mirror-epstein-docs/results/IMAGES010/DOJ-OGR-00026206.json

{
  "document_metadata": {
    "page_number": "2546",
    "document_number": "DOJ-OGR-00026206",
    "date": "07/28/2019",
    "document_type": "Clinical Encounter",
    "has_handwriting": false,
    "has_stamps": false
  },
  "full_text": "Page 2546 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: [redacted] RN Facility: NYM Unit: H01 Nursing - Follow up encounter performed at Health Services. SUBJECTIVE: COMPLAINT 1 Provider: [redacted] 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 [redacted] RN Respirations: Date Time Rate Per Minute Provider 07/28/2019 20:28 NYM 14 [redacted] RN Blood Pressure: Date Time Value Location Position Cuff Size Provider 07/28/2019 20:28 NYM 157/91 [redacted] RN SaO2: Date Time Value(%) Air Provider 07/28/2019 20:28 NYM 98 [redacted] 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 [redacted] RN Bureau of Prisons - NYM Page 1 of 2",
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      "type": "printed",
      "content": "Bureau of Prisons Health Services Clinical Encounter",
      "position": "header"
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    {
      "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: [redacted] RN Facility: NYM Unit: H01",
      "position": "top"
    },
    {
      "type": "printed",
      "content": "Nursing - Follow up encounter performed at Health Services. SUBJECTIVE: COMPLAINT 1 Provider: [redacted] 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 [redacted] RN Respirations: Date Time Rate Per Minute Provider 07/28/2019 20:28 NYM 14 [redacted] RN Blood Pressure: Date Time Value Location Position Cuff Size Provider 07/28/2019 20:28 NYM 157/91 [redacted] RN SaO2: Date Time Value(%) Air Provider 07/28/2019 20:28 NYM 98 [redacted] RN",
      "position": "middle"
    },
    {
      "type": "printed",
      "content": "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",
      "position": "middle"
    },
    {
      "type": "printed",
      "content": "Generated 07/28/2019 20:30 by [redacted] RN Bureau of Prisons - NYM Page 1 of 2",
      "position": "footer"
    }
  ],
  "entities": {
    "people": [
      "JEFFREY EDWARD EPSTEIN"
    ],
    "organizations": [
      "Bureau of Prisons",
      "NYM"
    ],
    "locations": [],
    "dates": [
      "01/20/1953",
      "07/28/2019"
    ],
    "reference_numbers": [
      "76318-054",
      "DOJ-OGR-00026206"
    ]
  },
  "additional_notes": "The document contains multiple redactions of personal identifying information, marked as [redacted]. The document is a clinical encounter report from the Bureau of Prisons Health Services."
}