DOJ-OGR-00026203.json 4.2 KB

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  1. {
  2. "document_metadata": {
  3. "page_number": "2543",
  4. "document_number": "76318-054",
  5. "date": "07/30/2019",
  6. "document_type": "Clinical Encounter",
  7. "has_handwriting": false,
  8. "has_stamps": false
  9. },
  10. "full_text": "Page 2543\nBureau of Prisons\nHealth Services\nClinical Encounter\nInmate Name: EPSTEIN, JEFFREY EDWARD\nDate of Birth: 01/20/1953\nEncounter Date: 07/30/2019 11:12\nSex: M\nRace: WHITE\nReg #: 76318-054\nProvider: [b)(6); (b)(7)(C)] MD\nFacility: NYM\nUnit: Z01\nChronic Care - Chronic Care Clinic encounter performed at Health Services.\nSUBJECTIVE:\nCOMPLAINT 1 Provider: [b)(6); (b)(7)(C)] MD\nChief Complaint: Other Problem\nSubjective: PATIENT WAS REFERRED BY THE WARDEN FOR EVALUATION.\nPATIENT REPORTS HE HAS BEEN WITHOUT HIS MEDS FOR ABOUT 1 WEEK. HE\nALSO REPORTS NUMBNESS IN HIS RIGHT ARM FOR A FEW MINUTES 3 DAYS AGO.\nSTATES THE NUMBESS WENT AWAY ON ITS OWN, BUT WAS VERY CONCERNING.\nHE DENIES RIGHT SIDED WEAKNESS, DIPLOPIA, FACIAL DROOP, DIFFICULTY\nSPEAKING OR SWALLOWING.\nHE REPORTS NOCTURIA OF ABOUT 5 TIMES., HE DENIES DYSURIA.\nHE REPORTS HOF KIDNEY STONES, HX OF HTN FOR WHICH HE WAS TAKING\nTOPROL.\nHE AHS A HX OF SLEEP APNEA AND STATED HE HAS NOT SLEPT FOR 3 WEEKS\nISNCE HE HASB EEN HERE SINCE HE DIE NOT HAVE ACCES S THI CPAP MACHINE. I\nINFORME DHIM THAT WE RECEIVED HIS CPAP MACHINE AND IT WILL BE GIVEN TO\nHIM TONIGHT..\nHE REPORT OTHER NON-MEDICAL ISSUES.\nSTATES HE FEELS OTHERWISE FINE.\nPain: Not Applicable\nSeen for clinic(s): Endocrine/Lipid, Orhtopedic/Rheumatology, Pulmonary/Respiratory\nOBJECTIVE:\nPulse:\nDate Time Rate Per Minute Location Rhythm Provider\n07/30/2019 13:02 94 [b)(6); (b)(7)(C)] MD\n07/30/2019 09:40 88 Via Machine [b)(6); (b)(7)(C)] MD\n07/30/2019 09:30 87 Via Machine [b)(6); (b)(7)(C)] MD\nRespirations:\nDate Time Rate Per Minute Provider\n07/30/2019 09:30 NYM 12 [b)(6); (b)(7)(C)] MD\nBlood Pressure:\nDate Time Value Location Position Cuff Size Provider\n07/30/2019 13:02 NYM 114/84 Left Arm Standing [b)(6); (b)(7)(C)] MD\n07/30/2019 09:40 NYM 125/60 Right Arm Standing [b)(6); (b)(7)(C)] MD\n07/30/2019 09:30 NYM 108/86 Left Arm Sitting [b)(6); (b)(7)(C)] MD\nSaO2:\nDate Time Value(%) Air Provider\n07/30/2019 09:30 NYM 98 Room Air [b)(6); (b)(7)(C)] MD\nWeight:\nDate Time Lbs Kg Waist Circum. Provider\nGenerated 07/30/2019 14:05 by [b)(6); (b)(7)(C)] Bureau of Prisons - NYM\nPage 1 of 3\nDOJ-OGR-00026203",
  11. "text_blocks": [
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  14. "content": "Bureau of Prisons\nHealth Services\nClinical Encounter",
  15. "position": "header"
  16. },
  17. {
  18. "type": "printed",
  19. "content": "Inmate Name: EPSTEIN, JEFFREY EDWARD\nDate of Birth: 01/20/1953\nEncounter Date: 07/30/2019 11:12\nSex: M\nRace: WHITE\nReg #: 76318-054\nProvider: [b)(6); (b)(7)(C)] MD\nFacility: NYM\nUnit: Z01",
  20. "position": "top"
  21. },
  22. {
  23. "type": "printed",
  24. "content": "Chronic Care - Chronic Care Clinic encounter performed at Health Services.",
  25. "position": "middle"
  26. },
  27. {
  28. "type": "printed",
  29. "content": "SUBJECTIVE:\nCOMPLAINT 1 Provider: [b)(6); (b)(7)(C)] MD\nChief Complaint: Other Problem\nSubjective: ...",
  30. "position": "middle"
  31. },
  32. {
  33. "type": "printed",
  34. "content": "OBJECTIVE:\nPulse:\nDate Time Rate Per Minute Location Rhythm Provider\n07/30/2019 13:02 94 [b)(6); (b)(7)(C)] MD\n07/30/2019 09:40 88 Via Machine [b)(6); (b)(7)(C)] MD\n07/30/2019 09:30 87 Via Machine [b)(6); (b)(7)(C)] MD",
  35. "position": "middle"
  36. },
  37. {
  38. "type": "printed",
  39. "content": "Generated 07/30/2019 14:05 by [b)(6); (b)(7)(C)] Bureau of Prisons - NYM\nPage 1 of 3\nDOJ-OGR-00026203",
  40. "position": "footer"
  41. }
  42. ],
  43. "entities": {
  44. "people": [
  45. "JEFFREY EDWARD EPSTEIN"
  46. ],
  47. "organizations": [
  48. "Bureau of Prisons"
  49. ],
  50. "locations": [
  51. "NYM"
  52. ],
  53. "dates": [
  54. "01/20/1953",
  55. "07/30/2019"
  56. ],
  57. "reference_numbers": [
  58. "76318-054",
  59. "DOJ-OGR-00026203"
  60. ]
  61. },
  62. "additional_notes": "The document appears to be a clinical encounter report for Jeffrey Epstein, an inmate at a correctional facility. The report includes subjective and objective information, including the patient's complaints, medical history, and vital signs. Some personal identifiable information (PII) has been redacted."
  63. }