mirror-epstein-docs/results/IMAGES009/DOJ-OGR-00024101.json

{
  "document_metadata": {
    "page_number": "3",
    "document_number": "DOJ-OGR-00024101",
    "date": "07/30/2019",
    "document_type": "Medical Record",
    "has_handwriting": false,
    "has_stamps": true
  },
  "full_text": "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 NUMENESS 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-00024101",
  "text_blocks": [
    {
      "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 NUMENESS 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-00024101",
      "position": "bottom"
    },
    {
      "type": "stamp",
      "content": "See Amendment",
      "position": "middle"
    }
  ],
  "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-00024101"
    ]
  },
  "additional_notes": "The document appears to be a medical record with some redacted information. The 'See Amendment' stamp suggests that there may be additional information or corrections related to this document."
}