mirror-epstein-docs/results/IMAGES010/DOJ-OGR-00026332.json

{
  "document_metadata": {
    "page_number": "2676",
    "document_number": null,
    "date": "07/14/2019",
    "document_type": "Medical Examination Report",
    "has_handwriting": false,
    "has_stamps": false
  },
  "full_text": "Page 2676\nInmate Name: EPSTEIN, JEFFREY EDWARD\nDate of Birth: 01/20/1953\nEncounter Date: 07/14/2019 17:36\nSex: M\nRace: WHITE\nReg #: 76318-054\nProvider: (b)(6); (b)(7)(C)\nFacility: NYM\nUnit: Z05\nMD\nExam:\nEyes\nGeneral\nYes: PERRLA, Extraocular Movements Intact\nPulmonary\nAuscultation\nYes: Clear to Auscultation\nCardiovascular\nAuscultation\nYes: Regular Rate and Rhythm (RRR), Normal S1 and S2\nNo: M/R/G\nAbdomen\nAuscultation\nYes: Normo-Active Bowel Sounds\nPalpation\nYes: Within Normal Limits\nMusculoskeletal\nTibia / Fibula\nNo: Edema\nBack\nYes: Tenderness\nNeurologic\nCranial Nerves (CN)\nYes: Within Normal Limits\nMotor System-General\nYes: Normal Exam\nASSESSMENT:\nConstipation, unspecified, K5900 - Current\nHyperlipidemia, unspecified, E785 - Current\nLow back pain, M545 - Current\nNeuralgia and neuritis, unspecified, M792 - Current\nSleep apnea, G4730 - Current\nPLAN:\nNew Medication Orders:\nRx#\nMedication\nOrder Date\nPrescriber Order\nOmega 3 (Vascepa) 1 GM Capsule\n07/14/2019 17:36\nTAKE 2 CAPS Orally - Two Times a Day x 180 day(s) -- TAKE WITH FOOD.\nIndication: Hyperlipidemia, unspecified\nNew Laboratory Requests:\nDetails\nFrequency\nDue Date\nPriority\nLab Tests-H-Hemoglobin A1C\nOne Time\n10/10/2019 00:00\nRoutine\nLab Tests-L-Lipid Profile\nAdditional Information:\nGenerated 07/14/2019 18:11 by (b)(6); (b)(7)(C)\nMD\nBureau of Prisons - NYM\nPage 2 of 3\nDOJ-OGR-00026332",
  "text_blocks": [
    {
      "type": "printed",
      "content": "Page 2676",
      "position": "header"
    },
    {
      "type": "printed",
      "content": "Inmate Name: EPSTEIN, JEFFREY EDWARD\nDate of Birth: 01/20/1953\nEncounter Date: 07/14/2019 17:36\nSex: M\nRace: WHITE\nReg #: 76318-054\nProvider: (b)(6); (b)(7)(C)\nFacility: NYM\nUnit: Z05\nMD",
      "position": "top"
    },
    {
      "type": "printed",
      "content": "Exam:\nEyes\nGeneral\nYes: PERRLA, Extraocular Movements Intact\nPulmonary\nAuscultation\nYes: Clear to Auscultation\nCardiovascular\nAuscultation\nYes: Regular Rate and Rhythm (RRR), Normal S1 and S2\nNo: M/R/G\nAbdomen\nAuscultation\nYes: Normo-Active Bowel Sounds\nPalpation\nYes: Within Normal Limits\nMusculoskeletal\nTibia / Fibula\nNo: Edema\nBack\nYes: Tenderness\nNeurologic\nCranial Nerves (CN)\nYes: Within Normal Limits\nMotor System-General\nYes: Normal Exam",
      "position": "middle"
    },
    {
      "type": "printed",
      "content": "ASSESSMENT:\nConstipation, unspecified, K5900 - Current\nHyperlipidemia, unspecified, E785 - Current\nLow back pain, M545 - Current\nNeuralgia and neuritis, unspecified, M792 - Current\nSleep apnea, G4730 - Current",
      "position": "middle"
    },
    {
      "type": "printed",
      "content": "PLAN:\nNew Medication Orders:\nRx#\nMedication\nOrder Date\nPrescriber Order\nOmega 3 (Vascepa) 1 GM Capsule\n07/14/2019 17:36\nTAKE 2 CAPS Orally - Two Times a Day x 180 day(s) -- TAKE WITH FOOD.\nIndication: Hyperlipidemia, unspecified\nNew Laboratory Requests:\nDetails\nFrequency\nDue Date\nPriority\nLab Tests-H-Hemoglobin A1C\nOne Time\n10/10/2019 00:00\nRoutine\nLab Tests-L-Lipid Profile",
      "position": "middle"
    },
    {
      "type": "printed",
      "content": "Additional Information:\nGenerated 07/14/2019 18:11 by (b)(6); (b)(7)(C)\nMD\nBureau of Prisons - NYM\nPage 2 of 3\nDOJ-OGR-00026332",
      "position": "bottom"
    }
  ],
  "entities": {
    "people": [
      "JEFFREY EDWARD EPSTEIN",
      "(b)(6); (b)(7)(C)"
    ],
    "organizations": [
      "Bureau of Prisons"
    ],
    "locations": [
      "NYM"
    ],
    "dates": [
      "01/20/1953",
      "07/14/2019",
      "10/10/2019"
    ],
    "reference_numbers": [
      "76318-054",
      "DOJ-OGR-00026332"
    ]
  },
  "additional_notes": "The document appears to be a medical examination report for Jeffrey Epstein, an inmate. The report includes various medical examination results, assessments, and treatment plans. Some personal identifiable information is redacted."
}