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- {
- "document_metadata": {
- "page_number": "2422",
- "document_number": "DOJ-OGR-00026098",
- "date": "07/28/2019",
- "document_type": "Clinical Encounter",
- "has_handwriting": false,
- "has_stamps": false
- },
- "full_text": "Page 2422 Bureau of Prisons Health Services Clinical Encounter Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Encounter Date: 07/28/2019 20:25 Sex: M Race: WHITE Reg #: 76318-054 Provider: [b(6); b(7)(C)] RN Facility: NYM Unit: H01 Nursing - Follow up encounter performed at Health Services. SUBJECTIVE: COMPLAINT 1 Provider: [b(6); b(7)(C)] RN Chief Complaint: Neuropathy - Tingling/Numbness of Extremity(ies) Subjective: Inmate seen for F/U after returning from attorney conference offers no new complaints or worsening S/S stats \"My R hand still has pins and needles sometimes\" No change in appearance from previous exam. Pain: No OBJECTIVE: Pulse: Date Time Rate Per Minute Location Rhythm Provider 07/28/2019 20:28 81 [b(6); b(7)(C)] RN Respirations: Date Time Rate Per Minute Provider 07/28/2019 20:28 NYM 14 [b(6); b(7)(C)] RN Blood Pressure: Date Time Value Location Position Cuff Size Provider 07/28/2019 20:28 NYM 157/91 [b(6); b(7)(C)] RN SaO2: Date Time Value(%) Air Provider 07/28/2019 20:28 NYM 98 [b(6); b(7)(C)] RN Exam: General Affect Yes: Cooperative Appearance Yes: Appears Well, Alert and Oriented x 3 Nutrition Yes: Within Normal Limits Skin General Yes: Within Normal Limits, Dry, Skin Intact ASSESSMENT: No Significant Findings/No Apparent Distress PLAN: Disposition: To be Evaluated by Provider Generated 07/28/2019 20:30 by [b(6); b(7)(C)] RN Bureau of Prisons - NYM Page 1 of 2",
- "text_blocks": [
- {
- "type": "printed",
- "content": "Bureau of Prisons Health Services Clinical Encounter",
- "position": "header"
- },
- {
- "type": "printed",
- "content": "Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Encounter Date: 07/28/2019 20:25 Sex: M Race: WHITE Reg #: 76318-054 Provider: [b(6); b(7)(C)] RN Facility: NYM Unit: H01",
- "position": "top"
- },
- {
- "type": "printed",
- "content": "Nursing - Follow up encounter performed at Health Services. SUBJECTIVE: COMPLAINT 1 Provider: [b(6); b(7)(C)] RN Chief Complaint: Neuropathy - Tingling/Numbness of Extremity(ies) Subjective: Inmate seen for F/U after returning from attorney conference offers no new complaints or worsening S/S stats \"My R hand still has pins and needles sometimes\" No change in appearance from previous exam. Pain: No",
- "position": "middle"
- },
- {
- "type": "printed",
- "content": "OBJECTIVE: Pulse: Date Time Rate Per Minute Location Rhythm Provider 07/28/2019 20:28 81 [b(6); b(7)(C)] RN Respirations: Date Time Rate Per Minute Provider 07/28/2019 20:28 NYM 14 [b(6); b(7)(C)] RN Blood Pressure: Date Time Value Location Position Cuff Size Provider 07/28/2019 20:28 NYM 157/91 [b(6); b(7)(C)] RN SaO2: Date Time Value(%) Air Provider 07/28/2019 20:28 NYM 98 [b(6); b(7)(C)] RN Exam: General Affect Yes: Cooperative Appearance Yes: Appears Well, Alert and Oriented x 3 Nutrition Yes: Within Normal Limits Skin General Yes: Within Normal Limits, Dry, Skin Intact",
- "position": "middle"
- },
- {
- "type": "printed",
- "content": "ASSESSMENT: No Significant Findings/No Apparent Distress PLAN: Disposition: To be Evaluated by Provider",
- "position": "bottom"
- },
- {
- "type": "printed",
- "content": "Generated 07/28/2019 20:30 by [b(6); b(7)(C)] RN Bureau of Prisons - NYM Page 1 of 2",
- "position": "footer"
- }
- ],
- "entities": {
- "people": [
- "JEFFREY EDWARD EPSTEIN"
- ],
- "organizations": [
- "Bureau of Prisons",
- "NYM"
- ],
- "locations": [
- "NYM"
- ],
- "dates": [
- "01/20/1953",
- "07/28/2019"
- ],
- "reference_numbers": [
- "76318-054",
- "DOJ-OGR-00026098"
- ]
- },
- "additional_notes": "The document appears to be a clinical encounter report from the Bureau of Prisons Health Services. It contains medical information about the inmate Jeffrey Edward Epstein, including his vital signs, symptoms, and assessment. The document has been redacted to remove sensitive information, such as the provider's name."
- }
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