{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"JAMES   W HERNANDEZ","gend":0,"add":"600 BIRCH ST","city":"PULASKI","state":"VA","zip":"24301-9998","dob":"1960-01-01","age":"","mstatus":"","insh":"20029077*01","cliId":"","pno":"540\/315-6124","cno":"540\/257-5024","email":"","ename":"","eno":"","pphy":"STEWART, KNOTRESHA F MD","ppno":"540\/835-0500","pcpadd":"28 TOWN CENTER DRIVE","pcpcity":"DUBLIN","pcpstate":"VA","pcpzip":24084,"pcpcounty":"","pcpid":"","pcpname":"RIVER VALLEY HEALTHCARE ASSOCIATES PC","plan":"OHP","program":"MEDICAID","lob":"OHCC","region":"ROANOKE ALLEGHANY","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"540\/307-5070","pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["J44.9","R69.","E11.9","E78.5","G47.33","I10.","R42.","Z79.899","G89.4","M19.012","M19.011","K57.30","K64.8","Z86.010","K63.5","E13.42","R13.10","Z68.43","R05.","G47.00","I48.91","F32.9","R09.02","Z71.6","Z79.01","R52.","R07.9","R06.02","I26.99","I82.509","R55.","H25.812","G47.10","E66.3","Z87.891","Z11.59","K61.0","H25.11","R29.91","M25.519","E11.40","I48.0","M54.5","H25.811","M25.512","M62.81","I49.9","Z12.11","K57.90","K64.1","K62.1","L02.215","N50.82","H25.12","E78.00","K21.9","F17.210","I20.9","E66.01","Z68.42","R12.","L03.315","H25.13","R65.20","J18.1","R04.2","E29.1","J18.9","K29.50","A41.9","Z72.0","E83.42","D72.829","G62.9","I83.90","F41.1","R06.89","Z71.89","M47.816","M13.0","J44.0","I25.10","F41.9","K64.9","K59.00","E66.9","K29.70","Z86.711","K31.89","Z01.810","I45.10","M75.122","S40.011A","I47.1","S90.112A","I11.9","Z23.","Z79.84","S99.922A","S90.122A","W28.XXXA","NO DATA","M25.511","F17.200","M75.100"],"date":["2022-09-20","2022-09-30","2022-09-20","2022-09-01","2022-08-23","2022-09-20","2020-10-05","2022-08-23","2021-02-18","2021-02-18","2021-02-18","2021-09-15","2021-09-15","2021-09-15","2021-09-15","2021-02-18","2021-02-08","2022-09-20","2021-02-08","2022-08-23","2022-08-23","2021-11-04","2022-08-23","2022-08-23","2022-08-23","2020-10-12","2021-02-04","2022-09-01","2022-04-26","2022-09-01","2021-03-22","2021-04-30","2021-10-11","2021-10-11","2021-10-11","2021-10-11","2021-03-22","2021-05-11","2022-08-23","2022-09-20","2021-09-08","2022-09-01","2020-12-15","2021-08-11","2022-01-24","2021-12-09","2021-09-07","2021-09-08","2021-09-08","2021-09-08","2021-09-08","2021-03-22","2021-03-22","2021-04-22","2021-09-08","2022-07-31","2021-09-08","2021-09-08","2021-09-08","2021-09-08","2020-01-14","2021-03-22","2021-04-02","2019-06-22","2019-06-24","2019-06-23","2019-07-31","2019-07-31","2019-09-25","2019-06-22","2019-06-22","2019-06-23","2019-06-23","2019-01-18","2019-01-18","2019-05-30","2019-11-01","2019-03-26","2019-04-01","2019-04-01","2019-06-22","2022-07-31","2019-06-22","2019-06-22","2019-06-22","2019-06-22","2019-09-03","2022-07-31","2019-09-25","2019-08-26","2019-08-26","2022-02-04","2022-10-17","2022-04-26","2022-07-31","2022-07-31","2022-07-31","2022-07-31","2022-07-31","2022-07-31","2022-07-31","2022-08-23","2022-07-30","2022-07-30","2022-01-24"],"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":[["","50458058030","XARELTO","TAB 10MG","30","Select","Select",""],["","43547040611","CLONAZEPAM","TAB 0.5MG","84","Select","Select",""],["","55111046705","METOPROL","TAB 50MG ER","30","Select","Select",""],["","55111015905","OMEPRAZOLE","CAP 40MG","15","Select","Select",""],["","53885024450","ONETOUCH","TES ULTRA BL","50","Select","Select",""],["","13668000701","ZOLPIDEM","TAB 5MG","30","Select","Select",""],["","31722088530","ROSUVASTATIN","TAB 40MG","30","Select","Select",""],["","00591042405","TRIAMT\/HCTZ","TAB 37.5-25","30","Select","Select",""],["","00781569031","EZETIMIBE","TAB 10MG","30","Select","Select",""],["","43547035610","LISINOPRIL","TAB 40MG","30","Select","Select",""],["","50742017501","ISOSORB","TAB 30MG ER","30","Select","Select",""],["","59310057922","PROAIR","AER ","8","Select","Select",""],["","00002143480","TRULICITY","INJ 1.5\/0.5","2","Select","Select",""],["","00173086910","ANORO","AER 62.5-25","60","Select","Select",""],["","00597015330","JARDIANCE","TAB 25MG","90","Select","Select",""],["","16714061205","SERTRALINE","TAB 50MG","30","Select","Select",""],["","16729000301","GLIMEPIRIDE","TAB 4MG","30","Select","Select",""],["","","ALBUTEROL","AER HFA","","Select","Select",""],["","","AMOX\/K","TAB 500-125","","Select","Select",""],["","49100036374","CULTURELLE","CAP IMMUNITY","30","Select","Select",""],["","68382005105","MELOXICAM","TAB 15MG","90","Select","Select",""],["","52817031910","BACLOFEN","TAB 5MG","60","Select","Select",""],["","10702019110","HYDROCO\/APAP","TAB 10-325MG","120","Select","Select",""],["","00093314705","CEPHALEXIN","CAP 500MG","15","Select","Select",""],["","00527155201","BUT\/ASA\/CAFF","CAP ","20","Select","Select",""],["","71093012205","GABAPENTIN","CAP 400MG","120","Select","Select",""],["","","LIDO\/PRILOCN","CRE 2.5-2.5%","","Select","Select",""],["","61314063705","PREDNISOLONE","SUS 1% OP","5","Select","Select",""],["","69547035302","NARCAN","SPR ","2","Select","Select",""],["","00121087316","LACTULOSE","SOL 10GM\/15","473","Select","Select",""],["","00169406012","VICTOZA","INJ 18MG\/3ML","6","Select","Select",""],["","08222095831","PEN  NEEDLES","MIS 31GX8MM","100","Select","Select",""],["","16729000517","SIMVASTATIN","TAB 20MG","30","Select","Select",""],["","37205024678","VITAMIN","TAB 5000UNIT","30","Select","Select",""],["","80777027310","MODERNA","INJ COVID-19","0","Select","Select",""],["","00006027731","JANUVIA","TAB 100MG","90","Select","Select",""],["","00310654004","BYDUREON","INJ 2\/0.85ML","3","Select","Select",""],["","69315030802","CIPROFLOXACN","SOL 0.3% OP","5","Select","Select",""],["","61314012605","KETOROLAC","SOL 0.005","5","Select","Select",""],["","45963067611","METOPROLOL","TAB 50MG ER","90","Select","Select",""],["","","TESTOST","INJ 200MG\/ML","","Select","Select",""],["","00591544305","PREDNISONE","TAB 20MG","10","Select","Select",""],["","13668001005","CITALOPRAM","TAB 20MG","30","Select","Select",""],["","","CONTOUR","TES NEXT","","Select","Select",""],["","","3ML","MIS 21GX1\"","","Select","Select",""],["","","FLUTICASONE","SPR 50MCG","","Select","Select",""],["","","MOVANTIK","TAB 25MG","","Select","Select",""],["","","RELISTOR","TAB 150MG","","Select","Select",""],["","59762330403","NITROGLYCERN","SUB 0.4MG","25","Select","Select",""],["","","PROVENTIL","AER HFA","","Select","Select",""],["","00023599060","ANDRODERM","DIS 2MG\/24HR","30","Select","Select",""],["","00173068220","VENTOLIN","AER ","18","Select","Select",""],["","00173088210","BREO","INH 200-25","60","Select","Select",""],["","00536589688","NICOTINE","DIS 21MG\/24H","90","Select","Select",""],["","67877021620","CEFUROXIME","TAB 500MG","10","Select","Select",""],["","68180016113","AZITHROMYCIN","TAB 500MG","3","Select","Select",""],["","59762372004","ALPRAZOLAM","TAB 0.5MG","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":{"indx":[["","","",""],[""],[""],[""],[""],[""]],"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":""}]}]}