{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"KEVIN   F LANIGAN","gend":0,"add":"904 BROAD MEADOWS BLVD APT 406","city":"VIRGINIA BEACH","state":"VA","zip":"23462-9998","dob":"1959-02-25","age":"","mstatus":"","insh":"20071092*01","cliId":"","pno":"757\/340-4767","cno":"757\/340-4767","email":"","ename":"","eno":"","pphy":"REED, PAULINE C MD","ppno":"757\/228-1288","pcpadd":"490 LIBERTY STREET","pcpcity":"CHESAPEAKE","pcpstate":"VA","pcpzip":23324,"pcpcounty":"","pcpid":"","pcpname":"","plan":"OHP","program":"MEDICAID","lob":"OHCC","region":"TIDEWATER","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"757\/425-3625","pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["I95.1","R53.1","C44.219","F10.10","J44.9","J43.9","R51.9","G90.09","D47.3","R55.","Z59.0","F10.929","L03.213","F10.239","E87.2","R77.8","R11.2","F10.232","R41.82","L55.1","F17.210","Z85.828","Z86.711","R41.0","V62.84","Z91.5","F32.9","F10.20","F41.9","Z20.828","Z01.812","Z20.822","H00.036","A41.9","E86.0","L03.211","Z72.89","T81.40XD","H57.10","T81.49XA","E87.6","I95.89","H02.215","H02.115","G62.9","E83.42","H25.23","Z79.82","Z79.899","F10.129","I51.7","I77.810","S09.90XA","M54.6","W19.XXXA","H02.105","H25.812","H25.21","Z01.810","H26.9","R10.9","I77.4","S30.1XXA","L98.9","C44.91","C43.4","S00.03XA","F10.120","F10.920","I95.9","R47.1","H02.89","H54.40","D64.9","M54.2","Z01.818","E78.2","Z72.0","NO DATA","K29.20","J43.2","G62.1","Z86.73","F41.8","Z13.220","Z12.5","Z23.","Z12.11","Z11.59","Z13.1","I44.0","R94.31","F33.2","C44.41","R79.89","R22.0","Z82.49","Z95.828","T81.41XA","C44.310","F10.230","C44.1192","Z90.49","Z63.4","R07.9","I42.9","R29.6","R42.","G89.29","G51.9","R52.","C44.319","D48.5","C44.90","I20.8","F17.200","J41.0","S51.811A","S80.211A","M54.5","M79.641","M79.642","I42.6","E44.0","F10.229","V58.69","K59.00","Z68.23","S01.01XA","S06.2X9A","R29.898","R47.81"],"date":["2021-08-17","2021-09-23","2021-05-01","2022-04-17","2022-04-04","2021-10-05","2021-05-01","2021-05-01","2021-05-01","2021-07-09","2021-09-23","2022-04-17","2021-08-20","2021-08-29","2021-08-20","2021-08-20","2021-08-29","2021-09-02","2021-09-02","2021-09-02","2022-04-26","2021-09-23","2022-03-14","2021-09-02","2021-09-28","2021-09-28","2021-11-15","2021-11-15","2021-11-15","2021-04-27","2021-03-29","2021-09-26","2021-05-03","2021-05-10","2021-08-17","2021-06-21","2021-05-10","2021-05-11","2021-05-11","2021-05-11","2021-08-17","2021-05-11","2021-06-17","2021-05-11","2021-09-26","2021-05-11","2021-05-11","2021-05-11","2021-06-17","2021-09-26","2021-07-02","2021-07-02","2021-09-23","2021-09-01","2021-09-02","2022-01-25","2022-03-09","2022-03-21","2022-04-04","2022-04-26","2022-04-21","2022-04-20","2022-04-17","2021-04-28","2021-04-28","2021-06-21","2021-09-23","2021-10-05","2021-10-05","2022-04-26","2021-10-05","2021-10-05","2021-10-05","2021-10-05","2021-10-05","2022-02-03","2022-03-14","2022-02-03","2022-04-26","2022-04-26","2022-04-26","2022-04-26","2022-04-26","2021-12-03","2021-12-03","2021-12-03","2021-12-03","2021-12-03","2021-12-03","2021-12-03","2021-03-10","2021-03-10","2021-06-21","2021-06-30","2021-06-23","2021-06-23","2021-08-17","2021-09-01","2021-05-11","2021-05-11","2021-06-21","2021-06-17","2021-06-17","2021-06-17","2021-08-17","2021-07-05","2021-10-05","2021-10-05","2021-09-26","2021-01-12","2021-01-12","2021-02-24","2021-02-24","2021-06-20","2021-07-01","2021-07-01","2021-07-01","2021-08-07","2021-08-23","2021-09-01","2022-01-10","2022-01-10","2021-06-30","2021-06-30","2021-06-30","2021-06-30","2021-06-30","2021-06-30","2021-08-08","2021-09-23","2021-09-23","2021-09-23"],"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":[["","00761055520","VITAMIN","TAB 100MG","30","Select","Select",""],["","55111012205","ATORVASTATIN","TAB 20MG","30","Select","Select",""],["","60758077305","KETOROLAC","SOL 0.004","5","Select","Select",""],["","00085113204","PROVENTIL","AER HFA","7","Select","Select",""],["","00003089421","ELIQUIS","TAB 5MG","60","Select","Select",""],["","17478071310","OFLOXACIN","DRO 0.3% OP","5","Select","Select",""],["","59310057922","PROAIR","AER ","8","Select","Select",""],["","42806056201","CHLORDIAZEP","CAP 10MG","30","Select","Select",""],["","51293084610","FOLIC","TAB 1MG","30","Select","Select",""],["","60758011905","PREDNISOLONE","SUS 1% OP","5","Select","Select",""],["","76204020025","ALBUTEROL","NEB 0.00083","75","Select","Select",""],["","00406012305","HYDROCO\/APAP","TAB 5-325MG","30","Select","Select",""],["","59267100001","PFIZER","INJ COVID-19","0","Select","Select",""],["","00406117001","NALTREXONE","TAB 50MG","5","Select","Select",""],["","42858010250","OXYCOD\/APAP","TAB 5-325MG","16","Select","Select",""],["","43547038450","GABAPENTIN","CAP 300MG","90","Select","Select",""],["","65862019399","FLUOXETINE","CAP 20MG","14","Select","Select",""],["","59746017310","PREDNISONE","TAB 10MG","3","Select","Select",""],["","50383077916","LACTULOSE","SOL 10GM\/15","473","Select","Select",""],["","64980043501","MIDODRINE","TAB 10MG","90","Select","Select",""],["","62135098505","DOXYCYCL","CAP 100MG","20","Select","Select",""],["","00591530710","PROMETHAZINE","TAB 25MG","1","Select","Select",""],["","24208079535","NEO\/POLY\/DEX","OIN 0.1% OP","4","Select","Select",""],["","68180012202","CEPHALEXIN","CAP 500MG","21","Select","Select",""],["","00023040330","REFRESH","DRO 0.5% OP","30","Select","Select",""],["","59651039001","BUSPIRONE","TAB 7.5MG","60","Select","Select",""],["","00065064835","TOBRADEX","OIN 0.3-0.1%","4","Select","Select",""],["","00115703301","FLUDROCORT","TAB 0.1MG","30","Select","Select",""],["","24208078055","NEO\/BAC\/POLY","OIN OP","4","Select","Select",""],["","00574402435","ERYTHROMYCIN","OIN 5MG\/GM","4","Select","Select",""],["","17478028435","GENTAK","OIN 0.3% OP","4","Select","Select",""],["","65862018601","CLINDAMYCIN","CAP 300MG","15","Select","Select",""],["","50111056003","TRAZODONE","TAB 50MG","30","Select","Select",""],["","68462043518","ACAMPRO","TAB 333MG","180","Select","Select",""],["","65862001305","SERTRALINE","TAB 100MG","30","Select","Select",""],["","57237001005","MIRTAZAPINE","TAB 45MG","30","Select","Select",""],["","00527133825","DOXYCYC","TAB 100MG","20","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":""}]}]}