{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"STACEY   K REYNOLDS","gend":1,"add":"1987 CEMETERY ROAD","city":"CHASE CITY","state":"VA","zip":"23924-9998","dob":"1988-01-24","age":"","mstatus":"","insh":"1182506*01","cliId":"","pno":"434\/471-3400","cno":"434\/575-0736","email":"","ename":"","eno":"","pphy":"ACKERMAN, CHRISTOPHER J MD","ppno":"434\/848-0771","pcpadd":"203 SHARP ST","pcpcity":"LAWRENCEVILLE","pcpstate":"VA","pcpzip":23868,"pcpcounty":"","pcpid":"","pcpname":"LAWRENCEVILLE PRIMARY CARE PC","plan":"OHP","program":"MEDICAID","lob":"M4","region":"CENTRAL","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"434\/848-3814","pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["F31.81","Z20.828","F33.2","Z11.52","F41.1","F14.10","E86.0","F10.10","I69.30","I69.354","F32.0","M54.9","J45.30","G47.00","R11.0","R10.9","R14.0","K31.1","Z90.49","NO DATA","M54.5","M25.461","M65.9","M25.561","N76.2","M54.2","R51.","R42.","R56.9","K21.9","F17.210","R10.31","R19.4","F33.1","K92.1","K58.1","K64.8","F41.9","Z01.89","Z01.810","Z01.812","M51.36","M13.0","G89.29","M79.7","R53.83","M25.562","E55.9","Z28.21","Z79.899","F32.9","R00.0","T14.91XA","F14.90","S51.811A","K58.9","F25.9","R29.818","B00.1","M22.41","Z01.818","Z20.822","I47.1","F14.20","Z76.89","R10.13","K30.","K29.50","F10.129","R05.","K59.00","K60.2","R63.4","F17.200","F44.4","J02.9","J06.9","Z86.73","F31.9","R52.","Z71.2","Z86.69","F13.20","R25.2","K29.70","K22.2","I69.311","Z01.419","G81.91","F13.239","F41.0","F43.12","M17.0","R27.0","Z90.710","Z91.410","Z91.411","Z88.0","Z91.040","F45.0","S90.31XA","J20.9","T42.4X2A","N30.00","F32.89","M54.42","M54.41","M54.16","I63.9","N39.0","R20.2","R53.1","R45.0","R10.84","R10.30","S63.501A","J96.00","G93.40","T48.1X2A","T39.312A","T43.592A","R45.1","Z80.3","Z80.1","V58.89","T50.902A","Z72.0","F13.230","R10.2","T43.91XA","R41.82","Z99.11","N76.0","R40.4","Z74.3","F43.22","R29.810","R47.81","R20.0","R07.89","R06.02","T50.904A","J96.01","J18.9","R10.11","F33.9","Z03.89","J40.","M54.17","F19.20","F39.","M25.571","F11.90","F19.10","J44.9","M25.551","M25.552","A08.4","R50.9","R10.32","F11.20"],"date":["2021-08-23","2021-08-24","2022-01-25","2021-11-30","2021-04-20","2020-09-29","2020-08-27","2020-09-29","2020-09-29","2020-09-29","2021-04-20","2022-09-12","2020-08-11","2020-10-05","2021-04-20","2020-11-03","2020-11-03","2020-10-16","2020-11-03","2022-07-12","2021-02-04","2021-02-12","2021-02-12","2021-07-29","2021-05-10","2020-06-02","2020-06-02","2020-08-13","2020-07-29","2020-09-29","2020-09-29","2022-07-29","2020-11-16","2021-10-06","2020-03-03","2020-02-17","2020-02-17","2022-03-17","2020-08-31","2021-03-18","2021-03-18","2020-06-15","2020-08-13","2022-07-29","2020-08-13","2020-08-13","2020-08-13","2020-08-13","2020-08-13","2020-08-13","2021-08-08","2020-12-08","2020-09-25","2020-09-25","2020-09-25","2020-09-25","2020-09-26","2020-12-08","2021-01-11","2021-03-22","2021-03-18","2021-03-18","2022-05-09","2021-11-05","2020-08-13","2020-10-07","2020-10-07","2020-10-07","2021-08-08","2021-09-16","2020-02-17","2020-03-03","2020-08-31","2020-08-31","2020-12-08","2021-09-21","2021-11-30","2020-02-28","2020-02-28","2020-04-16","2020-08-13","2020-08-13","2022-09-13","2020-03-26","2020-10-07","2020-10-07","2021-09-30","2019-06-06","2019-12-07","2019-12-07","2019-12-07","2019-12-07","2019-12-07","2019-12-07","2019-12-07","2019-12-07","2019-12-07","2019-12-07","2019-12-07","2019-12-07","2019-06-13","2019-08-25","2019-05-04","2019-10-21","2019-05-09","2022-07-29","2022-07-29","2019-11-04","2019-12-09","2019-12-16","2019-12-16","2019-12-16","2019-02-01","2019-02-19","2019-02-19","2019-03-06","2019-05-04","2019-05-04","2019-05-04","2019-05-04","2019-05-04","2019-05-04","2019-05-04","2019-05-04","2019-05-07","2019-05-07","2019-05-07","2019-05-07","2022-07-29","2019-05-04","2019-05-04","2019-05-04","2019-08-06","2019-05-03","2019-05-03","2019-05-29","2019-12-07","2019-12-07","2019-12-07","2019-02-01","2019-02-01","2019-05-04","2019-05-04","2019-05-04","2019-02-10","2019-04-30","2019-05-04","2019-08-23","2019-04-13","2019-05-06","2019-05-06","2022-03-17","2022-04-13","2022-04-13","2022-09-12","2022-07-29","2022-07-29","2022-01-27","2022-01-27","2022-07-29","2022-09-13"],"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":{"indx":[false,false],"comment":["",""],"score":["",""]}},{"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":[["","00228202996","ALPRAZOLAM","TAB 0.5MG","60","Select","Select",""],["","00115165903","PROPRANOLOL","TAB 10MG","60","Select","Select",""],["","65862001105","SERTRALINE","TAB 25MG","30","Select","Select",""],["","65862018730","ONDANSETRON","TAB 4MG","30","Select","Select",""],["","65862049001","QUETIAPINE","TAB 50MG","30","Select","Select",""],["","00228212750","CLONIDINE","TAB 0.1MG","15","Select","Select",""],["","","LOPERAMIDE","CAP 2MG","","Select","Select",""],["","69547035302","NARCAN","SPR ","2","Select","Select",""],["","00093216568","NALOXONE","SPR ","2","Select","Select",""],["","52817033200","CYCLOBENZAPR","TAB 10MG","60","Select","Select",""],["","00406012405","HYDROCO\/APAP","TAB 7.5-325","8","Select","Select",""],["","00591544305","PREDNISONE","TAB 20MG","8","Select","Select",""],["","29300012410","MELOXICAM","TAB 7.5MG","20","Select","Select",""],["","57237023305","SMZ-TMP","TAB 800-160","20","Select","Select",""],["","00093005301","BUSPIRONE","TAB 5MG","60","Select","Select",""],["","65862050220","AMOX\/K","TAB 500-125","20","Select","Select",""],["","59779054462","ARTHRTS","TAB 650MG","30","Select","Select",""],["","31722070530","VALACYCLOVIR","TAB 1GM","60","Select","Select",""],["","76385012401","METHOCARBAM","TAB 750MG","30","Select","Select",""],["","00406051205","OXYCOD\/APAP","TAB 5-325MG","18","Select","Select",""],["","64380080807","IBUPROFEN","TAB 600MG","30","Select","Select",""],["","51672404801","CLOTRIM\/BETA","CRE DIPROP","15","Select","Select",""],["","67877054360","CEFDINIR","CAP 300MG","14","Select","Select",""],["","59310057922","PROAIR","AER ","8","Select","Select",""],["","65162068090","PROMETHAZINE","SOL DM","240","Select","Select",""],["","00781808926","AZITHROMYCIN","TAB 250MG","6","Select","Select",""],["","63304069301","CLINDAMYCIN","CAP 300MG","28","Select","Select",""],["","00254100752","ALBUTEROL","AER HFA","7","Select","Select",""],["","","KETOROLAC","TAB 10MG","","Select","Select",""],["","27241009903","DULOXETINE","CAP 60MG","30","Select","Select",""],["","","GAVILYTE-N","SOL FLAV PK","","Select","Select",""],["","","TIZANIDINE","CAP 2MG","","Select","Select",""],["","","ORPHENADRINE","TAB 100MG ER","","Select","Select",""],["","","DICLOFENAC","TAB 75MG DR","","Select","Select",""],["","","TRAMADOL","TAB 50MG","","Select","Select",""],["","","CARISOPRODOL","TAB 350MG","","Select","Select",""],["","50111043302","TRAZODONE","TAB 50MG","30","Select","Select",""],["","","MILK","SUS 400\/5ML","","Select","Select",""],["","","OMEPRAZOLE","CAP 40MG","","Select","Select",""],["","50111033402","METRONIDAZOL","TAB 500MG","14","Select","Select",""],["","","METOCLOPRAM","TAB 5MG","","Select","Select",""],["","16729013716","CLONAZEPAM","TAB 1MG","60","Select","Select",""],["","00527133001","BACLOFEN","TAB 10MG","20","Select","Select",""],["","68462019005","NAPROXEN","TAB 500MG","60","Select","Select",""],["","31722071390","PANTOPRAZOLE","TAB 40MG","90","Select","Select",""],["","00574110404","BROM\/PSE\/DM","SYP ","200","Select","Select",""],["","63824017265","DELSYM","SUS 30MG\/5ML","148","Select","Select",""],["","64380071206","BENZONATATE","CAP 100MG","30","Select","Select",""],["","50580072812","ZYRTEC-D","TAB 5-120MG","10","Select","Select",""],["","50580029710","TYLENOL","TAB 650MG","30","Select","Select",""],["","00187010820","TUSSICAPS","CAP 10-8MG","10","Select","Select",""],["","31722072320","LEVOFLOXACIN","TAB 750MG","10","Select","Select",""],["","47781030301","NITROFURANTN","CAP 100MG","14","Select","Select",""],["","51293081101","PHENAZOPYRID","TAB 200MG","6","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":""}]}]}