{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"TONYA   T NORMAN","gend":1,"add":"817 23RD ST","city":"NEWPORT NEWS","state":"VA","zip":"23607-9998","dob":"1970-09-07","age":"","mstatus":"","insh":"20042810*01","cliId":"","pno":"757\/281-8305","cno":"757\/281-8305","email":"","ename":"","eno":"","pphy":"LORENZO, DAVID L MD","ppno":"757\/380-8709","pcpadd":"4714 MARSHALL AVE","pcpcity":"NEWPORT NEWS","pcpstate":"VA","pcpzip":23607,"pcpcounty":"","pcpid":"","pcpname":"PENINSULA INSTITUTE FOR COMMUNITY HEALTH","plan":"OHP","program":"MEDICAID","lob":"OHCC","region":"TIDEWATER","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"757\/952-1345","pcpnpi":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["I71.00","I16.1","I10.","M54.5","J44.9","R73.09","E66.01","K21.9","R51.","E78.00","Z12.31","R26.81","R60.9","R10.9","R26.89","Z86.79","Z12.11","R05.","N81.11","K59.4","J32.9","J31.0","I71.02","F17.210","R51.9","M25.551","I77.1","I70.8","Z98.890","Z95.828","R29.6","R26.9","M79.651","M79.652","M25.50","F41.9","F17.200","E66.09","Z68.41","Z79.02","M54.40","I71.03","M51.36","M43.06","I72.8","I71.2","I71.1","I71.01","I08.0","NO DATA","F41.8","R11.2","G89.29","F14.10","F10.10","M25.519","R13.10","Z11.59","E78.5","K59.00","S31.40XA","N81.4","N30.01","B96.89","R10.32","R52.","S99.921A","J20.9","Z23."],"date":["2020-06-05","2020-06-05","2021-08-03","2021-08-03","2021-08-03","2021-05-04","2021-01-19","2021-08-03","2020-06-08","2021-08-03","2021-01-19","2020-06-08","2021-08-03","2021-08-03","2020-12-11","2021-11-08","2021-01-19","2021-08-03","2021-05-14","2021-05-14","2021-05-04","2021-08-03","2020-05-20","2020-05-13","2021-05-04","2021-08-03","2021-06-16","2021-11-08","2021-11-08","2021-11-08","2020-06-12","2020-06-12","2020-06-12","2020-06-12","2020-12-11","2020-06-12","2020-06-12","2020-06-12","2020-06-12","2020-06-12","2020-12-11","2021-04-06","2021-05-21","2020-06-22","2021-01-15","2021-02-18","2020-05-14","2020-05-18","2020-05-15","2020-05-15","2021-08-03","2021-08-03","2020-05-13","2020-05-13","2020-05-13","2020-05-13","2020-05-13","2020-05-13","2020-05-13","2020-05-13","2021-05-06","2021-05-06","2021-05-06","2021-05-06","2019-02-06","2019-06-05","2019-06-05","2019-10-14","2019-03-12"],"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":[["","","FUROSEMIDE"," FUROSEMIDE ","30","Select","Select",""],["","","DOXAZOSIN"," DOXAZOSIN ","30","Select","Select",""],["","","VENTOLIN"," VENTOLIN ","18","Select","Select",""],["","","ALBUTEROL"," ALBUTEROL ","18","Select","Select",""],["","","INCRUSE"," INCRUSE ","30","Select","Select",""],["","","GABAPENTIN"," GABAPENTIN ","90","Select","Select",""],["","00536354701","DAILY-VITE","TAB ","100","Select","Select",""],["","00093354143","ESTRADIOL","CRE 0.0001","42","Select","Select",""],["","","METOCLOPRAM"," METOCLOPRAM ","30","Select","Select",""],["","45802065078","LORATADINE","TAB 10MG","90","Select","Select",""],["","","APAP\/CODEINE","TAB 300-30MG","","Select","Select",""],["","","METOPROL","TAB 100MG ER","","Select","Select",""],["","","PANTOPRAZOLE"," PANTOPRAZOLE ","30","Select","Select",""],["","63304069201","CLINDAMYCIN","CAP 150MG","90","Select","Select",""],["","","FLUTICASONE"," FLUTICASONE ","16","Select","Select",""],["","","BUTAL\/APAP"," BUTAL\/APAP ","40","Select","Select",""],["","","CLOPIDOGREL","TAB 75MG","","Select","Select",""],["","","NICOTINE"," NICOTINE ","28","Select","Select",""],["","","RA"," RA ","24","Select","Select",""],["","","DICYCLOMINE"," DICYCLOMINE ","60","Select","Select",""],["","","VALSARTAN"," VALSARTAN ","30","Select","Select",""],["","","BENZONATATE"," BENZONATATE ","30","Select","Select",""],["","","PROAIR"," PROAIR ","8","Select","Select",""],["","","CLONIDINE"," CLONIDINE ","60","Select","Select",""],["","","OXYCOD\/APAP","TAB 5-325MG","","Select","Select",""],["","","ONE-DAILY","TAB MULT-VIT","","Select","Select",""],["","11822046713","PAIN","TAB 325MG","24","Select","Select",""],["","68180063509","ATORVASTATIN","TAB 10MG","90","Select","Select",""],["","58657050508","GG\/DM","SYP 100-10\/5","237","Select","Select",""],["","","LIDOCAINE","OIN 0.05","","Select","Select",""],["","","DILTIAZEM","CAP 240MG ER","","Select","Select",""],["","","AZITHROMYCIN"," AZITHROMYCIN ","6","Select","Select",""],["","31722099601","HYDROCO\/APAP","TAB 5-325MG","12","Select","Select",""],["","","CARTIA"," CARTIA ","30","Select","Select",""],["","","CYCLOBENZAPR"," CYCLOBENZAPR ","60","Select","Select",""],["","69547035302","NARCAN","SPR ","2","Select","Select",""],["","","FLUTIC\/SALME","AER 250\/50","","Select","Select",""],["","","ASPIRIN","TAB 81MG EC","","Select","Select",""],["","","MULTI-VITAMN","TAB ","","Select","Select",""],["","","ONDANSETRON","TAB 4MG","","Select","Select",""],["","","IBUPROFEN","TAB 800MG","","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":""}]}]}