{ "document_metadata": { "page_number": "2561", "document_number": "76318-054", "date": "07/23/2019", "document_type": "Clinical Encounter", "has_handwriting": false, "has_stamps": false }, "full_text": "Page 2561\nBureau of Prisons\nHealth Services\nClinical Encounter\nInmate Name: EPSTEIN, JEFFREY EDWARD\nDate of Birth: 01/20/1953\nEncounter Date: 07/23/2019 06:20\nSex: M\nRace: WHITE\nReg #: 76318-054\nProvider: [redacted]\nFacility: NYM\nUnit: H01\nInjury Assessment - Non-work related encounter performed at Health Services.\nSUBJECTIVE:\nINJURY 1\nProvider: [redacted]\nDate of Injury: 07/23/2019 01:27\nDate Reported for Treatment: 07/23/2019 08:25\nWork Related: No\nWork Assignment: UNASSG\nPain Location:\nPain Scale: 0\nPain Qualities:\nWhere Did Injury Happen (Be specific as to location):\nSpecial Housing Unit Z05-Cell 124 L\nCause of Injury (Inmate's Statement of how injury occurred): [redacted]\nSymptoms (as reported by inmate):\nNone\nOBJECTIVE:\nTemperature:\nDate Time Fahrenheit Celsius Location Provider\n07/23/2019 06:30 NYM 97.5 36.4 Oral [redacted]\nPulse:\nDate Time Rate Per Minute Location Rhythm Provider\n07/23/2019 06:30 92 Via Machine Regular [redacted]\nRespirations:\nDate Time Rate Per Minute Provider\n07/23/2019 06:30 NYM 16 [redacted]\nBlood Pressure:\nDate Time Value Location Position Cuff Size Provider\n07/23/2019 06:30 NYM 140/85 Right Arm Sitting Adult-regular [redacted]\nSaO2:\nDate Time Value(%) Air Provider\n07/23/2019 06:30 NYM 96 Room Air [redacted]\nExam:\nGeneral\nAffect\nYes: Cooperative\nAppearance\nYes: Appears Well, Alert and Oriented x 3\nNo: Appears Distressed, Lethargic, Dyspneic, Appears in Pain, Pallor, Cyanotic, Diaphoretic, Disheveled,\nGenerated 07/23/2019 09:05 by [redacted]\nBureau of Prisons - NYM\nPage 1 of 2\nDOJ-OGR-00026221", "text_blocks": [ { "type": "printed", "content": "Bureau of Prisons\nHealth Services\nClinical Encounter", "position": "header" }, { "type": "printed", "content": "Inmate Name: EPSTEIN, JEFFREY EDWARD\nDate of Birth: 01/20/1953\nEncounter Date: 07/23/2019 06:20\nSex: M\nRace: WHITE\nReg #: 76318-054\nProvider: [redacted]\nFacility: NYM\nUnit: H01", "position": "top" }, { "type": "printed", "content": "Injury Assessment - Non-work related encounter performed at Health Services.", "position": "middle" }, { "type": "printed", "content": "SUBJECTIVE:\nINJURY 1\nProvider: [redacted]\nDate of Injury: 07/23/2019 01:27\nDate Reported for Treatment: 07/23/2019 08:25\nWork Related: No\nWork Assignment: UNASSG\nPain Location:\nPain Scale: 0\nPain Qualities:\nWhere Did Injury Happen (Be specific as to location):\nSpecial Housing Unit Z05-Cell 124 L\nCause of Injury (Inmate's Statement of how injury occurred): [redacted]\nSymptoms (as reported by inmate):\nNone", "position": "middle" }, { "type": "printed", "content": "OBJECTIVE:\nTemperature:\nDate Time Fahrenheit Celsius Location Provider\n07/23/2019 06:30 NYM 97.5 36.4 Oral [redacted]\nPulse:\nDate Time Rate Per Minute Location Rhythm Provider\n07/23/2019 06:30 92 Via Machine Regular [redacted]\nRespirations:\nDate Time Rate Per Minute Provider\n07/23/2019 06:30 NYM 16 [redacted]\nBlood Pressure:\nDate Time Value Location Position Cuff Size Provider\n07/23/2019 06:30 NYM 140/85 Right Arm Sitting Adult-regular [redacted]\nSaO2:\nDate Time Value(%) Air Provider\n07/23/2019 06:30 NYM 96 Room Air [redacted]", "position": "middle" }, { "type": "printed", "content": "Exam:\nGeneral\nAffect\nYes: Cooperative\nAppearance\nYes: Appears Well, Alert and Oriented x 3\nNo: Appears Distressed, Lethargic, Dyspneic, Appears in Pain, Pallor, Cyanotic, Diaphoretic, Disheveled,", "position": "middle" }, { "type": "printed", "content": "Generated 07/23/2019 09:05 by [redacted]\nBureau of Prisons - NYM\nPage 1 of 2", "position": "footer" } ], "entities": { "people": [ "JEFFREY EDWARD EPSTEIN" ], "organizations": [ "Bureau of Prisons" ], "locations": [ "NYM", "Special Housing Unit Z05-Cell 124 L" ], "dates": [ "01/20/1953", "07/23/2019" ], "reference_numbers": [ "76318-054", "DOJ-OGR-00026221" ] }, "additional_notes": "The document contains redacted information, likely for privacy or security reasons." }