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- {
- "document_metadata": {
- "page_number": "1185",
- "document_number": "DOJ-OGR-00025390",
- "date": null,
- "document_type": "Medical Form",
- "has_handwriting": true,
- "has_stamps": false
- },
- "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",
- "text_blocks": [
- {
- "type": "printed",
- "content": "Discussion with patient or patient's family regarding prognosis",
- "position": "top"
- },
- {
- "type": "handwritten",
- "content": "NA",
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- },
- {
- "type": "printed",
- "content": "DNR order",
- "position": "top"
- },
- {
- "type": "handwritten",
- "content": "No",
- "position": "top"
- },
- {
- "type": "printed",
- "content": "Advance Directive / Living Will",
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- {
- "type": "handwritten",
- "content": "NA",
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- "type": "printed",
- "content": "LOCAL COMMUNITY HOSPITALIZATIONS ONLY:",
- "position": "middle"
- },
- {
- "type": "handwritten",
- "content": "Emergent",
- "position": "middle"
- },
- {
- "type": "handwritten",
- "content": "Yes",
- "position": "middle"
- },
- {
- "type": "handwritten",
- "content": "Critical",
- "position": "middle"
- },
- {
- "type": "handwritten",
- "content": "Poor",
- "position": "middle"
- },
- {
- "type": "handwritten",
- "content": "Yes",
- "position": "middle"
- },
- {
- "type": "handwritten",
- "content": "Yes",
- "position": "middle"
- },
- {
- "type": "handwritten",
- "content": "Poor",
- "position": "middle"
- },
- {
- "type": "handwritten",
- "content": "Asphyxiation Secondary to Hanging.",
- "position": "middle"
- },
- {
- "type": "handwritten",
- "content": "Yes",
- "position": "middle"
- },
- {
- "type": "handwritten",
- "content": "Yes",
- "position": "middle"
- },
- {
- "type": "handwritten",
- "content": "No",
- "position": "middle"
- },
- {
- "type": "handwritten",
- "content": "No",
- "position": "middle"
- },
- {
- "type": "handwritten",
- "content": "No",
- "position": "middle"
- },
- {
- "type": "handwritten",
- "content": "Unknown",
- "position": "middle"
- },
- {
- "type": "handwritten",
- "content": "NA",
- "position": "middle"
- },
- {
- "type": "handwritten",
- "content": "NA",
- "position": "middle"
- }
- ],
- "entities": {
- "people": [],
- "organizations": [],
- "locations": [],
- "dates": [],
- "reference_numbers": [
- "P6013",
- "DOJ-OGR-00025390"
- ]
- },
- "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."
- }
|