{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"CARLA   D TAYLOR","gend":1,"add":"581 POSEY LN APT 108","city":"NORFOLK","state":"VA","zip":"23510-9998","dob":"1967-11-11","age":"","mstatus":"","insh":"20046440*01","cliId":"","pno":"757\/610-0788","cno":"","email":"","ename":"","eno":"","pphy":"WELLS, JANELLE M MD","ppno":"757\/393-6363","pcpadd":"664 LINCOLN ST","pcpcity":"PORTSMOUTH","pcpstate":"VA","pcpzip":23704,"pcpcounty":"","pcpid":"","pcpname":"Hampton Roads Community Health Center","plan":"OHP","program":"MEDICAID","lob":"OHCC","region":"TIDEWATER","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"757\/397-0047","pcpnpi":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["F10.239","R10.9","F10.10","W19.XXXA","F10.920","M79.672","M25.562","M25.572","I10.","E03.9","F17.210","Z79.899","M79.673","G62.9","R53.1","M79.602","R20.0","M79.605","F10.230","Z01.810","M85.80","B35.1","F31.9","R39.81","R15.9","G89.4","F31.0","F31.74","F10.229","R29.810","M48.02","Z98.1","F32.9","V62.84","F10.20","Z11.59","T20.10XA","T23.102A","T23.101A","J70.5","F20.9","M54.5","Z79.82","F10.21","F60.89","F39.","Z91.89","Z59.1","F51.04","F10.120","Z59.0","Z88.5","Z91.040","Z88.0","Z88.8","R52.","F99.","Z74.09","G89.29","M54.12","M79.2","G62.1","M47.22","K21.9","Z88.6","Z79.890","M25.512","M79.89","N39.490","F31.12","S93.402A","S92.402A","M54.9","M25.561","M79.644","R09.89","F19.10","Z85.05","Z85.07","Z91.018","F33.2","F07.0","Z20.828","M54.2","Z98.890","Z76.5","F10.220","V62.85","F10.929","Z72.0","R04.0","M47.812","R07.9","E66.9","R00.0","I51.7","E78.2","K76.0","K76.9","Z12.31","Z87.19","R21.","R05.","E86.0","M62.838","M50.20","G95.29","F05.","M47.816","R10.11","R74.01","Z01.818","M51.36","NO DATA","R10.10","Z91.14","R11.2","R19.7","R74.8","R17.","R94.31","K92.0","T30.0","Z30.40","Z90.49","I20.0","R06.02","R11.0","E78.00","I25.10","R79.89","F25.9","Z00.8","N89.8","F06.8","R26.81","R41.82","R63.0","C22.0","S80.12XA","R31.0","H10.13","H26.9","K85.20","K59.00","E87.6","D18.09","K29.20","F10.231","K70.10","G47.00","F10.129","R44.3","R78.0","D18.03","J69.0","J18.9","Z04.3","R29.6","M25.569","R10.84","R19.5","R51.","R10.13","R04.2","K70.9","R03.0","S61.204A","S61.206A","Z02.89","S60.414A","S60.416A","Z88.3","Z86.59","Z87.898","R11.11","R50.9","S09.93XA","S60.419A","R45.1","E83.42","E87.5","N20.0","K85.90","S61.214A","S61.216A","V58.89","F19.939","D53.9","E53.8","F25.0","G90.09","Z20.822","F17.200","M15.0","M15.4","E11.42","M51.26","R60.0","F32.89","E78.5","M54.16","S39.92XA","R07.89","L60.8","T42.8X1A","R42.","F33.3","Z79.1","Z87.442","Z90.89","Z83.3","M54.41","M54.42","Z91.09","R10.30","Z53.21","R26.2","R44.1","Z78.9","Z91.128","Z59.00","G57.93","E55.9","Z02.2","F31.5","F51.01","M17.12","R32.","R09.02","M51.16","R26.9","G47.9","J20.9","R25.1","F25.1","T50.901A","R53.83","S82.891A","R25.2","R41.0","Z63.8","R40.4","R47.81","R60.9","M25.571","V54.16","S82.61XA"],"date":["2022-10-13","2021-07-06","2022-07-14","2022-11-11","2022-09-30","2022-09-19","2022-08-05","2020-02-15","2022-10-13","2022-10-14","2022-10-13","2022-08-27","2020-02-09","2022-09-22","2022-04-10","2020-03-02","2021-03-09","2020-03-02","2022-09-06","2020-05-14","2022-06-29","2022-06-29","2022-09-22","2020-10-21","2020-10-21","2020-10-21","2022-10-05","2022-05-23","2022-04-14","2021-03-15","2020-11-04","2022-07-16","2020-11-12","2022-09-30","2022-10-14","2020-11-12","2021-01-07","2021-01-07","2021-01-07","2021-01-07","2022-09-20","2021-03-03","2021-02-25","2022-05-23","2020-01-11","2020-11-13","2020-01-11","2020-01-11","2022-06-24","2022-09-25","2020-02-05","2022-09-22","2022-09-22","2022-09-22","2022-09-20","2022-11-12","2020-02-05","2020-02-07","2022-09-22","2020-06-29","2020-06-29","2022-04-10","2020-02-19","2020-02-19","2020-02-19","2020-02-19","2020-03-10","2020-03-10","2020-03-10","2020-03-14","2020-03-19","2020-03-19","2022-10-14","2020-10-22","2020-10-22","2020-11-18","2022-09-22","2022-09-19","2022-09-19","2022-09-22","2020-03-25","2020-03-25","2020-04-04","2020-07-20","2022-08-27","2022-04-03","2022-10-07","2020-07-25","2022-09-12","2022-07-14","2020-01-17","2020-02-28","2022-09-06","2022-04-03","2022-06-20","2021-10-09","2021-12-16","2022-10-08","2022-07-14","2021-12-16","2021-12-16","2021-09-09","2020-01-14","2022-07-14","2020-03-04","2020-05-19","2020-05-19","2020-11-13","2022-06-23","2021-07-06","2021-07-06","2020-05-15","2022-07-13","2022-10-13","2021-07-06","2022-02-05","2021-09-07","2021-09-08","2021-09-07","2021-09-07","2020-01-09","2020-01-14","2021-01-06","2021-06-24","2022-09-20","2021-10-08","2022-09-20","2021-09-07","2022-04-03","2022-03-04","2022-07-14","2022-10-13","2022-03-06","2020-11-13","2019-06-30","2019-11-15","2022-08-27","2019-12-19","2019-12-19","2019-01-06","2019-03-12","2019-04-13","2019-04-13","2019-05-23","2019-12-18","2019-12-24","2019-06-03","2019-10-23","2019-10-22","2019-10-22","2019-10-22","2022-09-13","2022-09-10","2019-05-25","2019-07-15","2019-10-08","2019-10-08","2019-11-13","2022-04-04","2022-07-16","2019-12-15","2019-05-30","2019-06-30","2019-10-03","2019-12-18","2019-10-23","2019-10-28","2019-11-21","2019-11-21","2019-12-02","2019-12-02","2019-12-02","2019-04-13","2022-04-04","2019-05-27","2019-07-13","2019-10-12","2019-11-01","2019-12-02","2019-11-10","2019-05-17","2019-05-17","2022-10-08","2019-05-17","2019-11-01","2019-11-01","2019-11-08","2019-11-15","2019-10-03","2019-10-03","2022-10-12","2021-03-03","2022-09-25","2022-06-29","2022-06-24","2022-06-24","2022-06-29","2022-09-09","2022-09-20","2022-09-30","2022-03-04","2022-07-13","2022-08-28","2022-09-06","2022-05-27","2022-06-20","2022-06-20","2022-08-11","2022-08-27","2022-08-27","2022-08-27","2022-08-27","2022-09-19","2022-09-19","2022-09-19","2022-10-08","2022-07-16","2022-09-10","2022-09-10","2022-10-12","2022-10-13","2022-10-13","2022-10-13","2022-10-13","2022-02-06","2022-02-06","2022-05-18","2022-09-20","2022-04-11","2022-05-02","2022-06-14","2022-08-05","2022-08-05","2022-09-06","2022-05-10","2022-09-01","2022-06-20","2022-10-14","2022-11-11","2022-09-22","2022-09-22","2022-09-22","2022-11-11","2022-11-11","2022-11-11","2022-11-11","2022-11-12","2022-11-11"],"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":[["","00406117003","NALTREXONE","TAB 50MG","7","Select","Select",""],["","","LIDOCAINE","PAD 0.05","","Select","Select",""],["","68180044801","QUETIAPINE","TAB 200MG","30","Select","Select",""],["","68382080601","TRAZODONE","TAB 100MG","7","Select","Select",""],["","52817018000","CLONIDINE","TAB 0.1MG","20","Select","Select",""],["","","PALIPERIDONE","TAB ER 6MG","","Select","Select",""],["","","GABAPENTIN","CAP 300MG","","Select","Select",""],["","","IBUPROFEN","TAB 400MG","","Select","Select",""],["","68382012305","AMLODIPINE","TAB 10MG","30","Select","Select",""],["","80681016000","HI","TAB BETA-CAR","14","Select","Select",""],["","","LEVOTHYROXIN","TAB 50MCG","","Select","Select",""],["","68462043518","ACAMPRO","TAB 333MG","42","Select","Select",""],["","","METHOCARBAM","TAB 500MG","","Select","Select",""],["","","THERA-M","TAB ","","Select","Select",""],["","70677003201","SM","DIS 21MG\/24H","14","Select","Select",""],["","65162083366","DICLOFENAC","GEL 0.01","100","Select","Select",""],["","65862017360","TOPIRAMATE","TAB 100MG","30","Select","Select",""],["","","ASPERCREME","PAD LIDO 4%","","Select","Select",""],["","10006073021","VITAMIN","TAB 100MG","30","Select","Select",""],["","67877026590","DULOXETINE","CAP 60MG","30","Select","Select",""],["","55111018015","TIZANIDINE","TAB 4MG","60","Select","Select",""],["","","INVEGA","INJ 234\/1.5","","Select","Select",""],["","00172392660","DIAZEPAM","TAB 5MG","12","Select","Select",""],["","29300012510","MELOXICAM","TAB 15MG","30","Select","Select",""],["","51672129803","KETOCONAZOLE","CRE 0.02","60","Select","Select",""],["","11877001140","BINAXNOW","KIT HOME TES","2","Select","Select",""],["","29300011201","LAMOTRIGINE","TAB 100MG","30","Select","Select",""],["","61874011530","VRAYLAR","CAP 1.5MG","30","Select","Select",""],["","00054001829","PREDNISONE","TAB 20MG","12","Select","Select",""],["","46122039078","PAIN","TAB 325MG","60","Select","Select",""],["","","CYCLOBENZAPR","TAB 5MG","","Select","Select",""],["","","MELATONIN","TAB 3MG","","Select","Select",""],["","16729018201","HYDROCHLOROT","TAB 12.5MG","7","Select","Select",""],["","00115180301","HYDROXYZ","CAP 25MG","15","Select","Select",""],["","61442012110","FAMOTIDINE","TAB 20MG","60","Select","Select",""],["","70710128501","BACLOFEN","TAB 10MG","21","Select","Select",""],["","68462019005","NAPROXEN","TAB 500MG","40","Select","Select",""],["","","HYDROCO\/APAP","TAB 5-325MG","","Select","Select",""],["","","FOLIC","TAB 1MG","","Select","Select",""],["","42858010201","OXYCOD\/APAP","TAB 5-325MG","18","Select","Select",""],["","00093505898","ATORVASTATIN","TAB 40MG","90","Select","Select",""],["","68462015713","ONDANSETRON","TAB 4MG ODT","20","Select","Select",""],["","53191036201","D3-50","CAP 50000UNT","12","Select","Select",""],["","","EUTHYROX","TAB 50MCG","","Select","Select",""],["","","FOLATE","TAB 400MCG","","Select","Select",""],["","00603548321","PROPRANOLOL","TAB 20MG","180","Select","Select",""],["","72205001390","PREGABALIN","CAP 75MG","60","Select","Select",""],["","","LITHIUM","CAP 150MG","","Select","Select",""],["","57664050658","METOPROL","TAB 25MG","60","Select","Select",""],["","","MULTIVITAMIN","TAB DAILY","","Select","Select",""],["","","NARCAN","SPR ","","Select","Select",""],["","","METHYLPRED","TAB 4MG","","Select","Select",""],["","","TERBINAFINE","TAB 250MG","","Select","Select",""],["","","TAB-A-VITE","TAB ","","Select","Select",""],["","","CICLOPIROX","CRE 0.0077","","Select","Select",""],["","","METRONIDAZOL","TAB 500MG","","Select","Select",""],["","11845005651","B-1","TAB 100MG","30","Select","Select",""],["","10135013210","THIAMINE","TAB 100MG","30","Select","Select",""],["","00527169505","BUT\/APAP\/CAF","TAB ","10","Select","Select",""],["","65162062711","TRAMADOL","TAB 50MG","20","Select","Select",""],["","69238110005","DOXYCYCL","CAP 100MG","4","Select","Select",""],["","49348035684","NASAL","SPR 0.0065","88","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":""}]}]}