{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"DEREK   L HYLTON","gend":0,"add":"2025 E MAIN ST STE 7","city":"RICHMOND","state":"VA","zip":"23223-9998","dob":"1991-02-01","age":"","mstatus":"","insh":"2316888*01","cliId":"","pno":"540\/589-9080","cno":"540\/589-9080","email":"","ename":"","eno":"","pphy":"ANDERSON, MICHAEL S MD","ppno":"434\/634-6101","pcpadd":"6 DOCTORS DRIVE","pcpcity":"EMPORIA","pcpstate":"VA","pcpzip":23847,"pcpcounty":"","pcpid":"","pcpname":"","plan":"OHP","program":"MEDICAID","lob":"M4","region":"CENTRAL","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"434\/634-7107","pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["F90.1","F33.2","F15.20","Z03.818","F11.20","F17.210","F31.12","F11.129","B18.2","Z20.828","Z79.899","F25.0","NO DATA","F51.5","F19.10","I38.","F19.90","F11.23","F33.1","F15.10","F11.21","F31.2","F43.12","F31.9","F43.10","A41.01","I33.0","I76.","I26.90","B95.61","R00.0","F41.9","H53.8","K08.89","F41.1","F12.20","F90.9","F11.10","F31.32","Z03.89","F13.20","F10.20","R94.31","R50.9","A41.9","J18.9","E87.6","E87.1","Z91.19","A49.01","R78.81","G93.40","R74.0","R07.9","R07.89","R79.89","R07.1","R06.2","R04.2","I07.1","R91.8","D72.829","H53.9","I33.9","I36.1","F19.20","I26.01","R05.","R65.10","I49.1","F90.2","R51.9","R68.83","Z20.822","Z87.891","R69.","V62.84","E43.","R21.","Z68.1","H54.7","Z59.0","T50.904A","K02.9","I95.9","F17.200","F43.9","F32.9","Z71.6","M25.519","F18.90","F11.120","J01.00","L01.00","J34.89"],"date":["2020-10-19","2021-04-25","2022-10-27","2021-02-12","2022-09-29","2022-08-27","2021-05-02","2021-05-10","2022-08-17","2021-09-15","2021-12-04","2022-10-27","2022-08-03","2022-07-20","2021-03-02","2022-08-27","2020-10-09","2020-10-09","2021-06-30","2021-06-22","2021-10-19","2022-05-11","2022-05-11","2022-05-10","2022-05-10","2020-09-21","2020-10-12","2020-09-12","2020-10-12","2020-10-12","2020-10-15","2021-03-02","2020-10-12","2020-10-12","2022-03-16","2022-01-01","2021-03-02","2021-05-03","2021-11-04","2021-10-07","2022-01-01","2022-01-01","2020-10-15","2020-09-14","2020-09-24","2020-09-14","2020-09-14","2020-09-14","2020-09-14","2020-09-03","2020-09-28","2020-09-20","2020-09-27","2022-08-27","2022-08-27","2022-08-27","2020-09-02","2020-09-02","2020-09-04","2020-09-03","2020-09-03","2020-09-19","2020-09-16","2020-09-19","2020-09-19","2021-02-04","2020-09-02","2020-09-02","2020-09-02","2020-09-26","2020-10-17","2021-12-04","2021-12-04","2021-12-04","2021-12-04","2020-09-19","2021-03-01","2020-09-02","2020-09-02","2020-09-02","2020-09-28","2020-09-02","2020-09-26","2020-09-28","2020-09-27","2020-09-27","2020-10-04","2021-02-24","2021-03-02","2021-02-24","2021-02-24","2021-05-17","2021-05-29","2021-05-29","2021-05-29"],"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":[]},{"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":[["","00832712315","DIVALPROEX","TAB 250MG DR","14","Select","Select",""],["","00378110101","PRAZOSIN","CAP 1MG","30","Select","Select",""],["","12496120803","SUBOXONE","MIS 8-2MG","30","Select","Select",""],["","47781035703","BUPREN\/NALOX","MIS 8-2MG","60","Select","Select",""],["","13107003134","MIRTAZAPINE","TAB 15MG","14","Select","Select",""],["","62332003731","LAMOTRIGINE","TAB 25MG","70","Select","Select",""],["","72626270101","SOFOS\/VELPAT","TAB 400-100","28","Select","Select",""],["","23155050201","HYDROXYZ","TAB 50MG","180","Select","Select",""],["","68001018000","QUETIAPINE","TAB 50MG","7","Select","Select",""],["","61874013030","VRAYLAR","CAP 3MG","30","Select","Select",""],["","00536137223","NICOTINE","GUM 4MG MINT","100","Select","Select",""],["","65862060230","MODAFINIL","TAB 200MG","14","Select","Select",""],["","51645078806","MELATONIN","TAB 3MG","60","Select","Select",""],["","59417010510","VYVANSE","CAP 50MG","30","Select","Select",""],["","45963055650","GABAPENTIN","CAP 300MG","2","Select","Select",""],["","68462039610","OMEPRAZOLE","CAP 20MG","30","Select","Select",""],["","67877021660","CEFUROXIME","TAB 500MG","10","Select","Select",""],["","50111078710","AZITHROMYCIN","TAB 250MG","4","Select","Select",""],["","13668001005","CITALOPRAM","TAB 20MG","15","Select","Select",""],["","43547028810","BUPROPION","TAB 100MG SR","30","Select","Select",""],["","62011017001","HM","GUM 4MG MINT","110","Select","Select",""],["","68382011305","RISPERIDONE","TAB 0.5MG","60","Select","Select",""],["","69097083412","SERTRALINE","TAB 50MG","30","Select","Select",""],["","80777027310","MODERNA","INJ COVID-19","0","Select","Select",""],["","59779076678","PAIN","TAB 325MG","20","Select","Select",""],["","50428446881","CVS","GUM 2MG ORIG","50","Select","Select",""],["","65862050320","AMOX\/K","TAB 875-125","14","Select","Select",""],["","69547035302","NARCAN","SPR ","2","Select","Select",""],["","00228315303","BUPRENORPHIN","SUB 8MG","11","Select","Select",""],["","87701044416","ANTACID","CHW 750MG","60","Select","Select",""],["","40985027305","ONE","TAB MENS","30","Select","Select",""],["","59267100003","PFIZER","INJ COVID-19","0","Select","Select",""],["","16714014201","ARIPIPRAZOLE","TAB 5MG","30","Select","Select",""],["","51991074790","DULOXETINE","CAP 30MG","30","Select","Select",""],["","00228212750","CLONIDINE","TAB 0.1MG","60","Select","Select",""],["","00228306011","AMPHET\/DEXTR","CAP 20MG ER","60","Select","Select",""],["","00093083205","CLONAZEPAM","TAB 0.5MG","90","Select","Select",""],["","54092038701","ADDERALL","CAP 20MG","60","Select","Select",""],["","69315090401","LORAZEPAM","TAB 0.5MG","6","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":""}]}]}