EFTA00059467


Bureau of Prisons
Health Services
Clinical Encounter - Administrative Note

## Inmate Name: EPSTEIN, JEFFREY EDWARD
Date of Birth: 01/20/1953
Note Date: 07/07/2019 00:17

### Reg #: 76318-054
Facility: NYM
Unit: E08

---

**Cosign Note - Intake Cosign encounter performed at Health Services.**

## Administrative Notes:

### ADMINISTRATIVE NOTE 1 Provider: MD

- MED CL:1
- NO CCC APPT.

## Discontinued Laboratory Requests:

| Details | Frequency | Due Date | Priority |
| :--- | :--- | :--- | :--- |
| Lab Tests-H-Hemoglobin A1C | One Time | 08/05/2019 00:00 | Routine |
| Lab Tests-C-CBC w/diff | | | |
| Lab Tests-L-Lipid Profile | | | |
| Lab Tests-C-Comprehensive Metabolic Profile (CMP) | | | |
| Lab Tests-U-Urinalysis w/Reflex to Microscopic Additional Information: 66 y/o male, elevated BP | | | |
| Labs requested to be reviewed by: MD | | | |

## New Laboratory Requests:

| Details | Frequency | Due Date | Priority |
| :--- | :--- | :--- | :--- |
| Chronic Care Clinics-Diabetic-CBC w/diff | One Time | 07/25/2019 00:00 | Routine |
| Chronic Care Clinics-Diabetic-Lipid Profile | | | |
| Chronic Care Clinics-Diabetic-Hemoglobin A1C | | | |
| Lab Tests-H-HIV 1/2 | | | |
| Lab Tests-R-RPR | | | |
| Chronic Care Clinics-Diabetic-Comprehensive Metabolic Profile (CMP) | | | |

## New Radiology Request Orders:

| Details | Frequency | End Date | Due Date | Priority |
| :--- | :--- | :--- | :--- | :--- |
| General Radiology-Chest-2 Views | One Time | 07/25/2019 | Routine |

Specific reason(s) for request (Complaints and findings):

66 YR OLD MALE WITH NO PMHX, REFERRED FOR ROUITNE CXR.

---

**Copay Required:** No
**Cosign Required:** No

**Telephone/Verbal Order:** No

Completed by MD on 07/07/2019 00:30