EFTA00110389

# 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 |

| Sex: M Race:WHITE |
| :--- |
| MD |

| Reg #: | 76318-054 |
| :--- | :--- |
| Facility: NYM |
| Unit: E06 |

Cosign Note - Intake Cosign encounter performed at Health Services.

Administrative Notes:

## Discontinued Laboratory Requests:

<table><thead><tr><th>Details</th></tr></thead><tbody><tr><td>Lab Tests-H-Hemoglobin A1C</td></tr><tr><td>Lab Tests-C-CBC w/diff</td></tr><tr><td>Lab Tests-L-Lipid Profile</td></tr><tr><td>Lab Tests-C-Comprehensive Metabolic Profile (CMP)</td></tr></tbody></table>

<table><tr><td>Lab Tests-U-Urinalysis w/Reflex to Microscopic</td></tr><tr><td>Additional Information:</td></tr><tr><td>66 y/o male, elevated BP</td></tr><tr><td>Labs requested to be reviewed by:</td></tr></table>

New Laboratory Requests:

<table><thead><tr><th>Details</th></tr></thead><tbody><tr><td>Chronic Care Clinics-Diabetic-CBC w/diff</td></tr><tr><td>Chronic Care Clinics-Diabetic-Lipid Profile</td></tr><tr><td>Chronic Care Clinics-Diabetic-Hemoglobin A1C</td></tr><tr><td>Lab Tests-H-HIV 1/2</td></tr><tr><td>Lab Tests-R-RPR</td></tr><tr><td>Chronic Care Clinics-Diabetic-Comprehensive Metabolic Profile (CMP)</td></tr></tbody></table>

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

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

<table><tr><td>Copay Required: No</td><td>Cosign Required: No</td></tr><tr><td>Telephone/Verbal Order: No</td><td></td></tr><tr><td>Completed by</td><td>MD on 07/07/2019 00:30</td></tr></table>

Generated 07/07/2019 00:30 by

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MD

Bureau of Prisons - NYM