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- {
- "document_metadata": {
- "page_number": "2419",
- "document_number": "DOJ-OGR-00026095",
- "date": "07/30/2019",
- "document_type": "Medical Record",
- "has_handwriting": false,
- "has_stamps": true
- },
- "full_text": "Page 2419 Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: M Race: WHITE Reg #: 76318-054 Encounter Date: 07/30/2019 11:12 Provider: (b)(6); (b)(7)(C) MD Facility: NYM Unit: Z01 New Medication Orders: Rx# Medication Order Date Prescriber Order Magnesium Hydroxide Susp conc 800 MG/5ML Indication: Constipation, unspecified 07/30/2019 11:12 10 CC Orally - Two Times a Day PRN x 90 day(s) INsulin REG - Human Indication: Prediabetes 07/30/2019 11:12 SLIDING SCALE Subcutaneously - Two Times a Day x 7 day(s) Pill Line Only Renew Medication Orders: Rx# Medication Order Date Prescriber Order 121836-NYM methylPREDNISolone 4 MG Tab (21 count Pack) Indication: Neuralgia and neuritis, unspecified 07/30/2019 11:12 Take the tablet by mouth as directed x 6 day(s) New Laboratory Requests: Details Frequency Due Date Priority Lab Tests - Short List-General-CBC w/diff One Time 08/01/2019 00:00 Routine Lab Tests-P-PSA, Total Lab Tests-U-Uric Acid Lab Tests - Short List-General-Comprehensive Metabolic Profile (CMP) Lab Tests-U-Urinalysis w/Reflex to Microscopic New Radiology Request Orders: Details Frequency End Date Due Date Priority General Radiology-Spine / Cervical-General One Time 08/29/2019 Routine Specific reason(s) for request (Complaints and findings): 66 YR OLD MALE WITH COMPLAINT OF RIGHT ARM NUMBNESS FOR 2-3 MINUTES 3 DAYS AGO. PLEASE PERFORM C SPINE SERIES Disposition: Follow-up at Sick Call as Needed Patient Education Topics: Date Initiated Format Handout/Topic Provider Outcome 07/30/2019 Counseling Access to Care (b)(6); (b)(7)(C) Verbalizes Understanding 07/30/2019 Counseling Plan of Care (b)(6); (b)(7)(C) Verbalizes Understanding Copay Required: No Cosign Required: No Telephone/Verbal Order: No Completed by (b)(6); (b)(7)(C) MD on 07/30/2019 14:05 Generated 07/30/2019 14:05 by (b)(6); (b)(7)(C) MD Bureau of Prisons - NYM Page 3 of 3",
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- "content": "Page 2419",
- "position": "header"
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- "type": "printed",
- "content": "Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: M Race: WHITE Reg #: 76318-054 Encounter Date: 07/30/2019 11:12 Provider: (b)(6); (b)(7)(C) MD Facility: NYM Unit: Z01",
- "position": "top"
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- "content": "New Medication Orders: Rx# Medication Order Date Prescriber Order Magnesium Hydroxide Susp conc 800 MG/5ML Indication: Constipation, unspecified 07/30/2019 11:12 10 CC Orally - Two Times a Day PRN x 90 day(s) INsulin REG - Human Indication: Prediabetes 07/30/2019 11:12 SLIDING SCALE Subcutaneously - Two Times a Day x 7 day(s) Pill Line Only",
- "position": "middle"
- },
- {
- "type": "printed",
- "content": "Renew Medication Orders: Rx# Medication Order Date Prescriber Order 121836-NYM methylPREDNISolone 4 MG Tab (21 count Pack) Indication: Neuralgia and neuritis, unspecified 07/30/2019 11:12 Take the tablet by mouth as directed x 6 day(s)",
- "position": "middle"
- },
- {
- "type": "printed",
- "content": "New Laboratory Requests: Details Frequency Due Date Priority Lab Tests - Short List-General-CBC w/diff One Time 08/01/2019 00:00 Routine Lab Tests-P-PSA, Total Lab Tests-U-Uric Acid Lab Tests - Short List-General-Comprehensive Metabolic Profile (CMP) Lab Tests-U-Urinalysis w/Reflex to Microscopic",
- "position": "middle"
- },
- {
- "type": "printed",
- "content": "New Radiology Request Orders: Details Frequency End Date Due Date Priority General Radiology-Spine / Cervical-General One Time 08/29/2019 Routine Specific reason(s) for request (Complaints and findings): 66 YR OLD MALE WITH COMPLAINT OF RIGHT ARM NUMBNESS FOR 2-3 MINUTES 3 DAYS AGO. PLEASE PERFORM C SPINE SERIES",
- "position": "middle"
- },
- {
- "type": "printed",
- "content": "Disposition: Follow-up at Sick Call as Needed",
- "position": "middle"
- },
- {
- "type": "printed",
- "content": "Patient Education Topics: Date Initiated Format Handout/Topic Provider Outcome 07/30/2019 Counseling Access to Care (b)(6); (b)(7)(C) Verbalizes Understanding 07/30/2019 Counseling Plan of Care (b)(6); (b)(7)(C) Verbalizes Understanding",
- "position": "middle"
- },
- {
- "type": "printed",
- "content": "Copay Required: No Cosign Required: No Telephone/Verbal Order: No Completed by (b)(6); (b)(7)(C) MD on 07/30/2019 14:05",
- "position": "bottom"
- },
- {
- "type": "printed",
- "content": "Generated 07/30/2019 14:05 by (b)(6); (b)(7)(C) MD Bureau of Prisons - NYM Page 3 of 3",
- "position": "footer"
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- {
- "type": "stamp",
- "content": "See Amendment",
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- ],
- "entities": {
- "people": [
- "JEFFREY EDWARD EPSTEIN"
- ],
- "organizations": [
- "Bureau of Prisons"
- ],
- "locations": [
- "NYM"
- ],
- "dates": [
- "01/20/1953",
- "07/30/2019",
- "08/01/2019",
- "08/29/2019"
- ],
- "reference_numbers": [
- "76318-054",
- "121836-NYM",
- "DOJ-OGR-00026095"
- ]
- },
- "additional_notes": "The document appears to be a medical record for Jeffrey Epstein, containing information about his medication, laboratory requests, and radiology requests. The document has been redacted in several places, with sensitive information obscured."
- }
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