DOJ-OGR-00026117.json 4.1 KB

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  1. {
  2. "document_metadata": {
  3. "page_number": "2441",
  4. "document_number": null,
  5. "date": "07/14/2019",
  6. "document_type": "Medical Examination Report",
  7. "has_handwriting": false,
  8. "has_stamps": false
  9. },
  10. "full_text": "Page 2441\nInmate Name: EPSTEIN, JEFFREY EDWARD Sex: M Race: WHITE Reg #: 76318-054\nDate of Birth: 01/20/1953 Encounter Date: 07/14/2019 17:36 Provider: [redacted] MD Facility: NYM Unit: Z05\nExam:\nEyes General Yes: PERRLA, Extraocular Movements Intact\nPulmonary Auscultation Yes: Clear to Auscultation\nCardiovascular Auscultation Yes: Regular Rate and Rhythm (RRR), Normal S1 and S2 No: M/R/G\nAbdomen Auscultation Yes: Normo-Active Bowel Sounds\nPalpation Yes: Within Normal Limits\nMusculoskeletal Tibia / Fibula No: Edema\nBack Yes: Tenderness\nNeurologic Cranial Nerves (CN) Yes: Within Normal Limits\nMotor System-General Yes: Normal Exam\nASSESSMENT:\nConstipation, unspecified, K5900 - Current\nHyperlipidemia, unspecified, E785 - Current\nLow back pain, M545 - Current\nNeuralgia and neuritis, unspecified, M792 - Current\nSleep apnea, G4730 - Current\nPLAN:\nNew Medication Orders:\nRx# Medication Order Date Prescriber Order\nOmega 3 (Vascepa) 1 GM Capsule 07/14/2019 17:36 TAKE 2 CAPS Orally - Two Times a Day x 180 day(s) - TAKE WITH FOOD.\nIndication: Hyperlipidemia, unspecified\nNew Laboratory Requests:\nDetails Frequency Due Date Priority\nLab Tests-H-Hemoglobin A1C One Time 10/10/2019 00:00 Routine\nLab Tests-L-Lipid Profile\nAdditional Information:\nGenerated 07/14/2019 18:11 by [redacted] MD Bureau of Prisons - NYM Page 2 of 3\nDOJ-OGR-00026117",
  11. "text_blocks": [
  12. {
  13. "type": "printed",
  14. "content": "Inmate Name: EPSTEIN, JEFFREY EDWARD Sex: M Race: WHITE Reg #: 76318-054",
  15. "position": "top"
  16. },
  17. {
  18. "type": "printed",
  19. "content": "Date of Birth: 01/20/1953 Encounter Date: 07/14/2019 17:36 Provider: [redacted] MD Facility: NYM Unit: Z05",
  20. "position": "top"
  21. },
  22. {
  23. "type": "printed",
  24. "content": "Exam:\nEyes General Yes: PERRLA, Extraocular Movements Intact\nPulmonary Auscultation Yes: Clear to Auscultation\nCardiovascular Auscultation Yes: Regular Rate and Rhythm (RRR), Normal S1 and S2 No: M/R/G\nAbdomen Auscultation Yes: Normo-Active Bowel Sounds\nPalpation Yes: Within Normal Limits\nMusculoskeletal Tibia / Fibula No: Edema\nBack Yes: Tenderness\nNeurologic Cranial Nerves (CN) Yes: Within Normal Limits\nMotor System-General Yes: Normal Exam",
  25. "position": "middle"
  26. },
  27. {
  28. "type": "printed",
  29. "content": "ASSESSMENT:\nConstipation, unspecified, K5900 - Current\nHyperlipidemia, unspecified, E785 - Current\nLow back pain, M545 - Current\nNeuralgia and neuritis, unspecified, M792 - Current\nSleep apnea, G4730 - Current",
  30. "position": "middle"
  31. },
  32. {
  33. "type": "printed",
  34. "content": "PLAN:\nNew Medication Orders:\nRx# Medication Order Date Prescriber Order\nOmega 3 (Vascepa) 1 GM Capsule 07/14/2019 17:36 TAKE 2 CAPS Orally - Two Times a Day x 180 day(s) - TAKE WITH FOOD.\nIndication: Hyperlipidemia, unspecified",
  35. "position": "middle"
  36. },
  37. {
  38. "type": "printed",
  39. "content": "New Laboratory Requests:\nDetails Frequency Due Date Priority\nLab Tests-H-Hemoglobin A1C One Time 10/10/2019 00:00 Routine\nLab Tests-L-Lipid Profile",
  40. "position": "middle"
  41. },
  42. {
  43. "type": "printed",
  44. "content": "Additional Information:\nGenerated 07/14/2019 18:11 by [redacted] MD Bureau of Prisons - NYM Page 2 of 3",
  45. "position": "bottom"
  46. },
  47. {
  48. "type": "printed",
  49. "content": "DOJ-OGR-00026117",
  50. "position": "footer"
  51. }
  52. ],
  53. "entities": {
  54. "people": [
  55. "JEFFREY EDWARD EPSTEIN"
  56. ],
  57. "organizations": [
  58. "Bureau of Prisons"
  59. ],
  60. "locations": [
  61. "NYM"
  62. ],
  63. "dates": [
  64. "01/20/1953",
  65. "07/14/2019",
  66. "10/10/2019"
  67. ],
  68. "reference_numbers": [
  69. "76318-054",
  70. "DOJ-OGR-00026117"
  71. ]
  72. },
  73. "additional_notes": "The document contains redacted information, likely for privacy or security reasons. The report appears to be a medical examination report for an inmate, Jeffrey Edward Epstein, conducted on July 14, 2019."
  74. }