{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"NEPRAC MADAECLOD -RET","gend":0,"add":"T MELAS 9173G TPA EN EKP","city":"ROANOKE","state":"VA","zip":"24017-9998","dob":"1996-07-10","age":"","mstatus":"","insh":"05200210*11","cliId":"","pno":"8604569862","cno":5406826896,"email":"","ename":"","eno":"","pphy":"TURNER, PATRICK L MD","ppno":8045274540,"pcpadd":"3470 MAYLAND COURT","pcpcity":"RICHMOND","pcpstate":"VA","pcpzip":"23233-9998","pcpcounty":"","pcpid":"","pcpname":"","plan":"OHP","program":"MEDICAID","lob":"OHCC","region":"ROANOKE ALLEGHANY","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":["R00.0","J96.21","R04.2","Z93.0","J15.9","R50.9","F43.10","Z99.11","NO DATA","J98.4","T85.528A","A41.50","Z87.01","J18.9","J96.02","J95.851","J15.1","G89.29","R07.9","E46.","R63.6","Z90.49","E83.42","K51.90","Z93.1","E83.39","K86.1","Q32.0","J96.22","P27.1","J47.1","R94.31","I50.23","A41.9","R41.82","R69.","Z79.899","J39.8","Z87.09","R07.89","I50.30","D69.6","L89.159","F39.","E63.9","R23.0","J96.12","J93.9","R06.02","Z20.822","J96.10","R74.01","E80.7","E44.1","Z87.19","R10.9","E83.31","F41.9","J93.83","J96.20","J45.909","E87.1","F33.0","I31.3","E43.","K85.90","R57.8","K72.00","R64.","R78.81","E87.4","D70.9","I50.20","Q32.2","N17.9","I42.9","K56.7","K76.9","K56.41","B17.9","J96.91","F33.2","F41.1","J40.","J47.9","J96.01","G93.40","J45.901","I10.","J15.6","J96.90","K21.9","J96.00","Q33.6","D50.8","R60.9","G93.41","Q39.1","K94.23","K94.22","J47.0","K92.2","L03.311","J98.11","E44.0","P22.0","Z71.6","F17.200","A49.8","E64.0","I50.22","F32.9","I27.21","H91.90","J98.09","R13.12","Z87.891","Z91.19","Z88.1","K86.89","E61.1","T17.908S","B96.5","Z51.5","B37.2","L89.312","E87.2","J96.11","Z98.84","J44.0","F70.","F33.1","I49.3","J21.9","E72.20","D53.9","I42.0","I50.21","R31.9","R10.84","R19.11","I51.7","J45.998","N18.9","R06.03","R91.8","Z45.2","B96.4","Z18.9","I73.9","F41.8","J98.6","I11.0","I50.9","G47.30","Z43.1","Z99.81","F43.23","K59.01","J86.0","R09.02","D64.9","R60.1","T74.21XA","I27.0","F17.210","F43.29","R52.","J95.09","Z79.891","U07.1","Q39.0","Q79.2","R63.30","F33.3","R68.89","J95.00","Z65.8","K51.80","Z93.3","R74.8","R65.20","T17.800A","F11.10","F11.20","Z87.898","J44.9","J93.0","E87.0","J98.2","R77.8","I51.81","J18.0","J13.","I70.201","R13.10","K92.0","K94.20","F43.25","Z79.2","R60.0","E87.5","Z74.3","J04.10","J21.8","V58.89","G47.00","I63.9","N49.2","Z23.","R20.2","J95.03","E87.70","R06.2","I95.9","Z16.24","Q32.4","F33.9","G93.49","D63.8"],"date":["2022-06-28","2022-09-13","2021-03-31","2023-01-10","2021-01-07","2021-05-16","2021-04-06","2022-11-17","2022-12-22","2021-07-09","2021-04-01","2021-05-17","2022-09-14","2022-09-05","2021-05-31","2022-04-12","2022-04-14","2021-06-28","2022-08-01","2022-11-27","2022-04-16","2021-05-25","2022-06-19","2022-08-02","2022-12-22","2022-04-11","2022-11-17","2022-11-17","2022-11-17","2022-12-22","2021-05-29","2022-06-29","2022-07-04","2022-06-19","2022-06-21","2021-07-05","2021-07-09","2023-01-10","2021-07-09","2022-06-16","2021-07-09","2022-09-26","2021-07-09","2021-07-09","2023-01-10","2023-01-10","2023-01-10","2022-06-27","2022-08-31","2022-08-02","2022-11-20","2022-08-11","2022-04-14","2022-04-14","2022-04-14","2022-04-14","2022-04-14","2022-08-13","2022-06-30","2022-09-20","2022-08-11","2022-06-20","2022-06-19","2022-08-11","2022-08-26","2022-07-01","2022-07-01","2022-08-26","2022-07-01","2022-07-01","2022-07-01","2022-07-01","2022-08-02","2022-07-01","2022-08-13","2022-11-21","2022-08-12","2022-07-04","2022-08-11","2022-07-04","2022-08-11","2022-08-03","2022-08-03","2022-09-14","2022-11-11","2022-11-29","2022-11-29","2022-11-29","2022-11-29","2022-11-17","2022-11-28","2022-11-27","2022-11-22","2022-11-11","2022-10-29","2022-11-12","2022-11-17","2022-11-17","2022-11-17","2022-11-17","2022-11-17","2022-11-17","2022-11-17","2022-11-17","2022-11-17","2022-07-01","2021-04-04","2021-04-01","2021-05-24","2021-05-07","2022-07-11","2022-06-16","2021-05-31","2022-08-11","2021-05-31","2021-06-29","2022-06-16","2021-06-28","2021-05-31","2021-06-16","2021-06-17","2021-06-13","2021-06-19","2021-06-25","2021-07-07","2021-07-07","2022-08-02","2022-07-12","2022-04-11","2022-04-11","2022-04-11","2022-12-22","2022-06-20","2022-04-12","2022-09-26","2022-06-24","2022-06-30","2022-06-27","2022-06-27","2022-06-27","2022-06-27","2022-07-16","2022-09-26","2022-08-07","2022-08-31","2022-08-31","2022-09-06","2022-09-13","2021-01-11","2021-03-30","2021-04-08","2021-04-05","2022-08-02","2022-08-11","2021-10-07","2021-10-07","2021-10-07","2021-10-06","2022-07-26","2022-07-26","2022-10-01","2022-09-26","2022-09-26","2021-03-09","2022-08-11","2021-03-30","2021-08-09","2021-05-29","2021-06-28","2021-06-28","2021-09-29","2022-06-16","2021-11-05","2021-11-05","2022-01-25","2022-03-01","2022-03-01","2022-05-19","2022-06-16","2022-06-30","2022-07-11","2021-05-01","2021-06-16","2021-06-25","2021-06-25","2022-04-13","2022-06-16","2022-06-16","2022-06-16","2022-06-16","2022-07-01","2022-06-21","2022-06-29","2022-06-29","2022-08-11","2022-08-11","2022-10-19","2021-04-01","2021-05-14","2021-05-20","2022-10-14","2022-07-01","2022-08-31","2021-05-01","2021-05-08","2021-06-17","2022-06-17","2022-06-21","2022-10-14","2022-12-22","2022-12-22","2021-01-07","2021-05-01","2021-05-01","2021-05-16","2021-06-17","2022-06-18","2022-08-02","2022-08-02","2022-08-02"],"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":[["","68180029606","DULOXETINE","CAP 60MG","30","Select","Select",""],["","76204090025","LEVALBUTEROL","NEB 1.25MG","72","Select","Select",""],["","59779044870","CVS NICOTINE","DIS 21MG\/24H","30","Select","Select",""],["","65862053820","LEVOFLOXACIN","TAB 750MG","3","Select","Select",""],["","59310057922","PROAIR HFA","AER ","8","Select","Select",""],["","57664050083","MIRTAZAPINE","TAB 30MG","90","Select","Select",""],["","00032122407","CREON","CAP 24000UNT","270","Select","Select",""],["","00143122701","DICYCLOMINE","TAB 20MG","90","Select","Select",""],["","68180051303","LISINOPRIL","TAB 5MG","90","Select","Select",""],["","00536340401","NICOTINE POL","GUM 2MG CINN","100","Select","Select",""],["","65162052110","PROMETHAZINE","TAB 25MG","30","Select","Select",""],["","00536589688","NICOTINE TD","DIS 21MG\/24H","28","Select","Select",""],["","00378827052","ALBUTEROL","NEB 0.00083","225","Select","Select",""],["","00378668910","PANTOPRAZOLE","TAB 40MG","30","Select","Select",""],["","65862049101","QUETIAPINE","TAB 100MG","30","Select","Select",""],["","68180096256","TOBRAMYCIN","NEB 300\/5ML","280","Select","Select",""],["","16252051605","CIPROFLOXACN","TAB 750MG","15","Select","Select",""],["","69097042112","CELECOXIB","CAP 200MG","60","Select","Select",""],["","42806016105","HYDROXYZ HCL","TAB 50MG","90","Select","Select",""],["","10122082028","BETHKIS","NEB 300\/4ML","112","Select","Select",""],["","50742061510","METOPROL SUC","TAB 25MG ER","15","Select","Select",""],["","65162062711","TRAMADOL HCL","TAB 50MG","28","Select","Select",""],["","00378911998","FENTANYL","DIS 12MCG\/HR","10","Select","Select",""],["","13107008305","LORAZEPAM","TAB 0.5MG","30","Select","Select",""],["","51672128901","NYSTATIN","CRE 100000","15","Select","Select",""],["","64980052810","SODIUM BICAR","TAB 650MG","120","Select","Select",""],["","00378699789","SODIUM CHLOR","NEB 0.03","750","Select","Select",""],["","68180098430","BUDESONIDE","SUS 0.5MG\/2","60","Select","Select",""],["","65162018910","NAPROXEN","TAB 375MG","60","Select","Select",""],["","00115180401","HYDROXYZ PAM","CAP 50MG","270","Select","Select",""],["","59267100002","PFIZER VACC","INJ COVID-19","0","Select","Select",""],["","00093031401","KETOROLAC","TAB 10MG","15","Select","Select",""],["","40985021151","B-1","TAB 100MG","30","Select","Select",""],["","00254200801","COLCHICINE","TAB 0.6MG","30","Select","Select",""],["","65862020199","LOSARTAN POT","TAB 25MG","30","Select","Select",""],["","00904679480","ASPIRIN LOW","CHW 81MG","100","Select","Select",""],["","60258017101","MAG OXIDE","TAB 400MG","90","Select","Select",""],["","00591352530","LIDOCAINE","PAD 0.05","30","Select","Select",""],["","00832125030","RAMELTEON","TAB 8MG","30","Select","Select",""],["","00023611001","ZENPEP","CAP 10000UNT","90","Select","Select",""],["","10006070011","VITAMIN B1","TAB 100MG","30","Select","Select",""],["","51645085101","SENNA","TAB 8.6MG","30","Select","Select",""],["","70000041503","CLEARLAX","POW ","510","Select","Select",""],["","65162010250","GABAPENTIN","CAP 300MG","43","Select","Select",""],["","66689003850","LACTULOSE","SOL 20GM\/30","900","Select","Select",""],["","46122045021","GNP LIDOCAIN","PAD 0.04","10","Select","Select",""],["","71093015504","ZOLPIDEM","TAB 5MG","29","Select","Select",""],["","71288040302","HEPARIN SOD","INJ 5000\/ML","25","Select","Select",""],["","00536124710","SENEXON-S","TAB 8.6-50MG","30","Select","Select",""],["","57664050658","METOPROL TAR","TAB 25MG","60","Select","Select",""],["","10702001801","OXYCODONE","TAB 5MG","30","Select","Select",""],["","00093083205","CLONAZEPAM","TAB 0.5MG","60","Select","Select",""],["","00093216568","NALOXONE HCL","SPR 4MG","2","Select","Select",""],["","47335075649","IPRATROPIUM\/","SOL ALBUTER","180","Select","Select",""],["","46287050816","PETROLATUM","OIN ","30","Select","Select",""],["","72140045231","AQUAPHOR","OIN ","50","Select","Select",""],["","69097084507","CYCLOBENZAPR","TAB 5MG","90","Select","Select",""],["","50428026496","CVS SENNA","TAB 8.6MG","60","Select","Select",""],["","00093414856","LEVALBUTEROL HCL","1.25MG\/3ML","210","Select","Select",""],["","00143122701","DICYCLOMINE HCL","20 MG","90","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":""}]}]}