{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"   YRNEHTTROHS E","gend":0,"add":"W 94221NL ESI","city":"ABINGDON","state":"VA","zip":"24210-9998","dob":"1946-08-31","age":"","mstatus":"","insh":"94300210*22","cliId":"","pno":"34\/3245942-0","cno":"","email":"","ename":"","eno":"","pphy":"BAKER, WILLIAM J MD","ppno":"276\/258-4100","pcpadd":"STE 213 16000 JOHNSTON MEM DR","pcpcity":"ABINGDON","pcpstate":"VA","pcpzip":24211,"pcpcounty":"","pcpid":"","pcpname":"BLUE RIDGE MEDICAL MANAGEMENT CORPORATION","plan":"OHP","program":"MEDICAID","lob":"OHCC","region":"SOUTHWEST","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"","pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["N17.9","E87.70","R60.9","NO DATA","E87.1","E87.2","R30.0","D63.1","I95.9","E83.39","E88.09","E79.0","D50.9","E87.6","E86.9","N39.0","B95.2","Z46.6","R33.9","N40.1","C49.A0","I10.","C78.6","G89.3","N50.89","Z51.5","B96.4","B96.89","J06.9","Z97.8","R18.0","N48.89","N47.1","N13.8","T83.091A","T83.511A","K46.9","E83.42","I12.9","N18.9","L27.1","N40.0","K58.2","R10.9","F41.9","Z01.818","Z03.818","Z51.81","Z79.899","D64.9","E66.01","Z68.37","E88.3","R18.8","Z87.440","R33.8","M54.5","N32.0","N18.32","R60.1","C16.9","N48.29","K21.9","T83.098A","R10.819","J30.9","K29.50","K44.9","E86.1","N28.1","C80.1","J20.9","K40.30","R10.31","I05.8","R79.0","Z20.822","C49.A9","T50.905A","K40.90","K29.40","R10.84","E61.1","E53.8","M19.90","D47.3","E83.51","R53.1","Z66.","R60.0","R10.11","C48.2","E86.0","N17.0","D48.1","Z87.19","K59.00","K58.0","C49.A2","R39.12","R10.30","D50.8","D48.3","R52.","N30.01","C26.9","G89.29"],"date":["2021-11-23","2021-03-11","2021-03-07","2022-10-25","2021-12-17","2021-03-08","2022-07-13","2021-03-07","2021-03-11","2021-12-17","2021-04-12","2022-07-13","2022-07-01","2022-06-24","2021-03-11","2021-11-21","2021-09-02","2021-09-24","2021-11-21","2022-11-01","2022-11-01","2022-03-22","2022-10-25","2022-10-05","2021-07-14","2022-08-05","2021-09-02","2021-09-02","2021-09-02","2021-09-24","2022-11-01","2021-09-24","2021-09-24","2021-09-24","2021-11-21","2021-12-07","2021-12-07","2022-07-13","2022-07-13","2022-07-13","2022-11-01","2022-10-25","2020-11-10","2021-10-15","2022-05-11","2021-01-20","2021-01-20","2021-03-01","2022-07-01","2022-11-01","2021-12-17","2021-12-17","2021-07-06","2022-05-23","2021-07-06","2021-06-16","2021-07-14","2021-11-23","2021-07-14","2021-08-18","2021-08-18","2021-08-18","2022-11-01","2021-11-21","2021-10-15","2021-11-23","2021-01-26","2021-04-08","2021-03-09","2021-04-08","2022-05-16","2020-04-02","2021-06-04","2021-01-26","2021-03-03","2021-06-07","2021-08-22","2022-03-22","2022-06-10","2020-12-01","2021-01-26","2021-02-19","2021-03-11","2021-12-17","2021-04-08","2021-04-12","2021-04-12","2021-07-06","2021-12-17","2022-07-01","2022-05-11","2022-03-07","2022-10-19","2021-03-09","2021-03-01","2021-03-01","2021-03-01","2021-03-01","2021-04-08","2021-04-08","2021-04-12","2020-12-22","2021-02-03","2021-04-08","2021-10-27","2021-12-01","2022-10-25"],"priorHcc":["","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","",""]}}]},{"t":"Covid Screening","q":[{"a":[]}]},{"t":"Self-Assessment and Social History","q":[{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Activities of Daily Living","q":[{"a":[]}]},{"t":"Medical History","q":[{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Family History","q":[{"a":[]}]},{"t":"Preventive Care","q":[{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Allergies \/ Medications","q":[{"a":[]},{"a":{"comment":"","sub":[["","63304007601","POT  CHLORIDE","TAB 10MEQ ER","30","Select","Select",""],["","00378623101","CITALOPRAM","TAB 10MG","90","Select","Select",""],["","62175011843","OMEPRAZOLE","CAP 20MG","90","Select","Select",""],["","00054429931","FUROSEMIDE","TAB 40MG","180","Select","Select",""],["","50419017106","STIVARGA","TAB 40MG","84","Select","Select",""],["","10006073043","VITAMIN","TAB 1000MCG","90","Select","Select",""],["","00904759080","FEROSUL","TAB 325MG","30","Select","Select",""],["","45802065087","LORATADINE","TAB 10MG","90","Select","Select",""],["","47335047583","IMATINIB","TAB 400MG","30","Select","Select",""],["","00406012305","HYDROCO\/APAP","TAB 5-325MG","120","Select","Select",""],["","31722052530","FINASTERIDE","TAB 5MG","90","Select","Select",""],["","68382013201","TAMSULOSIN","CAP 0.4MG","90","Select","Select",""],["","00406055201","OXYCODONE","TAB 5MG","15","Select","Select",""],["","51801001130","EFFER-K","TAB 20MEQ","60","Select","Select",""],["","00904698640","MUCUS","TAB 600MG ER","60","Select","Select",""],["","42806071401","BENZONATATE","CAP 100MG","30","Select","Select",""],["","62037099901","POT  CL MICRO","TAB 20MEQ ER","360","Select","Select",""],["","00054001729","PREDNISONE","TAB 10MG","20","Select","Select",""],["","68585000575","MAG64","TAB 64MG","30","Select","Select",""],["","21922001605","CLOBETASOL","CRE 0.0005","30","Select","Select",""],["","00093216568","NALOXONE","SPR 4MG","2","Select","Select",""],["","65862017760","CEFDINIR","CAP 300MG","14","Select","Select",""],["","00143992701","CIPROFLOXACN","TAB 250MG","20","Select","Select",""],["","00093314705","CEPHALEXIN","CAP 500MG","40","Select","Select",""],["","68180051902","LISINOP\/HCTZ","TAB 20-12.5","30","Select","Select",""],["","11917009215","FERROUS","TAB 325MG","30","Select","Select",""],["","43199001201","HYOSCYAMINE","TAB 0.125MG","30","Select","Select",""],["","00078064930","GLEEVEC","TAB 400MG","30","Select","Select",""],["","68462010630","ONDANSETRON","TAB 8MG","50","Select","Select",""],["","00378668999","PANTOPRAZOLE","TAB 40MG","30","Select","Select",""],["","59746038406","TERAZOSIN","CAP 2MG","90","Select","Select",""],["","00591079501","DICYCLOMINE","TAB 20MG","20","Select","Select",""],["","00406051205","OXYCOD\/APAP","TAB 5-325MG","12","Select","Select",""],["","69547035302","NARCAN","SPR ","2","Select","Select",""],["","00363876020","SENNA-S","TAB 8.6-50MG","30","Select","Select",""],["","65862042005","SMZ\/TMP","TAB 800-160","14","Select","Select",""],["","27241009803","DULOXETINE","CAP 30MG","30","Select","Select",""],["","59267100001","PFIZER","INJ COVID-19","0","Select","Select",""],["","00093005301","BUSPIRONE","TAB 5MG","90","Select","Select",""],["","67877021560","CEFUROXIME","TAB 250MG","14","Select","Select",""],["","64380080307","RANITIDINE","TAB 150MG","60","Select","Select",""],["","65862001705","AMOXICILLIN","CAP 500MG","30","Select","Select",""],["","70461012003","FLUAD","INJ 0.5ML","0","Select","Select",""]]}},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Review of Systems and Diagnoses","q":[{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Pain","q":[{"a":[]}]},{"t":"Vital Signs","q":[{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Exam Review","q":[{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Screenings Needed","q":[{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":[]}]},{"t":"Mini-Cog","q":[{"a":[]},{"a":[]}]},{"t":"Home Safety & Personal Goals","q":[{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Active Problem Conditions","q":[{"a":[]}]},{"t":"Patient Summary","q":[{"a1":"","a2":"","a3":"","a4":"","a5":"","a6":"","a7":[],"a8":"","a9":"","a10":[],"a11":"","a12":"","a13":""}]}]}