DOJ-OGR-00026225.json 3.9 KB

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  1. {
  2. "document_metadata": {
  3. "page_number": "2565",
  4. "document_number": "76318-054",
  5. "date": "07/14/2019",
  6. "document_type": "Medical Examination Report",
  7. "has_handwriting": false,
  8. "has_stamps": false
  9. },
  10. "full_text": "Page 2565 Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: M Race: WHITE Reg #: 76318-054 Encounter Date: 07/14/2019 17:36 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 Omega 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. Indication: Hyperlipidemia, unspecified New Laboratory Requests: Details Frequency Due Date Priority Lab Tests-H-Hemoglobin A1C One Time 10/10/2019 00:00 Routine Lab Tests-L-Lipid Profile Additional Information: Generated 07/14/2019 18:11 by (b)(6); (b)(7)(C) MD Bureau of Prisons - NYM Page 2 of 3 DOJ-OGR-00026225",
  11. "text_blocks": [
  12. {
  13. "type": "printed",
  14. "content": "Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: M Race: WHITE Reg #: 76318-054 Encounter Date: 07/14/2019 17:36 Provider: (b)(6); (b)(7)(C) MD Facility: NYM Unit: Z05",
  15. "position": "header"
  16. },
  17. {
  18. "type": "printed",
  19. "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",
  20. "position": "middle"
  21. },
  22. {
  23. "type": "printed",
  24. "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",
  25. "position": "middle"
  26. },
  27. {
  28. "type": "printed",
  29. "content": "PLAN: New Medication Orders: Rx# Medication Order Date Prescriber Order Omega 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. Indication: Hyperlipidemia, unspecified New Laboratory Requests: Details Frequency Due Date Priority Lab Tests-H-Hemoglobin A1C One Time 10/10/2019 00:00 Routine Lab Tests-L-Lipid Profile",
  30. "position": "middle"
  31. },
  32. {
  33. "type": "printed",
  34. "content": "Additional Information: Generated 07/14/2019 18:11 by (b)(6); (b)(7)(C) MD Bureau of Prisons - NYM Page 2 of 3 DOJ-OGR-00026225",
  35. "position": "footer"
  36. }
  37. ],
  38. "entities": {
  39. "people": [
  40. "JEFFREY EDWARD EPSTEIN"
  41. ],
  42. "organizations": [
  43. "Bureau of Prisons"
  44. ],
  45. "locations": [
  46. "NYM"
  47. ],
  48. "dates": [
  49. "01/20/1953",
  50. "07/14/2019",
  51. "10/10/2019"
  52. ],
  53. "reference_numbers": [
  54. "76318-054",
  55. "DOJ-OGR-00026225"
  56. ]
  57. },
  58. "additional_notes": "The document appears to be a medical examination report for Jeffrey Epstein, an inmate at the Bureau of Prisons - NYM facility. The report includes various medical assessments and treatment plans. Some personal identifiable information has been redacted."
  59. }