{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"MICHAEL   A HARRINGTON","gend":0,"add":"1110 ANN ST APT F","city":"PORTSMOUTH","state":"VA","zip":"23704-9998","dob":"1963-07-05","age":"","mstatus":"","insh":"2046122*01","cliId":"","pno":"757\/470-2179","cno":"757\/470-2179","email":"","ename":"","eno":"","pphy":"ANGLIN, VICTOR TEODORO MD","ppno":"757\/738-1225","pcpadd":"3537 AIRLINE BLVD STE 1","pcpcity":"PORTSMOUTH","pcpstate":"VA","pcpzip":23701,"pcpcounty":"","pcpid":"","pcpname":"AIRLINE BOULEVARD MEDICAL ASSOCIATES","plan":"OHP","program":"MEDICAID","lob":"M4","region":"TIDEWATER","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"757\/448-1037","pcpnpi":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["F11.20","K21.9","R10.11","R14.2","NO DATA","T18.2XXA","M15.2","I08.8","I77.810","I10.","E11.9","E78.5","I50.9","R10.13","M79.642","B35.3","N52.9","Z68.24","Z23.","D64.9","R63.4","R06.02","R68.89","E11.69","E78.2","R25.1","R06.00","U07.1","J40.","G60.9","M25.562","Z11.59","Z13.220","J41.0","I11.0","I51.9","M25.372","M65.872","M25.572","M21.6X9","M19.072","R09.02","F19.10","Z86.16","J84.10","Z68.23","J96.01","J12.89","E11.65","T38.0X5A","F11.10","Z87.19","Z79.82","Z79.84","Z79.899","Z88.8","Z91.048","G31.9","S50.01XA","M70.98","S39.012A","J45.30","I50.32","K59.00","Z86.010","S76.211A","H25.13","J01.00","H10.33","J01.91","I35.1","R20.8","L30.9","R20.2","M54.5","G89.29","W19.XXXA","J96.11","Z99.81","R06.2","R41.840","F32.89","R93.89","M79.671","Z68.25","N52.8"],"date":["2022-11-21","2022-03-21","2022-03-21","2022-03-21","2022-03-21","2022-03-21","2021-09-16","2021-11-10","2021-11-10","2022-03-15","2022-08-10","2022-03-15","2022-03-15","2022-01-18","2022-03-15","2022-01-18","2022-01-18","2022-01-18","2021-11-02","2020-03-04","2021-03-31","2021-11-16","2020-04-17","2020-04-17","2020-11-05","2021-07-26","2021-06-24","2021-02-03","2020-11-02","2020-11-02","2020-11-02","2021-04-12","2020-11-02","2020-08-26","2021-11-16","2021-06-11","2022-05-17","2022-05-17","2022-05-17","2022-04-05","2022-04-05","2020-04-22","2020-04-22","2021-06-24","2021-06-24","2022-03-15","2020-04-16","2020-11-05","2020-04-16","2020-04-16","2020-04-16","2020-04-16","2020-04-16","2020-04-16","2020-04-16","2020-04-16","2020-04-16","2020-09-10","2020-10-16","2020-10-16","2020-12-27","2021-11-02","2021-11-16","2021-12-08","2021-12-08","2022-04-04","2022-08-10","2020-07-09","2020-07-09","2020-10-30","2021-02-03","2020-02-07","2020-02-07","2020-03-09","2020-03-09","2020-03-09","2021-06-14","2021-02-03","2021-02-03","2021-03-31","2021-03-31","2021-03-31","2021-01-06","2021-04-12","2021-04-12","2021-08-16"],"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":[["","51672208002","TERBINAFINE","CRE 0.01","30","Select","Select",""],["","68180072003","AMLODIPINE","TAB 5MG","90","Select","Select",""],["","00456120130","LINZESS","CAP 145MCG","30","Select","Select",""],["","69097042207","CELECOXIB","CAP 100MG","60","Select","Select",""],["","16729000316","GLIMEPIRIDE","TAB 4MG","30","Select","Select",""],["","65862001005","METFORMIN","TAB 1000MG","180","Select","Select",""],["","70377002913","ATORVASTATIN","TAB 40MG","90","Select","Select",""],["","27241011205","TADALAFIL","TAB 5MG","12","Select","Select",""],["","51991074690","DULOXETINE","CAP 20MG","30","Select","Select",""],["","66689000816","NYSTATIN","SUS 100000","200","Select","Select",""],["","52817033200","CYCLOBENZAPR","TAB 10MG","15","Select","Select",""],["","00172392670","DIAZEPAM","TAB 5MG","5","Select","Select",""],["","59762444002","METHYLPRED","TAB 4MG","21","Select","Select",""],["","55111015810","OMEPRAZOLE","CAP 20MG","90","Select","Select",""],["","70010075401","METHOCARBAM","TAB 500MG","30","Select","Select",""],["","68382009205","CARVEDILOL","TAB 3.125MG","180","Select","Select",""],["","00781261305","AMOXICILLIN","CAP 500MG","21","Select","Select",""],["","49281042250","FLUZONE","INJ 2022-23","0","Select","Select",""],["","64380080707","IBUPROFEN","TAB 800MG","30","Select","Select",""],["","00603533832","PREDNISONE","TAB 10MG","18","Select","Select",""],["","00173088210","BREO","INH 200-25","180","Select","Select",""],["","68382013610","LOSARTAN","TAB 50MG","90","Select","Select",""],["","69547035302","NARCAN","SPR ","2","Select","Select",""],["","45802006435","TRIAMCINOLON","CRE 0.001","60","Select","Select",""],["","00116200116","CHLORHEX","SOL 0.0012","473","Select","Select",""],["","68382005105","MELOXICAM","TAB 15MG","30","Select","Select",""],["","00173072020","FLOVENT","AER 220MCG","12","Select","Select",""],["","00310737020","BUDES\/FORMOT","AER 160-4.5","10","Select","Select",""],["","00186037020","SYMBICORT","AER 160-4.5","10","Select","Select",""],["","59267100001","PFIZER","INJ COVID-19","0","Select","Select",""],["","65862086001","FAMOTIDINE","TAB 40MG","90","Select","Select",""],["","58160082311","SHINGRIX","INJ 50\/0.5ML","1","Select","Select",""],["","65862047099","LOSARTAN\/HCT","TAB 100-25","30","Select","Select",""],["","67877046390","PREGABALIN","CAP 50MG","60","Select","Select",""],["","00536116361","MUCUS","TAB 600MG ER","30","Select","Select",""],["","00781185220","AMOX\/K","TAB 875-125","20","Select","Select",""],["","00574402435","ERYTHROMYCIN","OIN 5MG\/GM","4","Select","Select",""],["","69097081312","GABAPENTIN","CAP 100MG","90","Select","Select",""],["","00904576960","ARTHRTS","TAB 650MG","30","Select","Select",""],["","00406048410","APAP\/CODEINE","TAB 300-30MG","4","Select","Select",""],["","67877069601","CHLORTHALID","TAB 25MG","45","Select","Select",""],["","68462019005","NAPROXEN","TAB 500MG","20","Select","Select",""],["","00054327099","FLUTICASONE","SPR 50MCG","16","Select","Select",""],["","69097052444","DICLOFENAC","GEL 0.01","100","Select","Select",""],["","65862064163","AZITHROMYCIN","TAB 250MG","6","Select","Select",""],["","60505004101","ETODOLAC","TAB 400MG","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":""}]}]}