DOJ-OGR-00025390.json 4.3 KB

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  1. {
  2. "document_metadata": {
  3. "page_number": "1185",
  4. "document_number": "DOJ-OGR-00025390",
  5. "date": null,
  6. "document_type": "Medical Form",
  7. "has_handwriting": true,
  8. "has_stamps": false
  9. },
  10. "full_text": "Page 1185\n\nDiscussion with patient or patient's family regarding prognosis ___Yes ___No NA\nDNR order ___Yes ___No Date\nAdvance Directive / Living Will ___Yes ___No NA\n\nLOCAL COMMUNITY HOSPITALIZATIONS ONLY:\nType of admission ___Routine Emergent ___Other\nMethod of transportation appropriate to patient condition Yes ___No ___NA\nSeverity of condition at time of admission to local hospital ___Critical ___Stable ___Unknown\nPrognosis on admission to local hospital ___Poor ___Good ___Unknown\nWere diagnostic procedures appropriate and timely Yes ___No\nWas treatment appropriate to diagnosis and instituted timely Yes ___No\nPrognosis with treatment ___Poor ___Good ___Unknown\nAny complications adversely affecting outcome: (describe briefly) Asphyxiation Secondary to Hanging. Yes ___No\nWas treatment appropriate to complication Yes ___No\nSurgical Procedures (list) ___Yes No\n\nAppropriate pre-operative evaluation completed, including lab, physical exam, updated history ___Yes No\nComplications related to surgical procedures Describe ___Yes No\n\nPrognosis following surgical procedure ___Poor ___Good Unknown\nPatient compliant with treatment / medications ___Yes ___No NA\nDiscussion with patient or patient's family regarding patient prognosis ___Yes ___No NA\n\nPDF Prescribed by P6013 4\nDOJ-OGR-00025390",
  11. "text_blocks": [
  12. {
  13. "type": "printed",
  14. "content": "Discussion with patient or patient's family regarding prognosis",
  15. "position": "top"
  16. },
  17. {
  18. "type": "handwritten",
  19. "content": "NA",
  20. "position": "top"
  21. },
  22. {
  23. "type": "printed",
  24. "content": "DNR order",
  25. "position": "top"
  26. },
  27. {
  28. "type": "handwritten",
  29. "content": "No",
  30. "position": "top"
  31. },
  32. {
  33. "type": "printed",
  34. "content": "Advance Directive / Living Will",
  35. "position": "top"
  36. },
  37. {
  38. "type": "handwritten",
  39. "content": "NA",
  40. "position": "top"
  41. },
  42. {
  43. "type": "printed",
  44. "content": "LOCAL COMMUNITY HOSPITALIZATIONS ONLY:",
  45. "position": "middle"
  46. },
  47. {
  48. "type": "handwritten",
  49. "content": "Emergent",
  50. "position": "middle"
  51. },
  52. {
  53. "type": "handwritten",
  54. "content": "Yes",
  55. "position": "middle"
  56. },
  57. {
  58. "type": "handwritten",
  59. "content": "Critical",
  60. "position": "middle"
  61. },
  62. {
  63. "type": "handwritten",
  64. "content": "Poor",
  65. "position": "middle"
  66. },
  67. {
  68. "type": "handwritten",
  69. "content": "Yes",
  70. "position": "middle"
  71. },
  72. {
  73. "type": "handwritten",
  74. "content": "Yes",
  75. "position": "middle"
  76. },
  77. {
  78. "type": "handwritten",
  79. "content": "Poor",
  80. "position": "middle"
  81. },
  82. {
  83. "type": "handwritten",
  84. "content": "Asphyxiation Secondary to Hanging.",
  85. "position": "middle"
  86. },
  87. {
  88. "type": "handwritten",
  89. "content": "Yes",
  90. "position": "middle"
  91. },
  92. {
  93. "type": "handwritten",
  94. "content": "Yes",
  95. "position": "middle"
  96. },
  97. {
  98. "type": "handwritten",
  99. "content": "No",
  100. "position": "middle"
  101. },
  102. {
  103. "type": "handwritten",
  104. "content": "No",
  105. "position": "middle"
  106. },
  107. {
  108. "type": "handwritten",
  109. "content": "No",
  110. "position": "middle"
  111. },
  112. {
  113. "type": "handwritten",
  114. "content": "Unknown",
  115. "position": "middle"
  116. },
  117. {
  118. "type": "handwritten",
  119. "content": "NA",
  120. "position": "middle"
  121. },
  122. {
  123. "type": "handwritten",
  124. "content": "NA",
  125. "position": "middle"
  126. }
  127. ],
  128. "entities": {
  129. "people": [],
  130. "organizations": [],
  131. "locations": [],
  132. "dates": [],
  133. "reference_numbers": [
  134. "P6013",
  135. "DOJ-OGR-00025390"
  136. ]
  137. },
  138. "additional_notes": "The document appears to be a medical form related to a patient's hospitalization and treatment. The form contains various sections with checkboxes and handwritten notes. The patient's condition is described as critical, with a poor prognosis. The cause of the condition is listed as asphyxiation secondary to hanging."
  139. }