mirror-epstein-docs/results/IMAGES009/DOJ-OGR-00024974.json

{
  "document_metadata": {
    "page_number": "517",
    "document_number": "76318-054",
    "date": "08/10/2019",
    "document_type": "Inmate Local Hospital",
    "has_handwriting": false,
    "has_stamps": false
  },
  "full_text": "Page 517 Bureau of Prisons Health Services Inmate Local Hospital Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD SENSITIVE BUT UNCLASSIFIED - This information is confidential and must be appropriately safeguarded. Transfer To: Transfer Date: 08/10/2019 Health Problems Health Problem Status Hyperlipidemia, unspecified HYPERTRIGLYCERIDEMIA Current Sleep apnea Current Essential (primary) hypertension BY HX. Current Constipation, unspecified Current Low back pain Current Neuralgia and neuritis, unspecified Current No Diagnosis Current Prediabetes Current Injury, unspecified R/O self inflicted injuries. Current Body mass index (BMI) 27.0-27.9, adult Current Medications: All medications to be continued until evaluated by a physician unless otherwise indicated. Bolded drugs required for transport. Docusate Sodium 100 MG Cap Exp: 08/11/2019 SIG: Take one capsule (100 MG) by mouth twice daily for 30 days Docusate Sodium 100 MG Cap Exp: 01/22/2020 SIG: Take one capsule (100 MG) twice daily by mouth with plenty of water Milk of Magnesia Susp (OTC) (473ML) 400MG/5ML Exp: 10/28/2019 SIG: shake well take 10ml by mouth twice daily AS NEEDED Omega 3 (Vascepa) 1 GM Capsule Exp: 01/13/2020 SIG: Take two capsules (2 GM) twice daily by mouth with food OTCs: Listing of all known OTCs this inmate is currently taking. None Pending Appointments Date Time Activity Provider 07/24/2019 00:00 Clinical Encounter Optometrist 01/07/2020 00:00 Chronic Care Visit Mid-Level Provider 07/01/2020 00:00 Chronic Care Visit Physician 01 07/09/2020 00:00 PPD Administration Nurse Pending Non-Medication Orders Order Order Date Frequency Duration Details EKG 07/06/2019 One Time 66 y/o male Fecal Occult Blood 07/06/2019 One Time 3 different stools TB Clearance: Yes Last PPD Date: 07/09/2019 Induration: 0mm Last Chest X-Ray Date: Results: TB Treatment: Sx free for 30 days: Yes TB Follow-up Recommended: No Sickle Cell: Sickle Cell Trait/Disease: No Generated 08/10/2019 07:00 by [redacted] RN Bureau of Prisons - NYM Page 1 of 2 DOJ-OGR-00024974",
  "text_blocks": [
    {
      "type": "printed",
      "content": "Bureau of Prisons Health Services Inmate Local Hospital",
      "position": "header"
    },
    {
      "type": "printed",
      "content": "Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD",
      "position": "header"
    },
    {
      "type": "printed",
      "content": "SENSITIVE BUT UNCLASSIFIED - This information is confidential and must be appropriately safeguarded. Transfer To: Transfer Date: 08/10/2019",
      "position": "header"
    },
    {
      "type": "printed",
      "content": "Health Problems Health Problem Status Hyperlipidemia, unspecified HYPERTRIGLYCERIDEMIA Current Sleep apnea Current Essential (primary) hypertension BY HX. Current Constipation, unspecified Current Low back pain Current Neuralgia and neuritis, unspecified Current No Diagnosis Current Prediabetes Current Injury, unspecified R/O self inflicted injuries. Current Body mass index (BMI) 27.0-27.9, adult Current",
      "position": "body"
    },
    {
      "type": "printed",
      "content": "Medications: All medications to be continued until evaluated by a physician unless otherwise indicated. Bolded drugs required for transport.",
      "position": "body"
    },
    {
      "type": "printed",
      "content": "OTCs: Listing of all known OTCs this inmate is currently taking. None",
      "position": "body"
    },
    {
      "type": "printed",
      "content": "Pending Appointments Date Time Activity Provider 07/24/2019 00:00 Clinical Encounter Optometrist 01/07/2020 00:00 Chronic Care Visit Mid-Level Provider 07/01/2020 00:00 Chronic Care Visit Physician 01 07/09/2020 00:00 PPD Administration Nurse",
      "position": "body"
    },
    {
      "type": "printed",
      "content": "Pending Non-Medication Orders Order Order Date Frequency Duration Details EKG 07/06/2019 One Time 66 y/o male Fecal Occult Blood 07/06/2019 One Time 3 different stools",
      "position": "body"
    },
    {
      "type": "printed",
      "content": "TB Clearance: Yes Last PPD Date: 07/09/2019 Induration: 0mm Last Chest X-Ray Date: Results: TB Treatment: Sx free for 30 days: Yes TB Follow-up Recommended: No",
      "position": "body"
    },
    {
      "type": "printed",
      "content": "Sickle Cell: Sickle Cell Trait/Disease: No",
      "position": "body"
    },
    {
      "type": "printed",
      "content": "Generated 08/10/2019 07:00 by [redacted] RN Bureau of Prisons - NYM Page 1 of 2 DOJ-OGR-00024974",
      "position": "footer"
    }
  ],
  "entities": {
    "people": [
      "JEFFREY EDWARD EPSTEIN"
    ],
    "organizations": [
      "Bureau of Prisons",
      "Bureau of Prisons - NYM"
    ],
    "locations": [],
    "dates": [
      "08/10/2019",
      "07/24/2019",
      "01/07/2020",
      "07/01/2020",
      "07/09/2020",
      "07/06/2019",
      "07/09/2019",
      "08/11/2019",
      "01/22/2020",
      "10/28/2019",
      "01/13/2020"
    ],
    "reference_numbers": [
      "76318-054",
      "DOJ-OGR-00024974"
    ]
  },
  "additional_notes": "The document appears to be a medical record for an inmate, Jeffrey Edward Epstein, containing his health problems, medications, and pending appointments. The document is marked 'SENSITIVE BUT UNCLASSIFIED' and contains confidential information. A name is redacted in the footer."
}