DOJ-OGR-00025365.jpg
446 KB
Extraction Summary
3
People
3
Organizations
2
Locations
2
Events
1
Relationships
5
Quotes
Document Information
Type:
Bureau of prisons medical record / clinical encounter note
File Size:
446 KB
Summary
This document is a Bureau of Prisons medical record for Jeffrey Epstein dated July 23, 2019. It details a medical encounter following an 'unspecified injury' where providers sought to 'Rule Out (R/O) self inflicted injuries.' As a result of the assessment, the plan included placing Epstein on suicide watch and scheduling follow-ups with psychology services.
People (3)
| Name | Role | Context |
|---|---|---|
| Jeffrey Edward Epstein | Inmate/Patient |
Subject of the medical examination following an injury.
|
| Redacted MLP | Medical Provider |
Mid-Level Practitioner who performed the exam and completed the report.
|
| Redacted MD | Physician |
Doctor requested to cosign the medical record.
|
Organizations (3)
| Name | Type | Context |
|---|---|---|
| Bureau of Prisons |
Federal agency managing the facility.
|
|
| NYM |
Metropolitan Correctional Center New York (Facility code).
|
|
| DOJ |
Department of Justice (indicated in footer).
|
Relationships (1)
Jeffrey Epstein
→
Patient/Provider
→
Bureau of Prisons Medical Staff
Medical examination record detailing care provided to inmate.
Key Quotes (5)
"R/O self inflicted injuries."Source
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Quote #1
"Placed on Suicide Watch"Source
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Quote #2
"Injury, unspecified, T1490 - Current"Source
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Quote #3
"For follow up with psychology service."Source
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Quote #4
"Acutely Ill"Source
DOJ-OGR-00025365.jpg
Quote #5
Full Extracted Text
Complete text extracted from the document (1,414 characters)
Page 1143
Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054
Date of Birth: 01/20/1953 Sex: M Race: WHITE Facility: NYM
Encounter Date: 07/23/2019 06:20 Provider: [Redacted (b)(6); (b)(7)(C)] MLP Unit: H01
Date of Birth: 01/20/1953 Sex: M Race: WHITE Facility: NYM
Encounter Date: 07/23/2019 06:20 Provider: [Redacted (b)(6); (b)(7)(C)] MLP Unit: H01
Exam:
Acutely Ill
Pulmonary
Auscultation
Yes: Clear to Auscultation, Vesicular Breath Sounds Bilaterally
No: Crackles, Rhonchi, Wheezing
Acutely Ill
Pulmonary
Auscultation
Yes: Clear to Auscultation, Vesicular Breath Sounds Bilaterally
No: Crackles, Rhonchi, Wheezing
Exam Comments
[Redacted Box labeled (b)(7)(A)]
[Redacted Box labeled (b)(7)(A)]
ASSESSMENT:
Injury, unspecified, T1490 - Current - R/O self inflicted injuries.
PLAN:
Disposition:
Follow-up at Sick Call as Needed
Placed on Suicide Watch
Follow-up in 2-4 Hours
Follow-up at Sick Call as Needed
Placed on Suicide Watch
Follow-up in 2-4 Hours
Other:
For follow up with psychology service.
For follow up with psychology service.
Patient Education Topics:
Date Initiated Format Handout/Topic Provider Outcome
07/23/2019 Counseling Access to Care [Redacted (b)(6); (b)(7)(C)] Verbalizes Understanding
07/23/2019 Counseling Plan of Care [Redacted (b)(6); (b)(7)(C)] Verbalizes Understanding
Date Initiated Format Handout/Topic Provider Outcome
07/23/2019 Counseling Access to Care [Redacted (b)(6); (b)(7)(C)] Verbalizes Understanding
07/23/2019 Counseling Plan of Care [Redacted (b)(6); (b)(7)(C)] Verbalizes Understanding
Copay Required: No Cosign Required: Yes
Telephone/Verbal Order: No
Completed by [Redacted (b)(6); (b)(7)(C)] MLP on 07/23/2019 09:05
Requested to be cosigned by [Redacted (b)(6); (b)(7)(C)] MD.
Cosign documentation will be displayed on the following page.
Telephone/Verbal Order: No
Completed by [Redacted (b)(6); (b)(7)(C)] MLP on 07/23/2019 09:05
Requested to be cosigned by [Redacted (b)(6); (b)(7)(C)] MD.
Cosign documentation will be displayed on the following page.
Generated 07/23/2019 09:05 by [Redacted (b)(6); (b)(7)(C)] LP Bureau of Prisons - NYM Page 2 of 2
DOJ-OGR-00025365
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