mirror-epstein-docs/results/IMAGES010/DOJ-OGR-00026121.json

{
  "document_metadata": {
    "page_number": "2445",
    "document_number": "DOJ-OGR-00026121",
    "date": "07/12/2019",
    "document_type": "Medical Examination Report",
    "has_handwriting": false,
    "has_stamps": false
  },
  "full_text": "Page 2445 Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: M Race: WHITE Reg #: 76318-054 Encounter Date: 07/12/2019 13:10 Provider: (b)(6); (b)(7)(C) MD Facility: NYM Unit: Z05 Exam: Eyes General Yes: PERRLA, Extraocular Movements Intact Pulmonary Auscultation Yes: Clear to Auscultation Cardiovascular Auscultation Yes: Regular Rate and Rhythm (RRR), Normal S1 and S2 No: M/R/G Abdomen Auscultation Yes: Normo-Active Bowel Sounds Palpation Yes: Within Normal Limits Musculoskeletal Tibia / Fibula No: Edema Back Yes: Tenderness Neurologic Cranial Nerves (CN) Yes: Within Normal Limits Motor System-General Yes: Normal Exam ASSESSMENT: Constipation, unspecified, K5900 - Current Hyperlipidemia, unspecified, E785 - Current Low back pain, M545 - Current Neuralgia and neuritis, unspecified, M792 - Current Sleep apnea, G4730 - Current PLAN: New Medication Orders: Rx# Medication Order Date Prescriber Order Magnesium Hydroxide Susp 07/12/2019 13:10 30 CC Orally - Two Times a Day PRN x 2 day(s) MethylPREDNISolone Tab 4 MG (Dose Pack 21 tab) 07/12/2019 13:10 AS DIRECTED Orally - daily x 6 day(s) Indication: Constipation, unspecified Indication: Neuralgia and neuritis, unspecified Disposition: Generated 07/12/2019 14:20 by (b)(6); (b)(7)(C) MD Bureau of Prisons - NYM Page 2 of 3",
  "text_blocks": [
    {
      "type": "printed",
      "content": "Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: M Race: WHITE Reg #: 76318-054 Encounter Date: 07/12/2019 13:10 Provider: (b)(6); (b)(7)(C) MD Facility: NYM Unit: Z05",
      "position": "header"
    },
    {
      "type": "printed",
      "content": "Exam: Eyes General Yes: PERRLA, Extraocular Movements Intact Pulmonary Auscultation Yes: Clear to Auscultation Cardiovascular Auscultation Yes: Regular Rate and Rhythm (RRR), Normal S1 and S2 No: M/R/G Abdomen Auscultation Yes: Normo-Active Bowel Sounds Palpation Yes: Within Normal Limits Musculoskeletal Tibia / Fibula No: Edema Back Yes: Tenderness Neurologic Cranial Nerves (CN) Yes: Within Normal Limits Motor System-General Yes: Normal Exam",
      "position": "middle"
    },
    {
      "type": "printed",
      "content": "ASSESSMENT: Constipation, unspecified, K5900 - Current Hyperlipidemia, unspecified, E785 - Current Low back pain, M545 - Current Neuralgia and neuritis, unspecified, M792 - Current Sleep apnea, G4730 - Current",
      "position": "middle"
    },
    {
      "type": "printed",
      "content": "PLAN: New Medication Orders: Rx# Medication Order Date Prescriber Order Magnesium Hydroxide Susp 07/12/2019 13:10 30 CC Orally - Two Times a Day PRN x 2 day(s) MethylPREDNISolone Tab 4 MG (Dose Pack 21 tab) 07/12/2019 13:10 AS DIRECTED Orally - daily x 6 day(s)",
      "position": "middle"
    },
    {
      "type": "printed",
      "content": "Indication: Constipation, unspecified Indication: Neuralgia and neuritis, unspecified Disposition: Generated 07/12/2019 14:20 by (b)(6); (b)(7)(C) MD Bureau of Prisons - NYM Page 2 of 3",
      "position": "footer"
    },
    {
      "type": "stamp",
      "content": "See Amendment",
      "position": "middle"
    }
  ],
  "entities": {
    "people": [
      "JEFFREY EDWARD EPSTEIN",
      "(b)(6); (b)(7)(C)"
    ],
    "organizations": [
      "Bureau of Prisons"
    ],
    "locations": [
      "NYM"
    ],
    "dates": [
      "01/20/1953",
      "07/12/2019"
    ],
    "reference_numbers": [
      "76318-054",
      "DOJ-OGR-00026121"
    ]
  },
  "additional_notes": "The document contains a 'See Amendment' stamp across the middle section. Some personal and medical information is redacted."
}