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- {
- "document_metadata": {
- "page_number": null,
- "document_number": "BP-A0618",
- "date": "JUN 16",
- "document_type": "A&O DENTAL EXAMINATION",
- "has_handwriting": true,
- "has_stamps": false
- },
- "full_text": "BP-A0618 JUN 16 U.S. DEPARTMENT OF JUSTICE FEDERAL BUREAU OF PRISONS A&O DENTAL EXAMINATION (Initial Clinical Dental Findings) Occlusion: Oral Hygiene: Good Fair Poor CPITN: 3 2 3 3 2 3 Head & Neck / Soft Tissue: D: M: F: 14 Classification: CL II Pain Scale: /10 Dental Prostheses at Intake: Yes No Type: Age: Condition: Intra-oral Photos Taken: Yes No Instructed how to obtain urgent and non-urgent dental care: Yes No Treatment Priorities: None: Non-urgent: non-urgent Urgent: Referred to Sick Call: Radiographs authorized: PAs: BWs: Panrex: Prophylaxis authorized: (Approval valid 18 months from examination date) Yes No Patient Name: Epstein, Jeffrey E Register Number: 76318-054 Institution: MCC NEW YORK Dentist Signature: (b)(6), (b)(7)(C) DDS Date: 7-26-19 Signature Block/Stamp: (b)(6), (b)(7)(C) DDS Chief Dental Officer MCC New York Comments: advanced periodontitis Gingival recession observed. Lower anterior crowding observed Radiographs Taken: (Document findings on A&O encounter) Yes No PDF Prescribed by P6400 Replaces BP-A0618 of JUN 10 DOJ-OGR-00024179",
- "text_blocks": [
- {
- "type": "printed",
- "content": "BP-A0618 JUN 16 U.S. DEPARTMENT OF JUSTICE FEDERAL BUREAU OF PRISONS A&O DENTAL EXAMINATION (Initial Clinical Dental Findings)",
- "position": "header"
- },
- {
- "type": "printed",
- "content": "Occlusion: Oral Hygiene: Good Fair Poor CPITN: Head & Neck / Soft Tissue: D: M: F: Classification: Pain Scale:",
- "position": "middle"
- },
- {
- "type": "handwritten",
- "content": "Fair 3 2 3 3 2 3 14 CL II /10",
- "position": "middle"
- },
- {
- "type": "printed",
- "content": "Dental Prostheses at Intake: Yes No Type: Age: Condition: Intra-oral Photos Taken: Yes No Instructed how to obtain urgent and non-urgent dental care: Yes No Treatment Priorities: None: Non-urgent: Urgent: Referred to Sick Call: Radiographs authorized: PAs: BWs: Panrex: Prophylaxis authorized: (Approval valid 18 months from examination date) Yes No",
- "position": "middle"
- },
- {
- "type": "handwritten",
- "content": "No No Yes non-urgent Yes",
- "position": "middle"
- },
- {
- "type": "handwritten",
- "content": "advanced periodontitis Gingival recession observed. Lower anterior crowding observed",
- "position": "middle"
- },
- {
- "type": "printed",
- "content": "Patient Name: Register Number: Institution: Dentist Signature: Date: Signature Block/Stamp:",
- "position": "bottom"
- },
- {
- "type": "handwritten",
- "content": "Epstein, Jeffrey E 76318-054 MCC NEW YORK (b)(6), (b)(7)(C) 7-26-19 (b)(6), (b)(7)(C) DDS Chief Dental Officer MCC New York",
- "position": "bottom"
- },
- {
- "type": "printed",
- "content": "PDF Prescribed by P6400 Replaces BP-A0618 of JUN 10 DOJ-OGR-00024179",
- "position": "footer"
- }
- ],
- "entities": {
- "people": [
- "Jeffrey E Epstein"
- ],
- "organizations": [
- "U.S. DEPARTMENT OF JUSTICE",
- "FEDERAL BUREAU OF PRISONS",
- "MCC NEW YORK"
- ],
- "locations": [
- "NEW YORK"
- ],
- "dates": [
- "JUN 16",
- "7-26-19",
- "JUN 10"
- ],
- "reference_numbers": [
- "BP-A0618",
- "76318-054",
- "P6400",
- "DOJ-OGR-00024179"
- ]
- },
- "additional_notes": "The document is a dental examination form with handwritten notes and markings. The patient's name is Jeffrey E Epstein, and the examination was conducted on July 26, 2019. The document contains sensitive information, including the patient's medical history and treatment plan."
- }
|