{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"LAURIE   L POWELL-PATTERSON","gend":1,"add":"63 KING GEORGE QUAY","city":"CHESAPEAKE","state":"VA","zip":"23325-9998","dob":"1976-01-22","age":"","mstatus":"","insh":"2202849*01","cliId":"","pno":"757\/576-5829","cno":"757\/576-5829","email":"","ename":"","eno":"","pphy":"PALTING, ARLENE MD","ppno":"757\/983-1777","pcpadd":"STE 101 213 RIVER WALK PKWY","pcpcity":"CHESAPEAKE","pcpstate":"VA","pcpzip":23320,"pcpcounty":"","pcpid":"","pcpname":"SMG - Sentara Family & Internal Medicine Physicians - Riverwalk","plan":"OHP","program":"MEDICAID","lob":"M4","region":"TIDEWATER","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"757\/507-9043","pcpnpi":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["L02.415","B37.3","F90.9","F33.0","Z23.","Z00.00","E66.01","E28.2","B00.9","E55.9","J30.9","L02.93","Z01.419","Z12.4","Z11.3","E88.81","NO DATA","I10.","D64.9","N91.0","A60.09","Z11.59","Z12.31","N91.5","Z20.2","R03.0","R63.5","K62.5","K64.8","J30.1","J30.89","J32.9","H10.45","K64.9","M19.011","M54.2","L64.9","L21.8","N93.9","Z01.810","J30.81","L20.84","K90.49","N92.0","D25.9","R22.41","L03.115","E66.09","F43.9","Z68.39","D25.0","Z01.818","J31.0","H10.33","L20.89","J41.0","Z68.41","N89.8","B37.9","K59.00","Z68.37","L81.0","K29.60","R10.13","R13.10","R12.","R09.81","L70.9","Z86.19","B34.9","K92.1"],"date":["2020-03-30","2020-03-30","2022-09-07","2022-09-07","2021-12-17","2022-10-24","2022-10-24","2022-10-24","2020-10-09","2022-10-24","2022-10-24","2021-10-25","2021-10-28","2021-10-28","2021-10-28","2021-10-25","2022-10-24","2022-10-24","2021-10-25","2021-10-25","2022-10-24","2021-10-25","2021-10-25","2020-10-02","2020-10-02","2020-10-02","2020-10-02","2019-07-22","2019-12-23","2019-12-03","2019-12-03","2019-12-03","2019-12-03","2019-12-16","2019-07-15","2019-07-15","2019-11-13","2019-10-09","2019-10-14","2019-12-16","2019-07-17","2019-07-17","2019-07-17","2019-10-14","2019-08-20","2019-08-23","2019-08-28","2019-11-05","2019-09-30","2022-06-01","2019-10-14","2019-12-16","2019-07-11","2019-07-11","2019-07-11","2019-07-11","2019-07-03","2019-07-03","2019-08-20","2019-11-05","2019-11-05","2019-11-13","2022-07-26","2022-07-26","2022-07-26","2022-10-24","2022-10-24","2022-10-24","2022-10-24","2022-01-11","2022-02-03"],"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":[["","00054040013","DESVENLAFAX","TAB 50MG ER","30","Select","Select",""],["","31722070190","LOSARTAN","TAB 50MG","30","Select","Select",""],["","59267100002","PFIZER","INJ COVID-19","0","Select","Select",""],["","","VITAMIN"," VITAMIN ","4","Select","Select",""],["","00002143380","TRULICITY","INJ 0.75\/0.5","2","Select","Select",""],["","59651000305","OMEPRAZOLE","CAP 40MG","90","Select","Select",""],["","68382002101","VENLAFAXINE","TAB 75MG","30","Select","Select",""],["","00527551337","AMPHET\/DEXTR","CAP 20MG ER","60","Select","Select",""],["","54092038701","ADDERALL","CAP 20MG","60","Select","Select",""],["","27241016701","DOXEPIN","CAP 10MG","30","Select","Select",""],["","00006468100","M-M-R","INJ ","1","Select","Select",""],["","50111056001","TRAZODONE","TAB 50MG","15","Select","Select",""],["","00169452514","WEGOVY","INJ 0.25MG","1","Select","Select",""],["","16729044310","BUPROPN","TAB 150MG XL","30","Select","Select",""],["","00054327099","FLUTICASONE","SPR 50MCG","16","Select","Select",""],["","59651021430","AZELASTINE","SPR 0.001","30","Select","Select",""],["","70461032203","FLUCLVX","INJ 2022-23","0","Select","Select",""],["","","VALACYCLOVIR"," VALACYCLOVIR ","30","Select","Select",""],["","51991074690","DULOXETINE","CAP 20MG","90","Select","Select",""],["","35573041830","ATOMOXETINE","CAP 40MG","30","Select","Select",""],["","19515081852","FLULAVAL","INJ 2021-22","0","Select","Select",""],["","00093101042","MUPIROCIN","OIN 0.02","22","Select","Select",""],["","45802046564","KETOCONAZOLE","SHA 0.02","120","Select","Select",""],["","70710113908","FLUCONAZOLE","TAB 150MG","1","Select","Select",""],["","68462053253","CLOBETASOL","SOL 0.0005","50","Select","Select",""],["","","METFORMIN","TAB 500MG ER","","Select","Select",""],["","50111033401","METRONIDAZOL","TAB 500MG","14","Select","Select",""],["","","IBUPROFEN","TAB 800MG","","Select","Select",""],["","65862042005","SMZ\/TMP","TAB 800-160","20","Select","Select",""],["","","CEPHALEXIN","CAP 500MG","","Select","Select",""],["","","HIBICLENS","LIQ 0.04","","Select","Select",""],["","10702002501","PHENTERMINE","TAB 37.5MG","30","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":""}]}]}