{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"LYNETTE  A SNOWDEN","gend":1,"add":"217 MILL CREEK PKWY APT 1D","city":"CHESAPEAKE","state":"VA","zip":23323,"dob":"1963-06-19","age":"","mstatus":"","insh":"20035366*01","cliId":"","pno":"757\/956-8344","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"757\/606-1656","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":23323,"pcpcounty":"","pcpid":"","pcpname":"Family Physicians of Chesapeake","plan":"OHP","program":"Medicaid","lob":"OHCC","region":"TIDEWATER","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"757\/606-1657","pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["J40.","D86.0","K21.9","B00.2","E11.9","Z72.0","J44.9","D86.9","Z79.4","M05.79","Z79.899","E13.49","J20.8","R06.00","R09.02","Z20.828","E11.65","N17.9","J84.9","F17.210","R06.02","E66.01","Z68.34","NO DATA","J96.90","I12.9","E11.22","Z71.9","M05.69","J84.10","E04.1","E04.2","J45.40","J45.901","R06.2","M25.559","G89.4","I10.","B33.23","I31.4","Z68.36","E11.21","F34.0","F17.200","V58.89","M25.552","M70.62","M19.90","M54.9","D48.5","L02.212","R94.31","R26.81","G89.29","E11.42","J44.0","Z79.52","F32.9","Z90.49","Z79.51","J44.1","G43.909","D50.9","T38.0X5A","E78.5","M10.9","R07.9","E11.3311","L72.0","E11.29","R26.89","I36.1","E66.9","E11.8","N94.9","I51.7","I42.9","N18.2","M25.551","R29.898","M72.2","M79.671","M79.672","R06.03","J20.9","M79.609","Z01.810","H34.8112","H35.62","H35.033","E11.3293","M16.12","A60.00","V89.2XXA","Z09.","M15.3","E11.3312","H04.123","E11.3313","M79.604","M79.605","M70.61","Z23.","R76.8","L02.91","E86.0","M43.16","M47.25","M54.31","M54.32","G62.9","Z01.812","Z20.822","R10.32","M54.5","Z68.35","R05.","K59.01","M54.2","M79.673","M79.606","M70.72","M65.9","I30.9","I95.9","M25.50","I30.1","H91.90","R10.9","I21.3","I31.3","R55.","D15.1","Z74.1","Z79.84","M24.251","D86.2","M54.16","E11.49","R07.89","E87.1","E78.00","M13.0","B00.9","J45.909","R40.4","I34.1","E11.40","B35.4","R35.0","N18.9","N18.3","I13.10","M25.561","M25.562","M47.817","M51.36","N76.0","E55.9","J01.90","M12.219","K57.92","K59.00","M06.9","M25.519","N28.1","M43.10","R26.2","M16.11","Z01.818","Z12.2","M54.10","Z86.79","R60.9","Z98.1","M47.816","R20.0","R20.2","M50.30","M54.41","M47.26","Z87.891","Z47.89","G47.30","R00.2","Z76.89","L24.9","E89.0","E78.2","R60.0","R05.1"],"date":["2020-11-24","2022-11-15","2020-02-18","2020-02-18","2022-09-30","2022-09-26","2022-11-15","2022-09-26","2022-10-19","2022-11-15","2021-05-11","2020-08-03","2020-11-25","2020-11-25","2020-11-21","2020-11-21","2022-10-19","2020-11-25","2020-11-24","2020-12-30","2021-12-30","2022-07-01","2022-07-19","2022-11-15","2020-11-25","2022-08-15","2022-07-01","2022-08-15","2022-03-10","2021-05-11","2021-06-11","2022-03-09","2022-09-26","2021-09-16","2022-04-19","2021-09-17","2022-10-05","2022-11-15","2021-01-29","2020-02-10","2022-10-28","2022-11-15","2020-04-20","2022-07-01","2021-09-01","2022-05-16","2022-07-15","2022-09-26","2021-12-08","2020-03-09","2020-03-09","2022-06-08","2020-08-13","2022-03-10","2022-10-19","2020-11-20","2020-11-20","2020-11-20","2020-11-20","2020-11-20","2020-12-30","2022-07-01","2022-11-15","2020-11-23","2020-11-23","2020-12-30","2021-02-08","2021-04-12","2021-08-10","2022-08-15","2020-03-05","2020-04-30","2022-10-28","2020-07-13","2020-10-01","2021-06-08","2020-11-20","2020-11-20","2020-03-27","2022-03-09","2020-06-26","2022-10-19","2022-10-19","2020-11-20","2020-12-30","2021-12-08","2022-06-08","2021-03-30","2021-03-23","2021-03-30","2021-03-23","2022-07-15","2020-07-02","2020-07-02","2020-07-02","2020-09-09","2021-03-30","2021-03-30","2021-03-30","2022-07-27","2021-06-01","2021-09-07","2022-04-19","2020-01-02","2020-01-02","2020-11-21","2022-06-29","2021-06-03","2021-06-03","2021-06-03","2022-09-26","2021-06-08","2021-06-08","2022-04-21","2021-07-08","2022-07-01","2021-08-03","2021-09-07","2022-03-28","2020-05-12","2020-11-24","2021-09-14","2019-02-14","2019-02-14","2019-02-14","2022-03-28","2019-02-20","2019-02-20","2019-09-30","2019-02-14","2019-02-12","2019-02-12","2019-04-04","2019-04-04","2022-06-03","2022-06-09","2019-04-08","2022-07-19","2019-01-21","2019-03-04","2019-03-04","2022-11-15","2019-12-12","2019-02-13","2019-11-18","2019-02-12","2019-02-14","2022-06-09","2019-05-08","2019-08-07","2022-09-26","2019-02-12","2019-02-12","2022-07-14","2022-07-14","2019-03-26","2022-03-10","2019-08-27","2022-11-15","2019-02-08","2019-02-26","2019-09-16","2019-09-16","2022-01-31","2022-01-31","2022-04-19","2022-05-27","2022-07-19","2022-07-27","2022-09-26","2022-09-26","2022-03-25","2022-10-28","2022-05-05","2022-10-05","2022-10-05","2022-09-26","2022-09-26","2022-03-10","2022-07-26","2022-06-09","2022-06-03","2022-07-01","2022-07-01","2022-10-28","2022-11-15","2022-11-15","2022-11-15","2022-09-14","2022-09-14","2022-09-14"],"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":[["","00093077110","PRAVASTATIN","TAB 10MG","30","Select","Select",""],["","59746017310","PREDNISONE","TAB 10MG","30","Select","Select",""],["","67877019905","AMLODIPINE","TAB 10MG","30","Select","Select",""],["","53885027210","ONETOUCH","TES VERIO","200","Select","Select",""],["","68462039710","OMEPRAZOLE","CAP 40MG","30","Select","Select",""],["","00406012410","HYDROCO\/APAP","TAB 7.5-325","60","Select","Select",""],["","69315011610","FUROSEMIDE","TAB 20MG","30","Select","Select",""],["","","MYCOPHENOLIC","TAB 360MG DR","","Select","Select",""],["","00169633910","NOVOLOG","INJ FLEXPEN","15","Select","Select",""],["","69452015120","VITAMIN","CAP 50000UNT","12","Select","Select",""],["","50228018005","GABAPENTIN","CAP 300MG","60","Select","Select",""],["","00378306605","FENOFIBRATE","TAB 145MG","30","Select","Select",""],["","80777027399","MODERNA","INJ COVID-19","0","Select","Select",""],["","67877025180","TRIAMCINOLON","CRE 0.001","15","Select","Select",""],["","60505014101","GLIPIZIDE","TAB 5MG","90","Select","Select",""],["","00093317431","ALBUTEROL","AER HFA","8","Select","Select",""],["","59310057922","PROAIR","AER ","8","Select","Select",""],["","","OLMESA","TAB 40MG","","Select","Select",""],["","70010075405","METHOCARBAM","TAB 500MG","90","Select","Select",""],["","00002880559","HUMULIN","INJ U-100KWP","15","Select","Select",""],["","65862044990","VALACYCLOVIR","TAB 1GM","30","Select","Select",""],["","00904699880","DOCUSATE","CAP 100MG","30","Select","Select",""],["","00173086910","ANORO","AER 62.5-25","60","Select","Select",""],["","00006027731","JANUVIA","TAB 100MG","30","Select","Select",""],["","00591278986","TIZANIDINE","CAP 4MG","30","Select","Select",""],["","00121087316","LACTULOSE","SOL 10GM\/15","473","Select","Select",""],["","","LORATADINE","TAB 10MG","","Select","Select",""],["","68180016013","AZITHROMYCIN","TAB 250MG","6","Select","Select",""],["","10702001850","OXYCODONE","TAB 5MG","11","Select","Select",""],["","","GNP","DIS 14MG\/24H","","Select","Select",""],["","42858010450","OXYCOD\/APAP","TAB 10-325MG","14","Select","Select",""],["","69452014330","BENZONATATE","CAP 100MG","30","Select","Select",""],["","68001025320","FLUCONAZOLE","TAB 150MG","2","Select","Select",""],["","00078038666","MYFORTIC","TAB 360MG","120","Select","Select",""],["","42806031205","DOXYCYCL","TAB 100MG","20","Select","Select",""],["","","LEVOFLOXACIN","TAB 500MG","","Select","Select",""],["","60505082901","FLUTICASONE","SPR 50MCG","16","Select","Select",""],["","67618011128","COLACE","CAP 50MG","84","Select","Select",""],["","00536589588","NICOTINE","DIS 14MG\/24H","28","Select","Select",""],["","60758088010","FLUOROMETHOL","SUS 0.1% OP","10","Select","Select",""],["","57896010410","ACETAMINOPHE","TAB 325MG","61","Select","Select",""],["","00574200802","NYSTOP","POW 100000","240","Select","Select",""],["","00173089310","TRELEGY","AER ELLIPTA","60","Select","Select",""],["","64380080707","IBUPROFEN","TAB 800MG","90","Select","Select",""],["","69097052444","DICLOFENAC","GEL 0.01","100","Select","Select",""],["","65162062711","TRAMADOL","TAB 50MG","10","Select","Select",""],["","46122039078","PAIN","TAB 325MG","61","Select","Select",""],["","45802086803","POLYETH","POW 3350 NF","510","Select","Select",""],["","00781261305","AMOXICILLIN","CAP 500MG","28","Select","Select",""],["","42571016242","AMOX\/K","TAB 875-125","20","Select","Select",""],["","68001024617","ONDANSETRON","TAB 4MG ODT","10","Select","Select",""],["","65862020199","LOSARTAN","TAB 25MG","30","Select","Select",""],["","","TUSSIN","LIQ 100\/5ML","","Select","Select",""],["","00173071920","FLOVENT","AER 110MCG","12","Select","Select",""],["","","FREESTYLE    KIT SENSOR","KIT SENSOR","","Select","Select",""],["","","FREESTYLE    MIS READER","MIS READER","","Select","Select",""],["","","METHYLPRED","TAB 4MG","","Select","Select",""],["","69543025216","VIRTUSSIN","SOL 100-10\/5","180","Select","Select",""],["","","UNFINE","MIS 32GX4MM","","Select","Select",""],["","","SMZ\/TMP","TAB 800-160","","Select","Select",""],["","68180012202","CEPHALEXIN","CAP 500MG","14","Select","Select",""],["","63481068447","VOLTAREN","GEL 0.01","100","Select","Select",""],["","","APAP\/CODEINE","TAB 300-30MG","","Select","Select",""],["","","LIDOCAINE","PAD 0.05","","Select","Select",""],["","","KETOCONAZOLE","CRE 0.02","","Select","Select",""],["","68001036503","METRONIDAZOL","TAB 500MG","14","Select","Select",""],["","00904647916","ROBAFEN","SOL 100-10\/5","180","Select","Select",""],["","68382005105","MELOXICAM","TAB 15MG","30","Select","Select",""],["","00591554310","ALLOPURINOL","TAB 100MG","30","Select","Select",""],["","65862062405","GEMFIBROZIL","TAB 600MG","60","Select","Select",""],["","00143301801","COLCHICINE","CAP 0.6MG","30","Select","Select",""],["","59762374302","CLINDAMYCIN","GEL 0.01","60","Select","Select",""],["","00234057516","HIBICLENS","LIQ 0.04","473","Select","Select",""],["","68001033408","LISINOPRIL","TAB 10MG","30","Select","Select",""],["","24338010413","ERYTHROMYCIN","TAB 500MG BS","14","Select","Select",""],["","08290320119","BD  PEN NEEDL","MIS 31GX5MM","100","Select","Select",""],["","23155001801","TETRACYCLINE","CAP 500MG","14","Select","Select",""],["","00088221905","LANTUS","INJ 100\/ML","15","Select","Select",""],["","00173068220","VENTOLIN","AER ","18","Select","Select",""],["","00169406013","VICTOZA","INJ 18MG\/3ML","9","Select","Select",""],["","46122034372","SENNA","TAB 8.6-50MG","30","Select","Select",""],["","63824000832","MUCINEX","TAB 600MG ER","20","Select","Select",""],["","24385067510","MAG","SOL LEMON","592","Select","Select",""],["","69547035302","NARCAN","SPR ","2","Select","Select",""],["","27437005101","SOLOSEC","GRA 2GM","1","Select","Select",""],["","68308015260","NYSTATIN","POW 100000","120","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":""}]}]}