{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"OTEGIA   S MCCOY","gend":1,"add":"926 LOCKSPUR CRES APT 201","city":"NEWPORT NEWS","state":"VA","zip":"23608-9998","dob":"1982-12-15","age":"","mstatus":"","insh":"2357445*01","cliId":"","pno":"757\/713-1158","cno":"","email":"","ename":"","eno":"","pphy":"LARKIN, TIMOTHY P DO","ppno":"757\/850-1311","pcpadd":"191 FOX HILL ROAD STE D","pcpcity":"HAMPTON","pcpstate":"VA","pcpzip":23669,"pcpcounty":"","pcpid":"","pcpname":"Elizabeth Lakes Family Practice","plan":"OHP","program":"MEDICAID","lob":"M4","region":"TIDEWATER","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"757\/850-7315","pcpnpi":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["G43.009","Z30.09","N92.6","R10.2","G43.109","G44.209","N92.1","Z30.46","Z11.3","U07.1","R07.89","R11.0","E66.01","K21.9","Z68.41","Z00.00","Z13.1","G43.709","Z13.220","Z13.0","Z68.42","E22.1","R07.9","M25.562","R53.83","R42.","G47.33","D64.9","R73.03","Z68.38","Z01.812","Z20.822","Z68.37","Z79.899","F50.9","M79.89","E66.9","R11.2","L29.9","E87.6","Z90.3","Z98.84","R10.31","G43.909","Z68.34","E04.9","E88.81","R10.9","N76.0","N94.12","R10.813","Z32.02","Z78.9","R06.83","Z23.","Z20.828","E11.9","Z68.35","N91.2","K21.0","T47.1X5A","Z68.39","Z30.019","Z01.419","Z12.31","N94.6","K64.9","M54.2","H53.69","E28.2","I10.","R40.0","G89.18","K76.0","Z90.49","F12.90","G47.30","I82.409","N64.3","G43.911","E66.09","Z68.36","J30.9","Z86.16","Z01.411","Z13.89","N89.8","B37.3","M15.0","K90.9","L30.4","H00.14","H02.824","H35.81","H52.13","H52.4","N64.4","M94.0","K08.89","R68.84","R52.","R09.1","C49.A0","Z68.33","R07.81","R51.9","J02.9","R55.","R07.0","E55.9","Z68.30"],"date":["2022-09-15","2020-06-02","2020-11-11","2020-06-11","2020-11-23","2020-11-23","2020-12-08","2021-01-05","2020-12-08","2021-02-05","2022-07-14","2021-07-01","2021-11-10","2022-01-02","2021-10-15","2021-04-23","2021-04-23","2021-10-25","2021-04-23","2021-04-23","2021-08-18","2022-09-15","2021-10-19","2021-07-23","2021-07-23","2022-09-15","2021-07-23","2022-11-01","2021-07-23","2021-10-15","2021-10-08","2022-09-15","2021-10-19","2022-09-15","2021-03-17","2021-07-08","2021-07-01","2021-11-10","2021-11-03","2021-11-03","2021-11-10","2022-11-01","2021-11-10","2021-11-10","2021-11-10","2020-02-11","2020-02-11","2020-04-06","2020-04-06","2020-07-09","2020-07-09","2020-07-09","2021-10-04","2021-07-25","2021-08-23","2021-10-08","2021-10-15","2021-10-15","2020-04-02","2020-04-17","2020-04-20","2020-06-15","2020-11-11","2021-01-05","2021-01-05","2021-01-05","2021-01-05","2021-03-24","2021-03-24","2021-03-24","2022-09-15","2021-06-14","2021-10-04","2021-10-15","2021-10-15","2021-02-22","2021-05-26","2021-10-28","2020-07-29","2020-06-14","2021-10-25","2021-10-25","2021-10-25","2021-10-25","2019-05-03","2019-05-03","2019-12-05","2019-12-05","2019-02-27","2022-11-01","2022-11-01","2022-07-07","2022-06-23","2022-06-23","2022-06-23","2022-06-23","2022-08-03","2022-08-03","2022-03-27","2022-03-27","2022-03-27","2022-07-23","2022-11-01","2022-01-18","2022-07-23","2022-09-15","2022-09-15","2022-09-15","2022-09-15","2022-11-01","2022-11-01"],"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":[["","69097084507","CYCLOBENZAPR","TAB 5MG","20","Select","Select",""],["","67877026118","RIZATRIPTAN","TAB 5MG","9","Select","Select",""],["","00093532862","JUNEL","TAB 43831","28","Select","Select",""],["","00054327099","FLUTICASONE","SPR 50MCG","16","Select","Select",""],["","70710122600","AMITRIPTYLIN","TAB 25MG","30","Select","Select",""],["","67877032105","IBUPROFEN","TAB 800MG","20","Select","Select",""],["","68462073129","HAILEY","TAB FE","28","Select","Select",""],["","00002143611","EMGALITY","INJ 120MG\/ML","1","Select","Select",""],["","53746010901","HYDROCO\/APAP","TAB 5-325MG","10","Select","Select",""],["","","MEDROXYPR","TAB 10MG","","Select","Select",""],["","51672128902","NYSTATIN","CRE 100000","30","Select","Select",""],["","","METRONIDAZOL","GEL 0.75%VAG","","Select","Select",""],["","69097014260","ALBUTEROL","AER HFA","7","Select","Select",""],["","70710113908","FLUCONAZOLE","TAB 150MG","2","Select","Select",""],["","59746000103","METHYLPRED","TAB 4MG","21","Select","Select",""],["","00093310905","AMOXICILLIN","CAP 500MG","21","Select","Select",""],["","00378064205","PREDNISONE","TAB 20MG","10","Select","Select",""],["","65862039010","ONDANSETRON","TAB 4MG ODT","20","Select","Select",""],["","69452015120","VITAMIN","CAP 50000UNT","12","Select","Select",""],["","59310057922","PROAIR","AER ","8","Select","Select",""],["","","CABERGOLINE","TAB 0.5MG","","Select","Select",""],["","65162052110","PROMETHAZINE","TAB 25MG","12","Select","Select",""],["","62559043130","HYDROCORTISO","CRE 0.025","30","Select","Select",""],["","","TIZANIDINE","TAB 2MG","","Select","Select",""],["","65862057490","MONTELUKAST","TAB 10MG","30","Select","Select",""],["","69097012303","TOPIRAMATE","TAB 50MG","60","Select","Select",""],["","00172392570","DIAZEPAM","TAB 2MG","2","Select","Select",""],["","59746012206","MECLIZINE","TAB 12.5MG","30","Select","Select",""],["","70710175806","ENOXAPARIN","INJ 40\/0.4ML","8","Select","Select",""],["","","OXYCOD\/APAP","TAB 5-325MG","","Select","Select",""],["","50428308240","MILK","SUS 400\/5ML","355","Select","Select",""],["","51801001130","EFFER-K","TAB 20MEQ","28","Select","Select",""],["","70436015301","POT  CHLORIDE","TAB 20MEQ ER","60","Select","Select",""],["","","METFORMIN","TAB 500MG ER","","Select","Select",""],["","55111029336","SUMATRIPTAN","TAB 100MG","9","Select","Select",""],["","","AIMOVIG","INJ 70MG\/ML","","Select","Select",""],["","11534018701","BUT\/APAP\/CAF","CAP ","40","Select","Select",""],["","","PANTOPRAZOLE","TAB 40MG","","Select","Select",""],["","","OMEPRAZOLE","CAP 20MG","","Select","Select",""],["","68382002210","ATENOLOL","TAB 25MG","30","Select","Select",""],["","00536100901","FERROUS","TAB 325MG","60","Select","Select",""],["","57664047758","METOPROL","TAB 50MG","30","Select","Select",""],["","50428035980","CVS","TAB 325MG","60","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":{"indx":[["","","",""],[""],[""],[""],[""],[""]],"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":""}]}]}