mirror-epstein-docs/results/IMAGES009/DOJ-OGR-00024100.json

{
  "document_metadata": {
    "page_number": "2",
    "document_number": "76318-054",
    "date": "07/30/2019",
    "document_type": "Medical Examination Report",
    "has_handwriting": false,
    "has_stamps": false
  },
  "full_text": "Inmate Name: EPSTEIN, JEFFREY EDWARD\nDate of Birth: 01/20/1953\nEncounter Date: 07/30/2019 11:12\nSex: M Race: WHITE Reg #: 76318-054\nProvider: (b)(6). (b)(7)(C) MD Facility: NYM Unit: Z01\nDate Time Lbs Kg Waist Circum. Provider\n07/30/2019 09:30 NYM 194.2 88.1 (b)(6). (b)(7)(C) MD\nExam:\nGeneral\nAffect\nYes: Cooperative\nAppearance\nYes: Appears Well, Alert and Oriented x 3\nNo: Appears Distressed, Dyspneic, Appears in Pain, Writhing in Pain, Pale, Pallor, Cyanotic, Diaphoretic, Disheveled, Unkempt, Acutely Ill\nNutrition\nNo: Appears Obese\nPulmonary\nAuscultation\nYes: Clear to Auscultation\nCardiovascular\nAuscultation\nYes: Regular Rate and Rhythm (RRR), Normal S1 and S2\nNo: M/R/G\nMusculoskeletal\nTibia / Fibula\nNo: Edema\nNeurologic\nCranial Nerves (CN)\nYes: Within Normal Limits\nMotor System-General\nYes: Normal Exam\nMotor System-Strength\nYes: Normal Muscular Strength\nASSESSMENT:\nBody mass index (BMI) 27.0-27.9, adult, Z6827 - Current\nConstipation, unspecified, K5900 - Current\nEssential (primary) hypertension, I10 - Current - BY HX.\nHyperlipidemia, unspecified, E785 - Current\nLow back pain, M545 - Current\nNeuralgia and neuritis, unspecified, M792 - Current\nPrediabetes, R7303 - Current\nSleep apnea, G4730 - Current\nPLAN:\nNew Medication Orders:\nRx# Medication Order Date Prescriber Order\nGenerated 07/30/2019 14:05 by (b)(6). (b)(7)(C) MD Bureau of Prisons - NYM Page 2 of 3 DOJ-OGR-00024100",
  "text_blocks": [
    {
      "type": "printed",
      "content": "Inmate Name: EPSTEIN, JEFFREY EDWARD\nDate of Birth: 01/20/1953\nEncounter Date: 07/30/2019 11:12\nSex: M Race: WHITE Reg #: 76318-054\nProvider: (b)(6). (b)(7)(C) MD Facility: NYM Unit: Z01",
      "position": "top"
    },
    {
      "type": "printed",
      "content": "Date Time Lbs Kg Waist Circum. Provider\n07/30/2019 09:30 NYM 194.2 88.1 (b)(6). (b)(7)(C) MD",
      "position": "top"
    },
    {
      "type": "printed",
      "content": "Exam:\nGeneral\nAffect\nYes: Cooperative\nAppearance\nYes: Appears Well, Alert and Oriented x 3\nNo: Appears Distressed, Dyspneic, Appears in Pain, Writhing in Pain, Pale, Pallor, Cyanotic, Diaphoretic, Disheveled, Unkempt, Acutely Ill\nNutrition\nNo: Appears Obese\nPulmonary\nAuscultation\nYes: Clear to Auscultation\nCardiovascular\nAuscultation\nYes: Regular Rate and Rhythm (RRR), Normal S1 and S2\nNo: M/R/G\nMusculoskeletal\nTibia / Fibula\nNo: Edema\nNeurologic\nCranial Nerves (CN)\nYes: Within Normal Limits\nMotor System-General\nYes: Normal Exam\nMotor System-Strength\nYes: Normal Muscular Strength",
      "position": "middle"
    },
    {
      "type": "printed",
      "content": "ASSESSMENT:\nBody mass index (BMI) 27.0-27.9, adult, Z6827 - Current\nConstipation, unspecified, K5900 - Current\nEssential (primary) hypertension, I10 - Current - BY HX.\nHyperlipidemia, unspecified, E785 - Current\nLow back pain, M545 - Current\nNeuralgia and neuritis, unspecified, M792 - Current\nPrediabetes, R7303 - Current\nSleep apnea, G4730 - Current",
      "position": "middle"
    },
    {
      "type": "printed",
      "content": "PLAN:\nNew Medication Orders:\nRx# Medication Order Date Prescriber Order",
      "position": "middle"
    },
    {
      "type": "printed",
      "content": "Generated 07/30/2019 14:05 by (b)(6). (b)(7)(C) MD Bureau of Prisons - NYM Page 2 of 3 DOJ-OGR-00024100",
      "position": "bottom"
    }
  ],
  "entities": {
    "people": [
      "JEFFREY EDWARD EPSTEIN"
    ],
    "organizations": [
      "Bureau of Prisons"
    ],
    "locations": [
      "NYM"
    ],
    "dates": [
      "01/20/1953",
      "07/30/2019"
    ],
    "reference_numbers": [
      "76318-054",
      "DOJ-OGR-00024100"
    ]
  },
  "additional_notes": "The document contains redacted information marked as '(b)(6). (b)(7)(C)'. The document is marked 'See Amendment' diagonally across the page."
}