DOJ-OGR-00026095.json 5.5 KB

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  1. {
  2. "document_metadata": {
  3. "page_number": "2419",
  4. "document_number": "DOJ-OGR-00026095",
  5. "date": "07/30/2019",
  6. "document_type": "Medical Record",
  7. "has_handwriting": false,
  8. "has_stamps": true
  9. },
  10. "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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  14. "content": "Page 2419",
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  19. "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",
  20. "position": "top"
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  24. "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",
  25. "position": "middle"
  26. },
  27. {
  28. "type": "printed",
  29. "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)",
  30. "position": "middle"
  31. },
  32. {
  33. "type": "printed",
  34. "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",
  35. "position": "middle"
  36. },
  37. {
  38. "type": "printed",
  39. "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",
  40. "position": "middle"
  41. },
  42. {
  43. "type": "printed",
  44. "content": "Disposition: Follow-up at Sick Call as Needed",
  45. "position": "middle"
  46. },
  47. {
  48. "type": "printed",
  49. "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",
  50. "position": "middle"
  51. },
  52. {
  53. "type": "printed",
  54. "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",
  55. "position": "bottom"
  56. },
  57. {
  58. "type": "printed",
  59. "content": "Generated 07/30/2019 14:05 by (b)(6); (b)(7)(C) MD Bureau of Prisons - NYM Page 3 of 3",
  60. "position": "footer"
  61. },
  62. {
  63. "type": "stamp",
  64. "content": "See Amendment",
  65. "position": "middle"
  66. }
  67. ],
  68. "entities": {
  69. "people": [
  70. "JEFFREY EDWARD EPSTEIN"
  71. ],
  72. "organizations": [
  73. "Bureau of Prisons"
  74. ],
  75. "locations": [
  76. "NYM"
  77. ],
  78. "dates": [
  79. "01/20/1953",
  80. "07/30/2019",
  81. "08/01/2019",
  82. "08/29/2019"
  83. ],
  84. "reference_numbers": [
  85. "76318-054",
  86. "121836-NYM",
  87. "DOJ-OGR-00026095"
  88. ]
  89. },
  90. "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."
  91. }