mirror-epstein-docs/results/IMAGES009/DOJ-OGR-00024095.json

{
  "document_metadata": {
    "page_number": "2 of 2",
    "document_number": "DOJ-OGR-00024095",
    "date": "07/30/2019",
    "document_type": "Medical Record",
    "has_handwriting": false,
    "has_stamps": false
  },
  "full_text": "Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Encounter Date: 07/30/2019 15:58 Sex: M Race: WHITE Reg #: 76318-054 Provider: [redacted] MD Facility: NYM Unit: Z01 Exam: Cranial Nerves (CN) Yes: Within Normal Limits Motor System-General Yes: Normal Exam Motor System-Strength Yes: Normal Muscular Strength ASSESSMENT: Body mass index (BMI) 27.0-27.9, adult, Z6827 - Current Constipation, unspecified, K5900 - Current Essential (primary) hypertension, I10 - Current - BY HX. Hyperlipidemia, unspecified, E785 - Current Low back pain, M545 - Current Neuralgia and neuritis, unspecified, M792 - Current Prediabetes, R7303 - Current Sleep apnea, G4730 - Current PLAN: New Medication Orders: Rx# Medication Order Date Prescriber Order INsulin REG - Human 07/30/2019 15:58 SLIDING SCALE Subcutaneously each morning x 7 day(s) Pill Line Only Indication: Prediabetes Discontinued Medication Orders: Rx# Medication Order Date Prescriber Order 122148-NYM Insulin Reg (10 ML) 100 UNITS/ML Inj 07/30/2019 15:58 Inject regular insulin subcutaneously per sliding scale: twice daily ***pill line*** for 7 days Discontinue Type: When Pharmacy Processes Discontinue Reason: new order written Indication: Copay Required: No Cosign Required: No Telephone/Verbal Order: No Completed by [redacted] MD on 07/30/2019 16:12 Generated 07/30/2019 16:12 by [redacted] MD Bureau of Prisons - NYM Page 2 of 2 DOJ-OGR-00024095",
  "text_blocks": [
    {
      "type": "printed",
      "content": "Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Encounter Date: 07/30/2019 15:58 Sex: M Race: WHITE Reg #: 76318-054 Provider: [redacted] MD Facility: NYM Unit: Z01",
      "position": "top"
    },
    {
      "type": "printed",
      "content": "Exam: Cranial Nerves (CN) Yes: Within Normal Limits Motor System-General Yes: Normal Exam Motor System-Strength Yes: Normal Muscular Strength",
      "position": "top"
    },
    {
      "type": "printed",
      "content": "ASSESSMENT: Body mass index (BMI) 27.0-27.9, adult, Z6827 - Current Constipation, unspecified, K5900 - Current Essential (primary) hypertension, I10 - Current - BY HX. Hyperlipidemia, unspecified, E785 - Current Low back pain, M545 - Current Neuralgia and neuritis, unspecified, M792 - Current Prediabetes, R7303 - Current Sleep apnea, G4730 - Current",
      "position": "middle"
    },
    {
      "type": "printed",
      "content": "PLAN: New Medication Orders: Rx# Medication Order Date Prescriber Order INsulin REG - Human 07/30/2019 15:58 SLIDING SCALE Subcutaneously each morning x 7 day(s) Pill Line Only Indication: Prediabetes",
      "position": "middle"
    },
    {
      "type": "printed",
      "content": "Discontinued Medication Orders: Rx# Medication Order Date Prescriber Order 122148-NYM Insulin Reg (10 ML) 100 UNITS/ML Inj 07/30/2019 15:58 Inject regular insulin subcutaneously per sliding scale: twice daily ***pill line*** for 7 days",
      "position": "middle"
    },
    {
      "type": "printed",
      "content": "Discontinue Type: When Pharmacy Processes Discontinue Reason: new order written Indication: Copay Required: No Cosign Required: No Telephone/Verbal Order: No Completed by [redacted] MD on 07/30/2019 16:12",
      "position": "bottom"
    },
    {
      "type": "printed",
      "content": "Generated 07/30/2019 16:12 by [redacted] MD Bureau of Prisons - NYM Page 2 of 2 DOJ-OGR-00024095",
      "position": "bottom"
    }
  ],
  "entities": {
    "people": [
      "JEFFREY EDWARD EPSTEIN"
    ],
    "organizations": [
      "Bureau of Prisons"
    ],
    "locations": [
      "NYM"
    ],
    "dates": [
      "01/20/1953",
      "07/30/2019"
    ],
    "reference_numbers": [
      "76318-054",
      "122148-NYM",
      "DOJ-OGR-00024095"
    ]
  },
  "additional_notes": "The document contains redacted information, likely for privacy or security reasons. The document appears to be a medical record from the Bureau of Prisons."
}