{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"FRANK  D DRAUGHAN","gend":0,"add":"859 LEXINGTON ST APT 2","city":"NORFOLK","state":"VA","zip":23504,"dob":"1978-10-20","age":"","mstatus":"","insh":"20063119*01","cliId":"","pno":"757\/216-6016","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"757\/393-6363","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":23504,"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":["F25.0","F33.41","F14.21","T14.90XA","R69.","F12.20","M25.561","M25.562","G89.29","F33.1","M17.11","M54.16","M25.50","K21.0","K44.9","R12.","G47.33","F31.32","K21.9","E11.9","I10.","S80.11XA","S80.811A","M54.9","M79.651","NO DATA","M25.551","M79.644","F10.120","F41.9","F17.210","Z79.84","Z79.899","Z88.6","Z91.018","S80.01XA","G47.30","M25.461","J45.909","K20.9","M47.816","G89.4","M50.322","R63.0","R68.81","F12.10","G47.61","F20.9","Z68.32","M79.604","Z96.89","M54.5","L76.34","Z88.8","M25.469","Z96.9","M54.41","M54.42","L29.8","V58.89","R41.82","T40.601A","F10.920","R10.2","R10.9","R20.0","M25.511","M25.512","F17.200","J30.1","F10.129","Z63.4"],"date":["2022-10-31","2022-10-04","2022-04-28","2021-10-27","2021-10-27","2022-10-04","2021-11-19","2020-10-11","2022-09-19","2021-02-02","2021-03-22","2021-03-22","2020-12-18","2020-01-22","2020-01-22","2020-01-22","2020-09-15","2020-06-16","2020-09-15","2022-09-19","2022-06-29","2021-04-25","2021-04-25","2021-09-20","2021-10-27","2021-10-27","2021-10-27","2021-10-27","2021-10-27","2021-10-27","2022-06-29","2021-12-14","2021-12-14","2022-06-29","2022-06-29","2021-11-08","2021-11-08","2021-11-08","2020-04-03","2020-01-22","2021-05-17","2021-05-17","2021-05-17","2020-01-15","2020-01-15","2020-01-15","2020-01-21","2020-01-21","2020-04-03","2021-12-14","2021-01-07","2021-09-20","2021-11-15","2021-11-15","2021-11-15","2020-02-28","2021-09-20","2021-09-20","2020-12-09","2021-12-14","2022-06-29","2022-06-29","2022-06-29","2022-05-16","2022-05-16","2022-09-19","2022-09-19","2022-09-19","2022-05-16","2022-06-29","2022-06-29","2022-06-29"],"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":[["","","DICLOFENAC","GEL 0.01","","Select","Select",""],["","","SERTRALINE","TAB 100MG","","Select","Select",""],["","27241000250","RISPERIDONE","TAB 0.25MG","30","Select","Select",""],["","42806001105","SULINDAC","TAB 200MG","60","Select","Select",""],["","","MONTELUKAST","TAB 10MG","","Select","Select",""],["","69097015907","MELOXICAM","TAB 15MG","30","Select","Select",""],["","","FAMOTIDINE","TAB 40MG","","Select","Select",""],["","","FLUTICASONE","SPR 50MCG","","Select","Select",""],["","27241009990","DULOXETINE","CAP 60MG","16","Select","Select",""],["","","TRAZODONE","TAB 100MG","","Select","Select",""],["","","LOSARTAN","TAB 25MG","","Select","Select",""],["","","METFORMIN","TAB 1000MG","","Select","Select",""],["","60505025103","TIZANIDINE","TAB 2MG","90","Select","Select",""],["","","OLANZAPINE","TAB 10MG","","Select","Select",""],["","45802046564","KETOCONAZOLE","SHA 0.02","120","Select","Select",""],["","","PROAIR","AER ","","Select","Select",""],["","59762135101","PREGABALIN","CAP 150MG","30","Select","Select",""],["","","ALBUTEROL","AER HFA","","Select","Select",""],["","","TRAMADOL","TAB 50MG","","Select","Select",""],["","43386009660","CLOBETASOL","OIN 0.0005","30","Select","Select",""],["","29300034905","ALLOPURINOL","TAB 100MG","30","Select","Select",""],["","00597007541","SPIRIVA","CAP HANDIHLR","30","Select","Select",""],["","","CYCLOBENZAPR","TAB 5MG","","Select","Select",""],["","00173087310","INCRUSE","INH 62.5MCG","30","Select","Select",""],["","00378064205","PREDNISONE","TAB 20MG","10","Select","Select",""],["","","OMEPRAZOLE","CAP 40MG","","Select","Select",""],["","","NABUMETONE","TAB 500MG","","Select","Select",""],["","","GABAPENTIN","TAB 600MG","","Select","Select",""],["","","LIDOCAINE","PAD 0.05","","Select","Select",""],["","","POLYETH","POW 3350 NF","","Select","Select",""],["","","MAG","SOL CHERRY","","Select","Select",""],["","","REFRESH","DRO 0.5% OP","","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":{"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":""}]}]}