{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"BRIAN ROCKEY","gend":0,"add":"4317 S AINSLIE CT","city":"SUFFOLK","state":"VA","zip":"23434-9998","dob":"1980-04-30","age":"","mstatus":"","insh":"2320413*01","cliId":"","pno":"757\/651-7223","cno":"","email":"","ename":"","eno":"","pphy":"REHMANI, SAMEERAH MD","ppno":"757\/923-9600","pcpadd":"3060 GODWIN BLVD","pcpcity":"SUFFOLK","pcpstate":"VA","pcpzip":23434,"pcpcounty":"","pcpid":"","pcpname":"Lakeview Pediatrics & Family Medicine","plan":"OHP","program":"MEDICAID","lob":"M4","region":"TIDEWATER","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"757\/923-9665","pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["F33.9","V62.84","F31.5","G47.33","G47.50","G47.20","F17.290","F90.9","F43.10","G25.81","F31.9","Z79.899","Z99.89","F41.9","F32.9","R52.","F29.","R09.02","R11.0","R11.11","F10.20","NO DATA","G89.29","M25.562","M17.12","F10.231","G40.909","R11.2","I10.","G47.00","F10.24","E78.2","M79.672","E66.9","F41.0","F39.","F17.210","Z68.33","F10.239","F60.89","Z86.59","Z72.0","F41.3","F51.04","Z65.8","F19.94","R09.81","H10.13","Z20.822","J31.0","F10.230","F31.4","E78.5","K21.9","E55.9","D75.89","F10.920","Z11.59","F10.10","R60.9","F10.929","R53.81","S50.812A","Z72.89","S80.211A","S61.307A","S50.811A","S80.212A","Z91.5","Z88.6","Z88.8","T14.8XXA","K29.60","F17.200","B36.0","Z76.89","Z13.1","Z13.220","M79.605","J02.9","M25.561","F31.81","F31.64","F90.0","F51.01","F41.1","R56.9","G25.2","A60.00","E66.09","Z03.818","F17.211","J30.9","G47.30","R94.5","K52.9","R19.5","F31.60","R53.82","R40.0","L03.116","J34.2","K13.79","G40.209","G56.03","E11.9","F10.29","S83.92XA","R55.","M79.89","G56.02","J34.89","R06.89","R06.09","M25.572","S51.811A","Z23.","J35.1","Z01.89","S22.32XA","K76.0","Z87.898","R07.89","D10.39","J34.3"],"date":["2021-04-09","2021-09-14","2021-10-22","2022-08-18","2021-06-30","2021-06-30","2021-06-30","2021-10-04","2021-09-23","2022-08-17","2022-09-23","2021-08-26","2021-07-13","2022-11-15","2021-09-08","2021-09-08","2021-09-08","2021-09-08","2021-09-08","2021-09-08","2021-10-04","2021-10-29","2021-10-29","2022-08-31","2022-11-28","2020-10-03","2022-11-15","2020-10-03","2022-09-23","2020-10-06","2020-10-03","2020-10-06","2020-10-07","2021-09-14","2020-10-03","2021-09-20","2020-12-04","2020-10-03","2021-01-07","2021-01-07","2021-01-07","2021-01-07","2021-01-07","2021-09-14","2021-01-07","2021-01-07","2022-03-15","2021-03-30","2021-03-30","2022-03-15","2020-10-08","2021-09-21","2021-09-14","2021-09-15","2021-09-15","2021-09-15","2021-09-08","2020-10-02","2022-08-14","2020-12-04","2020-12-04","2020-12-04","2020-12-04","2020-12-04","2020-12-04","2020-12-04","2020-12-04","2020-12-04","2020-12-04","2020-12-04","2020-12-04","2020-12-04","2022-01-31","2021-04-27","2021-04-27","2021-04-27","2021-04-27","2021-04-27","2021-07-04","2021-08-05","2021-08-09","2021-09-23","2022-10-12","2022-10-12","2022-10-12","2022-10-12","2022-02-28","2021-07-27","2021-07-27","2020-10-03","2021-01-04","2021-01-06","2021-09-15","2022-06-06","2021-09-15","2021-11-22","2020-09-18","2020-09-18","2021-06-15","2021-06-15","2021-07-04","2022-10-13","2022-03-15","2022-09-22","2022-09-22","2022-05-31","2022-09-23","2022-08-14","2022-08-14","2022-08-23","2022-02-10","2022-10-13","2022-05-16","2022-09-26","2022-08-23","2022-08-24","2022-09-23","2022-06-06","2022-08-31","2022-05-08","2022-05-08","2022-05-08","2022-05-08","2022-05-16","2022-10-13"],"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":[["","","VALACYCLOVIR","TAB 500MG","","Select","Select",""],["","","LAMOTRIGINE","TAB 100MG","","Select","Select",""],["","43598016430","OLANZAPINE","TAB 5MG","30","Select","Select",""],["","59417010710","VYVANSE","CAP 70MG","30","Select","Select",""],["","00406052201","OXYCOD\/APAP","TAB 7.5-325","30","Select","Select",""],["","","AMPHET\/DEXTR","TAB 30MG","","Select","Select",""],["","","ADDERALL","TAB 30MG","","Select","Select",""],["","","OXCARBAZEPIN","TAB 300MG","","Select","Select",""],["","42192015206","SELENIUM","SHA 0.0225","180","Select","Select",""],["","68382013510","LOSARTAN","TAB 25MG","30","Select","Select",""],["","","LATUDA","TAB 80MG","","Select","Select",""],["","64980033912","MAGNESIUM-OX","TAB 400MG","30","Select","Select",""],["","69315011610","FUROSEMIDE","TAB 20MG","14","Select","Select",""],["","","TRIAZOLAM","TAB 0.25MG","","Select","Select",""],["","","OMEPRAZOLE","CAP 40MG","","Select","Select",""],["","68180045001","QUETIAPINE","TAB 400MG","30","Select","Select",""],["","51991074710","DULOXETINE","CAP 30MG","90","Select","Select",""],["","80777027399","MODERNA","INJ COVID-19","0","Select","Select",""],["","31722053712","LEVETIRACETA","TAB 500MG","60","Select","Select",""],["","","AMLODIPINE","TAB 10MG","","Select","Select",""],["","65862085999","FAMOTIDINE","TAB 20MG","90","Select","Select",""],["","00603548232","PROPRANOLOL","TAB 10MG","60","Select","Select",""],["","","NICOTINE","DIS 14MG\/24H","","Select","Select",""],["","00603020922","MAG","TAB 400MG","30","Select","Select",""],["","00904693181","PEG","POW ","12","Select","Select",""],["","59746000106","METHYLPRED","TAB 4MG","21","Select","Select",""],["","64764075030","TRINTELLIX","TAB 20MG","30","Select","Select",""],["","00591352530","LIDOCAINE","PAD 0.05","28","Select","Select",""],["","59148003713","REXULTI","TAB 1MG","30","Select","Select",""],["","","FLUOXETINE","CAP 20MG","","Select","Select",""],["","00406012301","HYDROCO\/APAP","TAB 5-325MG","4","Select","Select",""],["","68382005101","MELOXICAM","TAB 15MG","30","Select","Select",""],["","49884015576","VARENICLINE","TAB 0.5MG","30","Select","Select",""],["","49348035625","NASAL","SPR 0.0065","44","Select","Select",""],["","67877021905","CEPHALEXIN","CAP 500MG","28","Select","Select",""],["","68382056928","ACAMPRO","TAB 333MG","30","Select","Select",""],["","60505082601","IPRATROPIUM","SPR 0.0003","30","Select","Select",""],["","","ATORVASTATIN","TAB 40MG","","Select","Select",""],["","10135013201","THIAMINE","TAB 100MG","30","Select","Select",""],["","27241016801","DOXEPIN","CAP 25MG","30","Select","Select",""],["","00904549213","THERA-M","TAB ","30","Select","Select",""],["","","FOLIC","TAB 1000MCG","","Select","Select",""],["","69097083412","SERTRALINE","TAB 50MG","30","Select","Select",""],["","16571040210","CETIRIZINE","TAB 10MG","30","Select","Select",""],["","60505082901","FLUTICASONE","SPR 50MCG","16","Select","Select",""],["","42806071401","BENZONATATE","CAP 100MG","42","Select","Select",""],["","00781185220","AMOX\/K","TAB 875-125","14","Select","Select",""],["","","VITAMIN","TAB 100MG","","Select","Select",""],["","59746017306","PREDNISONE","TAB 10MG","15","Select","Select",""],["","68462015713","ONDANSETRON","TAB 4MG ODT","30","Select","Select",""],["","","MULTI-VIT\/","TAB MINERALS","","Select","Select",""],["","","ACETAMIN","TAB 500MG","","Select","Select",""],["","","CARTIA","CAP 180\/24HR","","Select","Select",""],["","","FLUBLOK","INJ 2020-21","","Select","Select",""],["","","ATOMOXETINE","CAP 40MG","","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":""}]}]}