(6); (b)(7)(C) Verbalizes Understanding", "position": "middle" }, { "type": "printed", "content": "Copay Required: No Cosign Required: No Telephone/Verbal Order: No Completed by (b)(6); (b)(7)(C) MD on 07/30/2019 14:05", "position": "bottom" }, { "type": "printed", "content": "Generated 07/30/2019 14:05 by (b)(6); (b)(7)(C) MD Bureau of Prisons - NYM Page 3 of 3 DOJ-OGR-00026205", "position": "footer" } ], "entities": { "people": [ "JEFFREY EDWARD EPSTEIN" ], "organizations": [ "Bureau of Prisons" ], "locations": [ "NYM" ], "dates": [ "01/20/1953", "07/30/2019", "08/01/2019", "08/29/2019" ], "reference_numbers": [ "76318-054", "121836-NYM", "DOJ-OGR-00026205" ] }, "additional_notes": "The document appears to be a medical record for Jeffrey Epstein, containing information about his medication, laboratory requests, and radiology requests. The document is from the Bureau of Prisons and has been redacted to remove sensitive information." }