{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"MICHELLE N MORRIS","gend":1,"add":"282 BLAND ST","city":"NORTH TAZEWELL","state":"VA","zip":"24630-9998","dob":"1983-09-17","age":"","mstatus":"","insh":"1824149*01","cliId":"","pno":2762640278,"cno":2762640278,"email":"","ename":"","eno":"","pphy":"JACKSON, KERRI S NP","ppno":2769799899,"pcpadd":"386 BEN BOLT AVE,","pcpcity":"TAZEWELL","pcpstate":"VA","pcpzip":"24651-9998","pcpcounty":"","pcpid":"","pcpname":"","plan":"OHP","program":"MEDICAID","lob":"M4","region":"SOUTHWEST","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":2769799798,"pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["F43.22","J20.9","Z20.822","Z79.899","Z87.39","R05.","N39.0","F31.81","F41.1","F43.10","F12.20","M79.7","M32.9","G43.909","R11.2","F31.5","F31.60","J30.2","Z87.09","R60.0","M13.80","R40.0","M25.571","F31.9","F33.3","F60.3","G47.01","F12.10","K21.9","Z01.419","L70.0","L72.0","R06.2","R05.1","R91.1","M25.50","L63.9","M70.62","F31.2","R44.1","R44.0","R41.82","R53.81","F41.9","R94.31","M05.79","F32.9","F43.21","V62.84","M19.90","F41.8","G47.00","I10.","R07.89","M54.6","R03.0","R53.83","R09.81","S39.012A","M62.830","NO DATA","L65.9","L63.8","F43.20","J01.00","Z03.818","R53.1","R07.9","R11.10","M06.09","M51.36","R10.13","K58.1","F33.0","F25.0"],"date":["2021-07-29","2022-02-21","2022-06-24","2022-07-15","2021-09-29","2021-09-29","2021-11-30","2022-08-23","2022-08-23","2023-09-22","2022-06-30","2022-11-03","2022-06-30","2022-06-30","2022-11-03","2023-09-22","2021-06-07","2021-05-13","2021-05-13","2021-07-12","2021-07-12","2022-11-03","2021-07-12","2022-06-24","2022-02-01","2023-09-22","2022-01-24","2022-02-01","2022-09-13","2021-01-18","2021-02-10","2021-02-10","2022-02-21","2022-02-21","2022-05-26","2022-08-30","2022-08-30","2022-08-30","2021-11-16","2022-06-24","2022-06-24","2022-06-24","2022-06-24","2022-07-15","2022-07-15","2021-10-14","2021-11-08","2021-11-08","2021-11-15","2021-11-15","2022-06-24","2022-06-24","2022-07-15","2022-07-15","2022-07-19","2022-07-19","2021-02-17","2021-09-29","2022-05-07","2022-05-07","2022-05-07","2022-12-16","2022-12-16","2021-01-04","2021-01-12","2021-01-12","2021-11-08","2022-07-15","2022-07-15","2022-08-23","2022-08-23","2022-08-23","2022-08-23","2022-08-23","2022-08-23"],"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":[["","52817033200","CYCLOBENZAPR","TAB 10MG","90","Select","Select",""],["","66993001968","ALBUTEROL","AER HFA","18","Select","Select",""],["","13668001001","CITALOPRAM","TAB 20MG","30","Select","Select",""],["","43547030303","ARIPIPRAZOLE","5 MG","30","Select","Select",""],["","69238207807","PROPRANOLOL","TAB 20MG","60","Select","Select",""],["","68462012605","GABAPENTIN","TAB 600MG","90","Select","Select",""],["","51991029401","OXCARBAZEPIN","TAB 600MG","28","Select","Select",""],["","68180078001","ZOLPIDEM ER","TAB 12.5MG","30","Select","Select",""],["","00143211205","DOXYCYCL HYC","TAB 100MG","20","Select","Select",""],["","00378064205","PREDNISONE","TAB 20MG","10","Select","Select",""],["","72606050902","FAMOTIDINE","TAB 20MG","30","Select","Select",""],["","59310057922","PROAIR HFA","AER ","8","Select","Select",""],["","59746012106","MECLIZINE","TAB 25MG","90","Select","Select",""],["","62756079888","DIVALPROEX","TAB 500MG DR","30","Select","Select",""],["","70710115803","LEFLUNOMIDE","TAB 20MG","30","Select","Select",""],["","00002143611","EMGALITY","INJ 120MG\/ML","1","Select","Select",""],["","42806016005","HYDROXYZ HCL","TAB 25MG","120","Select","Select",""],["","60505082901","FLUTICASONE","SPR 50MCG","48","Select","Select",""],["","64380071306","BENZONATATE","CAP 200MG","30","Select","Select",""],["","65862053750","LEVOFLOXACIN","TAB 500MG","10","Select","Select",""],["","16571020150","DICLOFENAC","TAB 75MG DR","30","Select","Select",""],["","13668013701","ESCITALOPRAM","TAB 20MG","30","Select","Select",""],["","65862096901","ESZOPICLONE","3 MG","30","Select","Select",""],["","00006000530","BELSOMRA","TAB 5MG","30","Select","Select",""],["","00574402435","ERYTHROMYCIN","OIN 5MG\/GM","7","Select","Select",""],["","00173068220","VENTOLIN HFA","AER ","18","Select","Select",""],["","00115180301","HYDROXYZ PAM","CAP 25MG","120","Select","Select",""],["","49483060450","IBUPROFEN","TAB 800MG","270","Select","Select",""],["","57664050083","MIRTAZAPINE","TAB 30MG","30","Select","Select",""],["","43547034006","RISPERIDONE","TAB 0.5MG","60","Select","Select",""],["","13107008405","LORAZEPAM","TAB 1MG","42","Select","Select",""],["","68180016106","AZITHROMYCIN","TAB 500MG","5","Select","Select",""],["","50111056001","TRAZODONE","TAB 50MG","90","Select","Select",""],["","69452015120","VITAMIN D","2 1250 MCG","12","Select","Select",""],["","63402030830","LATUDA","80 MG","30","Select","Select",""],["","00456120230","LINZESS","CAP 290MCG","30","Select","Select",""],["","45802065087","LORATADINE","TAB 10MG","90","Select","Select",""],["","10702000350","PROMETHAZINE","TAB 25MG","40","Select","Select",""],["","65862057490","MONTELUKAST","TAB 10MG","30","Select","Select",""],["","00168000215","TRIAMCINOLON","CRE 0.005","30","Select","Select",""],["","65862056090","PANTOPRAZOLE","TAB 40MG","30","Select","Select",""],["","59762040101","SUCRALFATE","TAB 1GM","20","Select","Select",""],["","49884025601","MINOXIDIL","TAB 2.5MG","15","Select","Select",""],["","67877064130","LURASIDONE HCL","80 MG","30","Select","Select",""],["","42806016105","HYDROXYZINE HCL","50 MG","120","Select","Select",""],["","13668013701","ESCITALOPRAM OXALATE","20 MG","30","Select","Select",""],["","68382003416","VENLAFAXINE HCL ER","37.5 MG","30","Select","Select",""],["","43547034006","RISPERIDONE TAB","0.5MG","60","Select","Select",""],["","00115180301","HYDROXYZ PAM CAP","25MG","120","Select","Select",""],["","57664050083","MIRTAZAPINE TAB","30MG","30","Select","Select",""],["","69097084905","ESCITALOPRAM TAB","20MG","90","Select","Select",""],["","43547030203","ARIPIPRAZOLE TAB","2MG","14","Select","Select",""],["","50111056001","TRAZODONE TAB","50MG","90","Select","Select",""],["","00378064205","PREDNISONE TAB","20MG","10","Select","Select",""],["","24658031205","DOXYCYCL HYC TAB","100MG","20","Select","Select",""],["","66993001968","ALBUTEROL AER HFA","","18","Select","Select",""],["","69097084507","CYCLOBENZAPR TAB","5MG","12","Select","Select",""],["","00093553801","ESZOPICLONE TAB","2MG","30","Select","Select",""],["","62756079888","DIVALPROEX TAB","500MG DR","30","Select","Select",""],["","69238207807","PROPRANOLOL TAB","20MG","60","Select","Select",""],["","63402030830","LATUDA TAB","80MG","30","Select","Select",""],["","65862057490","MONTELUKAST TAB","10MG","30","Select","Select",""],["","00456120230","LINZESS CAP","290MCG","30","Select","Select",""],["","69452015120","VITAMIN D CAP","50000UNT","4","Select","Select",""],["","45802065087","LORATADINE TAB","10MG","90","Select","Select",""],["","42806016005","HYDROXYZ HCL TAB","25MG","120","Select","Select",""],["","10702000350","PROMETHAZINE TAB","25MG","40","Select","Select",""],["","70710115803","LEFLUNOMIDE TAB","20MG","30","Select","Select",""],["","00002143611","EMGALITY INJ","120MG\/ML","1","Select","Select",""],["","72606050902","FAMOTIDINE TAB","20MG","30","Select","Select",""],["","00168000215","TRIAMCINOLON CRE","0.5%","30","Select","Select",""],["","65862056090","PANTOPRAZOLE TAB","40MG","30","Select","Select",""],["","68462012605","GABAPENTIN TAB","600MG","90","Select","Select",""],["","59762040101","SUCRALFATE TAB","1GM","20","Select","Select",""],["","49884025601","MINOXIDIL TAB","2.5MG","15","Select","Select",""],["","43547027010","ROPINIROLE HCL","1 MG","60","Select","Select",""],["","00093031101","LOPERAMIDE","2 MG","30","Select","Select",""],["","70954068910","PROCHLORPERAZINE MALEATE","10 MG","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":""}]}]}