{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"BRIANNA   L HARPER","gend":1,"add":"769 GLENDALE AVE","city":"DANVILLE","state":"VA","zip":"24540-9998","dob":"1996-11-18","age":"","mstatus":"","insh":"20009976*01","cliId":"","pno":"434\/688-0244","cno":"434\/688-0244","email":"","ename":"","eno":"","pphy":"ARROYO, DEIRDRE F NP","ppno":"434\/791-4122","pcpadd":"705 MAIN STREET","pcpcity":"DANVILLE","pcpstate":"VA","pcpzip":24541,"pcpcounty":"","pcpid":"","pcpname":"","plan":"OHP","program":"MEDICAID","lob":"OHCC","region":"","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"434\/791-4126","pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["F90.0","G43.109","G47.33","M79.7","M79.603","R20.2","G62.9","M54.5","R03.0","E66.01","Z68.41","E28.2","M15.0","F90.9","N39.41","F99.","F33.2","D47.3","D50.0","Z79.899","Z80.3","Z88.1","Z91.040","M35.00","E55.9","K12.1","M79.671","M79.672","L65.9","M25.50","R53.83","I73.00","G25.81","M70.71","E66.3","M16.0","M13.0","D72.829","NO DATA","R06.02","Z68.42","Z91.81","R39.81","M79.641","G89.29","M79.642","E66.9","R26.89","Z79.891","G47.30","E02.","R79.89","D50.9","E16.2","E78.1","R73.9"],"date":["2022-05-03","2021-12-20","2022-10-28","2022-08-18","2020-08-06","2022-05-03","2021-12-20","2021-06-10","2020-08-17","2022-09-26","2020-08-17","2022-06-01","2022-06-01","2022-06-01","2022-06-01","2022-09-01","2022-11-03","2022-10-31","2022-10-31","2022-10-24","2022-10-24","2022-10-31","2022-10-31","2022-09-26","2022-06-14","2020-12-14","2022-03-28","2022-03-28","2020-12-14","2020-12-14","2022-08-18","2022-08-01","2020-12-14","2022-03-28","2020-12-14","2022-08-01","2022-06-25","2022-10-31","2022-09-26","2021-10-25","2022-09-26","2021-10-25","2022-08-01","2021-12-06","2022-05-03","2021-12-06","2021-12-20","2022-05-03","2022-08-18","2022-09-26","2022-09-26","2022-09-26","2022-09-26","2022-09-26","2022-09-26","2022-09-26"],"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":[["","00555097302","AMPHET\/DEXTR","TAB 20MG","60","Select","Select",""],["","68382009605","HYDROXYCHLOR","TAB 200MG","180","Select","Select",""],["","59310057922","PROAIR","AER ","8","Select","Select",""],["","08290309626","1ML","MIS 25GX5\/8\"","12","Select","Select",""],["","68382005105","MELOXICAM","TAB 15MG","90","Select","Select",""],["","68382039801","POT  CHLORIDE","TAB 20MEQ ER","90","Select","Select",""],["","00143301801","COLCHICINE","CAP 0.6MG","180","Select","Select",""],["","57844012001","ADDERALL","TAB 20MG","60","Select","Select",""],["","43547040211","FUROSEMIDE","TAB 40MG","90","Select","Select",""],["","81131011147","BIOTIN","CAP 5000MCG","180","Select","Select",""],["","59746000103","METHYLPRED","TAB 4MG","21","Select","Select",""],["","55111018015","TIZANIDINE","TAB 4MG","270","Select","Select",""],["","00574060810","FERROUS","TAB 324MG EC","30","Select","Select",""],["","68682010610","NIFEDIPINE","TAB 60MG ER","90","Select","Select",""],["","61703035038","METHOTREXATE","INJ 25MG\/ML","4","Select","Select",""],["","69315012710","FOLIC","TAB 1000MCG","90","Select","Select",""],["","54629060099","DOCUSATE","CAP 100MG","180","Select","Select",""],["","49035007860","EQ","CAP SOFTENER","180","Select","Select",""],["","57237007710","ONDANSETRON","TAB 4MG ODT","15","Select","Select",""],["","16714079904","CETIRIZINE","TAB 10MG","90","Select","Select",""],["","00093505998","ATORVASTATIN","TAB 20MG","90","Select","Select",""],["","49035045875","ALLERGY","TAB 10MG","90","Select","Select",""],["","00487030101","ALBUTEROL","NEB 0.63MG\/3","300","Select","Select",""],["","57237001930","DULOXETINE","CAP 60MG","60","Select","Select",""],["","67877022310","GABAPENTIN","CAP 300MG","30","Select","Select",""],["","31722071390","PANTOPRAZOLE","TAB 40MG","90","Select","Select",""],["","49035052640","STOOL","CAP 100MG","60","Select","Select",""],["","16714008310","HYDROXYZ","TAB 50MG","60","Select","Select",""],["","69097086107","ZONISAMIDE","CAP 100MG","90","Select","Select",""],["","68180044701","QUETIAPINE","TAB 100MG","90","Select","Select",""],["","00555913167","OCELLA","TAB 3-0.03MG","84","Select","Select",""],["","68180090213","DROSPIR\/ETHI","TAB 3-0.03MG","28","Select","Select",""],["","49035039608","ACID","TAB 20MG","60","Select","Select",""],["","57237008863","RIZATRIPTAN","TAB 10MG","12","Select","Select",""],["","00904645780","DOK","CAP 100MG","180","Select","Select",""],["","57664037713","TRAMADOL","TAB 50MG","90","Select","Select",""],["","55111014512","FLUCONAZOLE","TAB 150MG","1","Select","Select",""],["","00228280111","PILOCARPINE","TAB 5MG","270","Select","Select",""],["","11877001140","BINAXNOW","KIT HOME TES","8","Select","Select",""],["","00781185220","AMOX\/K","TAB 875-125","14","Select","Select",""],["","08290309581","3ML","MIS 25GX1\"","12","Select","Select",""],["","59467031830","MITIGARE","CAP 0.6MG","60","Select","Select",""],["","59746017509","PREDNISONE","TAB 20MG","7","Select","Select",""],["","29300022019","MONTELUKAST","TAB 10MG","90","Select","Select",""],["","55111064530","OMEPRAZOLE","CAP 40MG","90","Select","Select",""],["","59651003085","ZUMANDIMINE","TAB 3-0.03MG","84","Select","Select",""],["","00173068220","VENTOLIN","AER ","54","Select","Select",""],["","65862042005","SMZ\/TMP","TAB 800-160","10","Select","Select",""],["","80777027398","MODERNA","INJ COVID-19","0","Select","Select",""],["","69097012415","TOPIRAMATE","TAB 100MG","135","Select","Select",""],["","05388062809","MELATONIN","TAB 5MG","30","Select","Select",""],["","45802086803","POLYETH","POW 3350 NF","510","Select","Select",""],["","10939081044","SM","TAB 5MG","90","Select","Select",""],["","50383077504","LIDOCAINE","SOL 2% VISC","380","Select","Select",""],["","00115146845","LIDO\/PRILOCN","CRE 2.5-2.5%","30","Select","Select",""],["","55111029209","SUMATRIPTAN","TAB 50MG","9","Select","Select",""],["","45963014205","BUPROPN","TAB 300MG XL","30","Select","Select",""],["","49502010202","EPINEPHRINE","INJ 0.3MG","2","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":""}]}]}