{ "document_metadata": { "page_number": "2676", "document_number": null, "date": "07/14/2019", "document_type": "Medical Examination Report", "has_handwriting": false, "has_stamps": false }, "full_text": "Page 2676\nInmate Name: EPSTEIN, JEFFREY EDWARD\nDate of Birth: 01/20/1953\nEncounter Date: 07/14/2019 17:36\nSex: M\nRace: WHITE\nReg #: 76318-054\nProvider: (b)(6); (b)(7)(C)\nFacility: NYM\nUnit: Z05\nMD\nExam:\nEyes\nGeneral\nYes: PERRLA, Extraocular Movements Intact\nPulmonary\nAuscultation\nYes: Clear to Auscultation\nCardiovascular\nAuscultation\nYes: Regular Rate and Rhythm (RRR), Normal S1 and S2\nNo: M/R/G\nAbdomen\nAuscultation\nYes: Normo-Active Bowel Sounds\nPalpation\nYes: Within Normal Limits\nMusculoskeletal\nTibia / Fibula\nNo: Edema\nBack\nYes: Tenderness\nNeurologic\nCranial Nerves (CN)\nYes: Within Normal Limits\nMotor System-General\nYes: Normal Exam\nASSESSMENT:\nConstipation, unspecified, K5900 - Current\nHyperlipidemia, unspecified, E785 - Current\nLow back pain, M545 - Current\nNeuralgia and neuritis, unspecified, M792 - Current\nSleep apnea, G4730 - Current\nPLAN:\nNew Medication Orders:\nRx#\nMedication\nOrder Date\nPrescriber Order\nOmega 3 (Vascepa) 1 GM Capsule\n07/14/2019 17:36\nTAKE 2 CAPS Orally - Two Times a Day x 180 day(s) -- TAKE WITH FOOD.\nIndication: Hyperlipidemia, unspecified\nNew Laboratory Requests:\nDetails\nFrequency\nDue Date\nPriority\nLab Tests-H-Hemoglobin A1C\nOne Time\n10/10/2019 00:00\nRoutine\nLab Tests-L-Lipid Profile\nAdditional Information:\nGenerated 07/14/2019 18:11 by (b)(6); (b)(7)(C)\nMD\nBureau of Prisons - NYM\nPage 2 of 3\nDOJ-OGR-00026332", "text_blocks": [ { "type": "printed", "content": "Page 2676", "position": "header" }, { "type": "printed", "content": "Inmate Name: EPSTEIN, JEFFREY EDWARD\nDate of Birth: 01/20/1953\nEncounter Date: 07/14/2019 17:36\nSex: M\nRace: WHITE\nReg #: 76318-054\nProvider: (b)(6); (b)(7)(C)\nFacility: NYM\nUnit: Z05\nMD", "position": "top" }, { "type": "printed", "content": "Exam:\nEyes\nGeneral\nYes: PERRLA, Extraocular Movements Intact\nPulmonary\nAuscultation\nYes: Clear to Auscultation\nCardiovascular\nAuscultation\nYes: Regular Rate and Rhythm (RRR), Normal S1 and S2\nNo: M/R/G\nAbdomen\nAuscultation\nYes: Normo-Active Bowel Sounds\nPalpation\nYes: Within Normal Limits\nMusculoskeletal\nTibia / Fibula\nNo: Edema\nBack\nYes: Tenderness\nNeurologic\nCranial Nerves (CN)\nYes: Within Normal Limits\nMotor System-General\nYes: Normal Exam", "position": "middle" }, { "type": "printed", "content": "ASSESSMENT:\nConstipation, unspecified, K5900 - Current\nHyperlipidemia, unspecified, E785 - Current\nLow back pain, M545 - Current\nNeuralgia and neuritis, unspecified, M792 - Current\nSleep apnea, G4730 - Current", "position": "middle" }, { "type": "printed", "content": "PLAN:\nNew Medication Orders:\nRx#\nMedication\nOrder Date\nPrescriber Order\nOmega 3 (Vascepa) 1 GM Capsule\n07/14/2019 17:36\nTAKE 2 CAPS Orally - Two Times a Day x 180 day(s) -- TAKE WITH FOOD.\nIndication: Hyperlipidemia, unspecified\nNew Laboratory Requests:\nDetails\nFrequency\nDue Date\nPriority\nLab Tests-H-Hemoglobin A1C\nOne Time\n10/10/2019 00:00\nRoutine\nLab Tests-L-Lipid Profile", "position": "middle" }, { "type": "printed", "content": "Additional Information:\nGenerated 07/14/2019 18:11 by (b)(6); (b)(7)(C)\nMD\nBureau of Prisons - NYM\nPage 2 of 3\nDOJ-OGR-00026332", "position": "bottom" } ], "entities": { "people": [ "JEFFREY EDWARD EPSTEIN", "(b)(6); (b)(7)(C)" ], "organizations": [ "Bureau of Prisons" ], "locations": [ "NYM" ], "dates": [ "01/20/1953", "07/14/2019", "10/10/2019" ], "reference_numbers": [ "76318-054", "DOJ-OGR-00026332" ] }, "additional_notes": "The document appears to be a medical examination report for Jeffrey Epstein, an inmate. The report includes various medical examination results, assessments, and treatment plans. Some personal identifiable information is redacted." }