mirror-epstein-docs/results/IMAGES010/DOJ-OGR-00026089.json

{
  "document_metadata": {
    "page_number": "2413",
    "document_number": "DOJ-OGR-00026089",
    "date": "07/30/2019",
    "document_type": "Medical Record",
    "has_handwriting": false,
    "has_stamps": false
  },
  "full_text": "Page 2413\nInmate Name: EPSTEIN, JEFFREY EDWARD\nDate of Birth: 01/20/1953 Sex: M Race: WHITE Reg #: 76318-054\nEncounter Date: 07/30/2019 15:58 Provider: (b)(6); (b)(7)(C) MD Facility: NYM Unit: Z01\nExam:\nCranial Nerves (CN) Yes: Within Normal Limits\nMotor System-General Yes: Normal Exam\nMotor System-Strength Yes: Normal Muscular Strength\nASSESSMENT:\nBody mass index (BMI) 27.0-27.9, adult, Z6827 - Current\nConstipation, unspecified, K5900 - Current\nEssential (primary) hypertension, I10 - Current - BY HX.\nHyperlipidemia, unspecified, E785 - Current\nLow back pain, M545 - Current\nNeuralgia and neuritis, unspecified, M792 - Current\nPrediabetes, R7303 - Current\nSleep apnea, G4730 - Current\nPLAN:\nNew Medication Orders:\nRx# Medication Order Date Prescriber Order\nINsulin REG - Human 07/30/2019 15:58 SLIDING SCALE Subcutaneously each morning x 7 day(s) Pill Line Only\nIndication: Prediabetes\nDiscontinued Medication Orders:\nRx# Medication Order Date Prescriber Order\n122148-NYM Insulin Reg (10 ML) 100 UNITS/ML Inj 07/30/2019 15:58 Inject regular insulin subcutaneously per sliding scale: twice daily ***pill line*** for 7 days\nDiscontinue Type: When Pharmacy Processes\nDiscontinue Reason: new order written\nIndication:\nCopay Required: No Cosign Required: No\nTelephone/Verbal Order: No\nCompleted by (b)(6); (b)(7)(C) MD on 07/30/2019 16:12\nGenerated 07/30/2019 16:12 by (b)(6); (b)(7)(C) MD Bureau of Prisons - NYM Page 2 of 2",
  "text_blocks": [
    {
      "type": "printed",
      "content": "Page 2413",
      "position": "header"
    },
    {
      "type": "printed",
      "content": "Inmate Name: EPSTEIN, JEFFREY EDWARD\nDate of Birth: 01/20/1953 Sex: M Race: WHITE Reg #: 76318-054\nEncounter Date: 07/30/2019 15:58 Provider: (b)(6); (b)(7)(C) MD Facility: NYM Unit: Z01",
      "position": "top"
    },
    {
      "type": "printed",
      "content": "Exam:\nCranial Nerves (CN) Yes: Within Normal Limits\nMotor System-General Yes: Normal Exam\nMotor System-Strength Yes: Normal Muscular Strength",
      "position": "middle"
    },
    {
      "type": "printed",
      "content": "ASSESSMENT:\nBody mass index (BMI) 27.0-27.9, adult, Z6827 - Current\nConstipation, unspecified, K5900 - Current\nEssential (primary) hypertension, I10 - Current - BY HX.\nHyperlipidemia, unspecified, E785 - Current\nLow back pain, M545 - Current\nNeuralgia and neuritis, unspecified, M792 - Current\nPrediabetes, R7303 - Current\nSleep apnea, G4730 - Current",
      "position": "middle"
    },
    {
      "type": "printed",
      "content": "PLAN:\nNew Medication Orders:\nRx# Medication Order Date Prescriber Order\nINsulin REG - Human 07/30/2019 15:58 SLIDING SCALE Subcutaneously each morning x 7 day(s) Pill Line Only\nIndication: Prediabetes",
      "position": "middle"
    },
    {
      "type": "printed",
      "content": "Discontinued Medication Orders:\nRx# Medication Order Date Prescriber Order\n122148-NYM Insulin Reg (10 ML) 100 UNITS/ML Inj 07/30/2019 15:58 Inject regular insulin subcutaneously per sliding scale: twice daily ***pill line*** for 7 days",
      "position": "middle"
    },
    {
      "type": "printed",
      "content": "Discontinue Type: When Pharmacy Processes\nDiscontinue Reason: new order written\nIndication:\nCopay Required: No Cosign Required: No\nTelephone/Verbal Order: No\nCompleted by (b)(6); (b)(7)(C) MD on 07/30/2019 16:12",
      "position": "middle"
    },
    {
      "type": "printed",
      "content": "Generated 07/30/2019 16:12 by (b)(6); (b)(7)(C) MD Bureau of Prisons - NYM Page 2 of 2",
      "position": "footer"
    }
  ],
  "entities": {
    "people": [
      "JEFFREY EDWARD EPSTEIN"
    ],
    "organizations": [
      "Bureau of Prisons"
    ],
    "locations": [
      "NYM"
    ],
    "dates": [
      "01/20/1953",
      "07/30/2019"
    ],
    "reference_numbers": [
      "76318-054",
      "122148-NYM",
      "DOJ-OGR-00026089"
    ]
  },
  "additional_notes": "The document appears to be a medical record for Jeffrey Epstein, containing his medical assessment and medication orders. Some personal identifiable information is redacted."
}