DOJ-OGR-00026228.json 4.0 KB

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  1. {
  2. "document_metadata": {
  3. "page_number": "2",
  4. "document_number": "DOJ-OGR-00026228",
  5. "date": "07/12/2019",
  6. "document_type": "Medical Examination Report",
  7. "has_handwriting": false,
  8. "has_stamps": false
  9. },
  10. "full_text": "Page 2568 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: [redacted] 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 [redacted] MD Bureau of Prisons - NYM Page 2 of 3 DOJ-OGR-00026228",
  11. "text_blocks": [
  12. {
  13. "type": "printed",
  14. "content": "Page 2568",
  15. "position": "header"
  16. },
  17. {
  18. "type": "printed",
  19. "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: [redacted] MD Facility: NYM Unit: Z05",
  20. "position": "top"
  21. },
  22. {
  23. "type": "printed",
  24. "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",
  25. "position": "middle"
  26. },
  27. {
  28. "type": "printed",
  29. "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",
  30. "position": "middle"
  31. },
  32. {
  33. "type": "printed",
  34. "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) Indication: Constipation, unspecified Indication: Neuralgia and neuritis, unspecified",
  35. "position": "middle"
  36. },
  37. {
  38. "type": "printed",
  39. "content": "Disposition: Generated 07/12/2019 14:20 by [redacted] MD Bureau of Prisons - NYM Page 2 of 3 DOJ-OGR-00026228",
  40. "position": "footer"
  41. },
  42. {
  43. "type": "stamp",
  44. "content": "See Amendment",
  45. "position": "middle"
  46. }
  47. ],
  48. "entities": {
  49. "people": [
  50. "JEFFREY EDWARD EPSTEIN"
  51. ],
  52. "organizations": [
  53. "Bureau of Prisons"
  54. ],
  55. "locations": [
  56. "NYM"
  57. ],
  58. "dates": [
  59. "01/20/1953",
  60. "07/12/2019"
  61. ],
  62. "reference_numbers": [
  63. "76318-054",
  64. "DOJ-OGR-00026228"
  65. ]
  66. },
  67. "additional_notes": "The document contains a 'See Amendment' stamp across the middle section, indicating that there may be additional information or corrections related to this medical examination report. Some personal and medical details are redacted for privacy."
  68. }