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- {
- "document_metadata": {
- "page_number": null,
- "document_number": "DOJ-OGR-00027343",
- "date": null,
- "document_type": "Medical Review Form",
- "has_handwriting": false,
- "has_stamps": false
- },
- "full_text": "DNR order ___Yes Date ___No ___Yes Date ___No Advance Directive / Living Will REVIEW OF EMERGENCY MEDICAL CARE: Was death related to a medical emergency ___Yes ___No Response to medical emergency notification timely ___Yes ___No ___NA Physician ___Yes ___No ___NA Physician Assistant ___Yes ___No ___NA Nurse Practitioner ___Yes ___No ___NA Nurse(s) ___Yes ___No ___NA Emergency Medical Techs ___Yes ___No ___NA Others ___Yes CPR ___Yes ___No ___NA ACLS List protocol (s) used (if appropriate) By EMS. ___Yes ___No ___NA Problems encountered during medical emergency, e.g., equipment, communications, transportation. Describe briefly: ___Yes ___No ___NA Providers responding maintain current certification / credentials in BCLS, ACLS (if required) ___Yes ___No ___NA SUMMARY REVIEW: [redacted] [redacted] PDF Prescribed by P6013 DOJ-OGR-00027343",
- "text_blocks": [
- {
- "type": "printed",
- "content": "DNR order",
- "position": "top"
- },
- {
- "type": "printed",
- "content": "Advance Directive / Living Will",
- "position": "top"
- },
- {
- "type": "printed",
- "content": "REVIEW OF EMERGENCY MEDICAL CARE:",
- "position": "top"
- },
- {
- "type": "printed",
- "content": "Was death related to a medical emergency",
- "position": "middle"
- },
- {
- "type": "printed",
- "content": "Response to medical emergency notification timely",
- "position": "middle"
- },
- {
- "type": "printed",
- "content": "Physician",
- "position": "middle"
- },
- {
- "type": "printed",
- "content": "Physician Assistant",
- "position": "middle"
- },
- {
- "type": "printed",
- "content": "Nurse Practitioner",
- "position": "middle"
- },
- {
- "type": "printed",
- "content": "Nurse(s)",
- "position": "middle"
- },
- {
- "type": "printed",
- "content": "Emergency Medical Techs",
- "position": "middle"
- },
- {
- "type": "printed",
- "content": "Others",
- "position": "middle"
- },
- {
- "type": "printed",
- "content": "CPR",
- "position": "middle"
- },
- {
- "type": "printed",
- "content": "ACLS List protocol (s) used (if appropriate) By EMS.",
- "position": "middle"
- },
- {
- "type": "printed",
- "content": "Problems encountered during medical emergency, e.g., equipment, communications, transportation. Describe briefly:",
- "position": "middle"
- },
- {
- "type": "printed",
- "content": "Providers responding maintain current certification / credentials in BCLS, ACLS (if required)",
- "position": "middle"
- },
- {
- "type": "printed",
- "content": "SUMMARY REVIEW:",
- "position": "bottom"
- },
- {
- "type": "handwritten",
- "content": "",
- "position": "middle"
- }
- ],
- "entities": {
- "people": [],
- "organizations": [],
- "locations": [],
- "dates": [],
- "reference_numbers": [
- "DOJ-OGR-00027343",
- "P6013"
- ]
- },
- "additional_notes": "The form appears to be a review of emergency medical care, with various sections for assessing the response to a medical emergency. Some sections have been checked 'Yes' or 'No', while others have been left blank. The 'SUMMARY REVIEW' section has been redacted."
- }
|