{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"SAMANTHA   A MALINHILL","gend":1,"add":"1421 PHILMONT AVE","city":"CHESAPEAKE","state":"VA","zip":"23325-9998","dob":"1979-09-28","age":"","mstatus":"","insh":"20052345*01","cliId":"","pno":"757\/499-4201","cno":"757\/499-4201","email":"","ename":"","eno":"","pphy":"ESPINO, STEPHANIE L DO","ppno":"757\/548-0076","pcpadd":"725 VOLVO PKWY STE 100","pcpcity":"CHESAPEAKE","pcpstate":"VA","pcpzip":23320,"pcpcounty":"","pcpid":"","pcpname":"Volvo Medical Associates","plan":"OHP","program":"MEDICAID","lob":"OHCC","region":"TIDEWATER","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"757\/548-1652","pcpnpi":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["F11.20","H90.A32","H90.A31","E61.1","K59.03","E55.9","K22.70","D50.9","F43.23","F90.2","M25.561","H66.92","R11.0","R10.9","Z87.898","D35.2","R51.9","R79.89","F33.1","F11.21","R07.9","F31.31","F41.1","F31.9","D25.9","R10.2","N95.1","R10.31","Z12.39","N64.52","Z80.3","N64.4","S00.81XA","S06.9X9A","S80.01XA","S80.811A","S80.812A","M54.2","M25.531","F17.200","Z79.899","Z88.5","Z82.49","R68.84","NO DATA","R92.8","N60.11","Z86.018","N60.12","R89.1","R68.82","N91.1","Z79.890","M25.562","R32.","N84.1","N89.8","F90.9","F43.12","F51.01","D64.9","T40.2X5A","R51.","R40.20","V87.7XXA","S06.0X9A","M79.601","V89.2XXA","R91.1","K21.9","F41.9","E66.3","Z12.11","H72.02","H90.0","I45.10","R11.2","R63.4","R63.0","H74.19","H74.12","H90.72","J45.909","Z72.0","Z51.81","R71.8"],"date":["2022-11-21","2020-02-19","2020-02-19","2020-04-20","2020-08-23","2020-02-28","2022-04-19","2020-03-05","2022-03-24","2022-03-24","2020-07-21","2020-07-21","2020-07-21","2021-10-27","2020-07-21","2020-12-09","2020-12-09","2020-12-09","2022-11-19","2022-03-24","2020-08-23","2021-02-09","2021-02-09","2022-10-13","2020-06-17","2020-06-17","2020-06-17","2020-06-17","2021-11-16","2021-11-16","2021-11-16","2020-07-15","2022-03-28","2022-03-28","2022-03-28","2022-03-28","2022-03-28","2022-03-28","2022-03-28","2022-03-28","2022-03-28","2022-03-28","2022-03-28","2022-03-28","2022-11-25","2021-11-16","2021-11-16","2021-11-16","2021-11-16","2020-04-21","2020-04-21","2020-04-21","2020-03-23","2020-04-21","2020-04-21","2020-05-27","2020-05-27","2022-08-11","2022-08-11","2022-08-11","2020-02-12","2020-01-03","2020-08-23","2022-03-28","2022-03-28","2022-04-13","2022-04-13","2022-04-13","2022-04-19","2020-02-12","2021-05-06","2020-02-12","2020-04-20","2020-05-22","2020-05-22","2020-08-06","2021-10-27","2021-10-27","2021-10-27","2020-02-19","2020-02-19","2020-02-19","2022-04-19","2022-04-19","2022-04-19","2022-04-19"],"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":[]},{"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":[["","43547029010","BUPROPION","TAB 200MG SR","60","Select","Select",""],["","43547034050","RISPERIDONE","TAB 0.5MG","90","Select","Select",""],["","16729013716","CLONAZEPAM","TAB 1MG","60","Select","Select",""],["","00555097402","AMPHET\/DEXTR","TAB 30MG","60","Select","Select",""],["","68180031909","BUPROPN","TAB 150MG XL","30","Select","Select",""],["","65162010350","GABAPENTIN","CAP 400MG","90","Select","Select",""],["","43547028110","ESCITALOPRAM","TAB 10MG","30","Select","Select",""],["","10702000350","PROMETHAZINE","TAB 25MG","20","Select","Select",""],["","00378932132","WIXELA","AER 250\/50","60","Select","Select",""],["","57237007710","ONDANSETRON","TAB 4MG ODT","15","Select","Select",""],["","00173069600","ADVAIR","AER 250\/50","60","Select","Select",""],["","70436003604","DESVENLAFAX","TAB 25MG ER","30","Select","Select",""],["","43598044774","NICOTINE","DIS 14MG\/24H","14","Select","Select",""],["","55111012601","CIPROFLOXACN","TAB 250MG","6","Select","Select",""],["","00116200116","CHLORHEX","SOL 0.0012","473","Select","Select",""],["","64380080707","IBUPROFEN","TAB 800MG","20","Select","Select",""],["","29300034905","ALLOPURINOL","TAB 100MG","30","Select","Select",""],["","00591079401","DICYCLOMINE","CAP 10MG","30","Select","Select",""],["","65862056090","PANTOPRAZOLE","TAB 40MG","180","Select","Select",""],["","68382050010","OMEPRAZOLE","CAP 40MG","60","Select","Select",""],["","59310057922","PROAIR","AER ","8","Select","Select",""],["","70010075401","METHOCARBAM","TAB 500MG","60","Select","Select",""],["","63402030230","LATUDA","TAB 20MG","30","Select","Select",""],["","60505082901","FLUTICASONE","SPR 50MCG","16","Select","Select",""],["","60505265501","TRAZODONE","TAB 150MG","60","Select","Select",""],["","00093317431","ALBUTEROL","AER HFA","8","Select","Select",""],["","54092038101","ADDERALL","CAP 5MG","30","Select","Select",""],["","55111025660","ZIPRASIDONE","CAP 20MG","60","Select","Select",""],["","69547035302","NARCAN","SPR ","4","Select","Select",""],["","00121057716","LACTULOSE","SOL 10GM\/15","4050","Select","Select",""],["","64764024060","AMITIZA","CAP 24MCG","60","Select","Select",""],["","00046110611","PREMPRO","TAB 0.45-1.5","28","Select","Select",""],["","45802057178","FEXOFENADINE","TAB 180MG","60","Select","Select",""],["","00904759080","FEROSUL","TAB 325MG","15","Select","Select",""],["","11917007521","VITAMIN","TAB 500MG","90","Select","Select",""],["","00469260230","MYRBETRIQ","TAB 50MG","30","Select","Select",""],["","11917009215","FERROUS","TAB 325MG","45","Select","Select",""],["","00904645760","DOK","CAP 100MG","60","Select","Select",""],["","00093220401","METOCLOPRAM","TAB 5MG","2","Select","Select",""],["","24385067510","MAG","SOL LEMON","888","Select","Select",""],["","10572030201","PEG-3350\/KCL","SOL \/SODIUM","4000","Select","Select",""],["","51552016404","ASCORBIC","GRA ","90","Select","Select",""],["","67618010110","COLACE","CAP 100MG","60","Select","Select",""],["","59746000103","METHYLPRED","TAB 4MG","21","Select","Select",""],["","62559015001","EST","TAB MTEST HS","30","Select","Select",""],["","00069024430","TOVIAZ","TAB 8MG","90","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":""}]}]}