{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"VERNEDA   W CHERRY","gend":1,"add":"2508 KAREN MARIE CT","city":"NORFOLK","state":"VA","zip":"23509-9998","dob":"1952-10-11","age":"","mstatus":"","insh":"20025299*01","cliId":"","pno":"757\/853-1905","cno":"757\/717-0003","email":"","ename":"","eno":"","pphy":"TUCKER, MICHAEL MD","ppno":"757\/625-3777","pcpadd":"110 KINGSLEY LANE SUITE 411","pcpcity":"NORFOLK","pcpstate":"VA","pcpzip":23505,"pcpcounty":"","pcpid":"","pcpname":"MICHAEL L TUCKER MD FAMILY PRACTICE","plan":"OHP","program":"MEDICAID","lob":"OHCC","region":"TIDEWATER","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"757\/625-7411","pcpnpi":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["J06.9","I10.","E78.2","L20.82","L28.0","S93.402A","M79.604","W18.39XA","Y92.009","L60.3","B35.3","L81.0","R40.0","R06.83","F03.90","I69.351","I69.390","M76.31","M70.61","R55.","F13.20","I65.23","I48.91","E55.9","R07.9","Z86.73","I63.9","M17.9","E78.5","F41.9","M19.90","G43.909","I77.1","Z79.82","Z79.51","Z79.899","Z88.0","R06.02","G47.33","Q80.0","H92.03","R00.2","R53.1","J45.50","L28.1","B35.1","Z00.00","J20.9","I65.02","L21.8","I11.9","F17.210"],"date":["2019-02-05","2021-11-24","2021-04-27","2020-12-23","2021-10-28","2019-04-08","2019-04-08","2019-04-08","2019-04-08","2019-08-06","2019-08-06","2021-04-08","2021-07-13","2021-07-13","2021-07-13","2021-07-13","2021-07-13","2021-07-13","2021-07-13","2021-07-13","2021-07-13","2021-08-17","2021-11-24","2021-08-31","2021-11-24","2019-06-25","2021-11-24","2020-10-27","2021-11-24","2021-11-24","2021-11-24","2021-11-24","2021-11-24","2021-11-24","2021-11-24","2021-11-24","2021-11-24","2021-08-09","2020-03-02","2021-04-08","2019-09-03","2021-08-22","2019-04-08","2020-03-10","2021-08-04","2019-05-28","2021-01-26","2020-03-02","2021-07-13","2020-07-29","2021-08-09","2021-08-09"],"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":[["","","FLUOCINONIDE","OIN 0.0005","","Select","Select",""],["","67877019905","AMLODIPINE","TAB 10MG","30","Select","Select",""],["","","AMMONIUM","CRE 0.12","","Select","Select",""],["","64380073706","VITAMIN","CAP 50000UNT","4","Select","Select",""],["","60505258009","ATORVASTATIN","TAB 40MG","30","Select","Select",""],["","65862016001","ZOLPIDEM","TAB 10MG","30","Select","Select",""],["","68462060965","PIMECROLIMUS","CRE 0.01","60","Select","Select",""],["","31722095801","BENZONATATE","CAP 200MG","30","Select","Select",""],["","59267100002","PFIZER","INJ COVID-19","0","Select","Select",""],["","11822316910","RA","TAB 81MG EC","30","Select","Select",""],["","59310057922","PROAIR","AER ","26","Select","Select",""],["","67877032105","IBUPROFEN","TAB 800MG","90","Select","Select",""],["","00187510102","ELIDEL","CRE 0.01","60","Select","Select",""],["","42806016001","HYDROXYZ","TAB 25MG","60","Select","Select",""],["","","ALBUTEROL","NEB 0.00083","","Select","Select",""],["","50383004224","PREDNISOLONE","SOL 15MG\/5ML","300","Select","Select",""],["","50742061601","METOPROL","TAB 50MG ER","90","Select","Select",""],["","49281012165","FLUZONE","INJ 2021-22","1","Select","Select",""],["","00003089421","ELIQUIS","TAB 5MG","180","Select","Select",""],["","11534015901","PHENTERMINE","CAP 37.5MG","30","Select","Select",""],["","13668001101","CITALOPRAM","TAB 40MG","30","Select","Select",""],["","64679096105","AZITHROMYCIN","TAB 250MG","6","Select","Select",""],["","52565005626","TRIAMCINOLON","CRE 0.001","454","Select","Select",""],["","65862007930","TERBINAFINE","TAB 250MG","45","Select","Select",""],["","16714063201","ALENDRONATE","TAB 35MG","4","Select","Select",""],["","","METHYLPRED","TAB 4MG","","Select","Select",""],["","58160081912","SHINGRIX","INJ 50MCG","1","Select","Select",""],["","68382005001","MELOXICAM","TAB 7.5MG","30","Select","Select",""],["","65862057490","MONTELUKAST","TAB 10MG","30","Select","Select",""],["","","PROMETH\/COD","SOL 6.25-10","","Select","Select",""],["","","CIPROFLOXACN","TAB 500MG","","Select","Select",""],["","00603107558","CHERATUSSIN","SYP AC","240","Select","Select",""],["","50383008716","GUAIATUSS","SYP 100-10\/5","240","Select","Select",""],["","00085113204","PROVENTIL","AER HFA","7","Select","Select",""],["","00173068220","VENTOLIN","AER ","18","Select","Select",""],["","24208063110","NEO\/POLY\/HC","SOL 1% OTIC","10","Select","Select",""],["","33332001801","AFLURIA","INJ PF 18-19","0","Select","Select",""],["","00005197102","PREVNAR","INJ ","0","Select","Select",""],["","58160084252","BOOSTRIX","INJ ","0","Select","Select",""],["","45802013811","CICLOPIROX","CRE 0.0077","30","Select","Select",""],["","70461001903","FLUAD","INJ 2019-20","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":""}]}]}