{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"ERIC   G LAMPKINS","gend":0,"add":"1727 CARTERTON RD","city":"LEBANON","state":"VA","zip":"24266-9998","dob":"1988-07-12","age":"","mstatus":"","insh":"20042677*01","cliId":"","pno":"276\/701-8400","cno":"","email":"","ename":"","eno":"","pphy":"CRABTREE, EMILY S NP","ppno":"276\/883-5939","pcpadd":"344 OVERLOOK DR STE 100","pcpcity":"LEBANON","pcpstate":"VA","pcpzip":24266,"pcpcounty":"","pcpid":"","pcpname":"MOUNTAIN STATES HEALTH ALLIANCE","plan":"OHP","program":"MEDICAID","lob":"OHCC","region":"SOUTHWEST","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"276\/883-8042","pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["F11.20","I31.3","F15.10","E05.90","R45.1","F31.9","F17.210","R53.83","G47.00","R50.9","E87.1","F31.30","I42.9","J90.","I31.4","I31.9","F43.10","G25.81","J45.909","F41.9","M10.9","M54.9","R10.9","Z20.828","R07.9","Z09.","M51.36","Z91.09","K21.9","F51.5","J15.9","G89.29","F15.90","Z91.14","I51.7","R09.1","R79.89","F15.20","H10.33","J45.20","J18.9","R06.02","H10.30","Z03.89","Z79.899","M1A.9XX0","R27.9","I10.","M25.561","M25.562","R09.81","B34.9"],"date":["2022-05-18","2020-08-19","2021-08-11","2021-08-25","2021-04-12","2022-09-21","2022-05-18","2022-06-21","2022-06-16","2020-08-04","2020-08-06","2020-08-06","2020-08-06","2020-08-06","2020-08-06","2020-08-06","2020-08-06","2020-08-19","2020-08-06","2020-08-19","2020-08-06","2020-08-06","2020-08-06","2020-08-06","2022-06-21","2020-08-19","2020-08-19","2020-08-19","2020-08-19","2022-05-18","2020-08-04","2022-09-21","2020-08-04","2020-08-04","2020-08-04","2020-08-18","2020-01-15","2020-01-15","2020-01-15","2020-01-15","2020-08-04","2020-08-04","2019-09-04","2019-01-23","2019-01-23","2022-06-21","2019-08-07","2022-04-28","2022-09-21","2022-06-21","2022-08-27","2022-08-27"],"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":[["","59651000205","OMEPRAZOLE","CAP 20MG","30","Select","Select",""],["","00406802003","BUPREN\/NALOX","SUB 8-2MG","56","Select","Select",""],["","42806040021","METHYLPRED","TAB 4MG","21","Select","Select",""],["","59651036205","IBUPROFEN","TAB 800MG","90","Select","Select",""],["","65862049101","QUETIAPINE","TAB 100MG","45","Select","Select",""],["","65862057490","MONTELUKAST","TAB 10MG","30","Select","Select",""],["","00378110101","PRAZOSIN","CAP 1MG","30","Select","Select",""],["","","BUPROPN","TAB 300MG XL","","Select","Select",""],["","59267102501","PFIZER","INJ ADLT RTU","0","Select","Select",""],["","29300046810","CLONIDINE","TAB 0.1MG","112","Select","Select",""],["","78670005036","LUCEMYRA","TAB 0.18MG","168","Select","Select",""],["","43598021055","SSD","CRE 0.01","50","Select","Select",""],["","65862050320","AMOX\/K","TAB 875-125","20","Select","Select",""],["","68382003416","VENLAFAXINE","CAP 37.5 ER","30","Select","Select",""],["","00054350049","LIDOCAINE","SOL 2% VISC","100","Select","Select",""],["","82607066026","FLOWFLEX","KIT TEST","6","Select","Select",""],["","70461032203","FLUCLVX","INJ 2022-23","0","Select","Select",""],["","11877001140","BINAXNOW","KIT HOME TES","2","Select","Select",""],["","68462012605","GABAPENTIN","TAB 600MG","90","Select","Select",""],["","23155007001","METHIMAZOLE","TAB 5MG","60","Select","Select",""],["","57237000830","MIRTAZAPINE","TAB 15MG","30","Select","Select",""],["","","MELOXICAM","TAB 7.5MG","","Select","Select",""],["","69547035302","NARCAN","SPR ","2","Select","Select",""],["","00093506105","HYDROXYZ","TAB 25MG","56","Select","Select",""],["","","ERYTHROMYCIN","OIN 5MG\/GM","","Select","Select",""],["","62332003731","LAMOTRIGINE","TAB 25MG","42","Select","Select",""],["","","GENTAK","OIN 0.3% OP","","Select","Select",""],["","12496120803","SUBOXONE","MIS 8-2MG","46","Select","Select",""],["","50111043401","TRAZODONE","TAB 100MG","30","Select","Select",""],["","","NICOTINE","DIS 21MG\/24H","","Select","Select",""],["","","NAPROXEN","TAB 500MG","","Select","Select",""],["","27241009706","DULOXETINE","CAP 20MG","28","Select","Select",""],["","00143980305","DOXYCYCL","CAP 100MG","14","Select","Select",""],["","60758018805","GENTAMICIN","SOL 0.3% OP","5","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":""}]}]}