{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"DEBORAH  K HUDSON","gend":1,"add":"8575 POPLAR CAMP ROAD","city":"AUSTINVILLE","state":"VA","zip":24312,"dob":"1963-09-09","age":"","mstatus":"","insh":"20029511*01","cliId":"","pno":"276\/733-2313","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"276\/728-4311","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":24312,"pcpcounty":"","pcpid":"","pcpname":"DLP TWIN COUNTY PHYSICIAN PRACTICES LLC","plan":"OHP","program":"Medicaid","lob":"OHCC","region":"ROANOKE\/ ALLEGHANY","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"276\/728-0901","pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["Z68.43","E11.9","I10.","E03.9","M25.511","M51.9","Z23.","F41.9","I87.2","J40.","M51.36","S93.401A","S43.401A","S50.01XA","W18.39XA","J42.","E78.5","L28.2","Z12.31","F41.8","Z79.899","G89.4","H00.015","Z12.11","N39.0","R30.9","R35.0","M54.5","M47.817","B34.9","M70.22","Z20.822","Z88.5","Z88.0","Z88.8","Z79.84","Z79.891","M54.9","G89.29","M25.519","E07.9","Z87.891","M79.89","H10.45","H35.033","H40.011","N61.1","R10.9","M46.1","R06.02","M70.20","M54.12","R60.0","J20.9","H92.03","R06.2","R05.9","Z20.9","E66.01","J98.01","F33.2","S60.211A","S40.011A","W01.0XXA","J01.40","R05.","J44.9","E66.9","L03.90","M19.111","V89.2XXA","R50.9","K21.9","B37.3","Z76.0","M19.90","Z79.4","Z79.1","F17.210","F32.9","L73.2","M75.01","S46.911A","J06.9","Z72.0","W19.XXXA","F43.20","G47.00","J02.9","R11.2","U07.1","I26.99","R22.43","M54.17","Z68.42","R53.1","R26.9","R54.","F31.9","Z79.01","M62.81","R26.89","NO DATA","H81.13"],"date":["2022-08-03","2022-10-06","2022-11-14","2022-09-20","2022-07-20","2022-10-27","2022-09-20","2022-11-14","2022-10-27","2021-11-01","2022-07-20","2020-09-03","2020-09-03","2020-09-03","2020-09-03","2020-03-16","2022-09-20","2020-03-16","2020-09-28","2022-10-27","2022-11-14","2022-07-20","2021-10-04","2022-03-22","2021-02-26","2021-02-26","2021-02-26","2021-08-24","2022-09-19","2021-12-25","2021-12-25","2021-12-25","2021-12-25","2022-11-14","2022-11-14","2022-11-14","2022-11-14","2021-12-25","2021-12-25","2021-12-25","2021-12-25","2021-12-25","2022-02-18","2020-08-05","2020-08-05","2020-08-05","2020-12-11","2021-03-15","2022-10-17","2021-12-25","2021-12-25","2020-01-20","2022-02-18","2022-05-16","2022-04-21","2022-05-16","2022-05-16","2022-05-16","2022-09-20","2021-10-13","2019-09-27","2019-12-20","2019-12-20","2019-12-20","2019-12-27","2019-12-27","2022-10-06","2022-11-14","2019-03-27","2019-09-20","2019-09-20","2019-12-30","2019-04-01","2019-04-01","2019-09-25","2022-11-14","2019-09-25","2019-09-25","2022-11-14","2019-07-15","2019-10-21","2019-10-21","2019-12-22","2019-12-22","2019-12-22","2019-12-22","2022-10-27","2022-03-22","2022-04-21","2022-04-21","2022-10-06","2022-10-27","2022-10-06","2022-06-20","2022-09-20","2022-11-14","2022-11-14","2022-11-14","2022-11-14","2022-11-14","2022-11-14","2022-11-14","2022-11-14","2022-10-27"],"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":[["","55111015810","OMEPRAZOLE","CAP 20MG","30","Select","Select",""],["","55111032101","GLIMEPIRIDE","TAB 2MG","60","Select","Select",""],["","68462041820","LIDOCAINE","OIN 0.05","213","Select","Select",""],["","65862053750","LEVOFLOXACIN","TAB 500MG","10","Select","Select",""],["","13107015790","PAROXETINE","TAB 40MG","30","Select","Select",""],["","68180051901","LISINOP\/HCTZ","TAB 20-12.5","30","Select","Select",""],["","69097081507","GABAPENTIN","CAP 400MG","90","Select","Select",""],["","70377002811","ATORVASTATIN","TAB 20MG","90","Select","Select",""],["","00378181710","LEVOTHYROXIN","TAB 175MCG","30","Select","Select",""],["","53885027150","ONETOUCH","TES VERIO","50","Select","Select",""],["","00093321205","CLONAZEPAM","TAB 1MG","60","Select","Select",""],["","43386035701","HYDROCO\/APAP","TAB 7.5-325","28","Select","Select",""],["","11877001140","BINAXNOW","KIT HOME TES","8","Select","Select",""],["","13668000705","ZOLPIDEM","TAB 5MG","30","Select","Select",""],["","68382076010","METFORMIN","TAB 1000MG","60","Select","Select",""],["","68382002310","ATENOLOL","TAB 50MG","30","Select","Select",""],["","59310057922","PROAIR","AER ","8","Select","Select",""],["","65162068090","PROMETHAZINE","SOL DM","150","Select","Select",""],["","67877054360","CEFDINIR","CAP 300MG","20","Select","Select",""],["","65862039110","ONDANSETRON","TAB 8MG ODT","10","Select","Select",""],["","00378064110","PREDNISONE","TAB 10MG","30","Select","Select",""],["","80777027315","MODERNA","INJ COVID-19","0","Select","Select",""],["","00093216568","NALOXONE","SPR 4MG","2","Select","Select",""],["","00003376474","ELIQUIS","TAB 5MG","74","Select","Select",""],["","16571066101","MECLIZINE","TAB 25MG","30","Select","Select",""],["","67877012450","SILVER","CRE 0.01","50","Select","Select",""],["","68382037003","NYSTATIN","POW 100000","60","Select","Select",""],["","49483060350","IBUPROFEN","TAB 600MG","24","Select","Select",""],["","","CEPHALEXIN","CAP 500MG","","Select","Select",""],["","65862007701","CIPROFLOXACN","TAB 500MG","20","Select","Select",""],["","75826011510","PHENAZOPYRID","TAB 200MG","9","Select","Select",""],["","00597015230","JARDIANCE","TAB 10MG","30","Select","Select",""],["","","NARCAN","SPR ","","Select","Select",""],["","00093317431","ALBUTEROL","AER HFA","8","Select","Select",""],["","24208091055","ERYTHROMYCIN","OIN 5MG\/GM","4","Select","Select",""],["","24658031205","DOXYCYCL","TAB 100MG","14","Select","Select",""],["","00093005805","TRAMADOL","TAB 50MG","40","Select","Select",""],["","68180072103","AMLODIPINE","TAB 10MG","30","Select","Select",""],["","","TRIAMCINOLON","CRE 0.001","","Select","Select",""],["","","FUROSEMIDE","TAB 40MG","","Select","Select",""],["","","DIAZEPAM","TAB 5MG","","Select","Select",""],["","65862042005","SMZ\/TMP","TAB 800-160","20","Select","Select",""],["","00173085910","BREO","INH 100-25","60","Select","Select",""],["","59746028490","PANTOPRAZOLE","TAB 40MG","30","Select","Select",""],["","70710113908","FLUCONAZOLE","TAB 150MG","2","Select","Select",""],["","65162019050","NAPROXEN","TAB 500MG","60","Select","Select",""],["","64376065716","BROM\/PSE\/DM","SYP ","140","Select","Select",""],["","00085113204","PROVENTIL","AER HFA","7","Select","Select",""],["","00186037020","SYMBICORT","AER 160-4.5","10","Select","Select",""],["","10702002501","PHENTERMINE","TAB 37.5MG","30","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":{"indx":[["","","",""],[""],[""],[""],[""],[""]],"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":""}]}]}