{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"BOBBY   A AUSTIN","gend":0,"add":"GRAY RIDGE VLG 155 RIDGEFIELD DRIVE","city":"MARION","state":"VA","zip":"24354-9998","dob":"1952-01-08","age":"","mstatus":"","insh":"20012964*01","cliId":"","pno":2766288595,"cno":2766288595,"email":"","ename":"","eno":"","pphy":"SPENCER, DANIEL K NP","ppno":5406745260,"pcpadd":"5140 HATCHER RD","pcpcity":"DUBLIN","pcpstate":"VA","pcpzip":"24084-9998","pcpcounty":"","pcpid":"","pcpname":"Advanced Practice Adult Gerontology","plan":"OHP","program":"MEDICAID","lob":"OHCC","region":"SOUTHWEST","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":2767832879,"pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["V62.84","V58.89","Z48.00","I73.9","I25.10","I11.0","I50.32","J44.9","R09.02","J96.00","F31.75","R10.9","R11.2","F25.0","F32.9","F22.","F33.9","Z20.822","N39.0","B96.20","I69.351","E87.5","M79.604","M79.605","N17.9","Z03.89","U07.1","J96.21","J96.22","NO DATA","G93.41","J44.0","E72.20","I13.0","I50.22","L03.116","E11.22","E11.42","E11.51","E66.9","E78.2","N18.2","R41.82","Z13.30","R53.1","R40.0","F17.210","Z86.16","H53.9","I65.23","I12.9","Z79.4","F03.90","F33.3","I87.2","L97.811","L97.821","I25.9","G30.9","F02.80","F17.200","Z11.1","R00.0","E11.9","Z79.899","E87.6","N30.00","Z04.6","L89.322","J98.4","R06.02","E11.65","R60.9","R19.7","Z51.89","M79.662","R55.","I42.5","I61.4","H25.13","H52.4","J15.9","I42.9","J44.1","D64.9","G20.","R26.0","R26.81","M62.81","M17.0","E78.5","Z13.9","E53.8","E55.9","R94.31","E87.2","J96.11","F41.9","S00.03XA","E07.9","Z86.73","R22.0","R60.0","I10.","E11.622","L97.511","L97.521","J18.9","G62.9","R10.84","L03.114","L03.115","J96.01","I70.209","L53.9","S91.002A","E11.621","R06.01","J96.02","J16.8","R77.8","Z72.0","I77.1","L97.529","L97.519","I50.23","L89.891","F01.51","I70.211","R09.89","R73.9","R07.9","M79.89","L03.90","I50.9","I49.3","I25.2","J90.","F41.8","K21.9","R06.2","F48.9","I69.398","G93.89","R53.83","J96.20","Z79.82","R60.1","S91.301A","L89.522","L89.510","R93.89","R51.9","R23.1","W06.XXXA","R45.1","G89.29","R14.0","K59.00","S81.801A","I05.8","E11.40","M79.669","R06.9","L03.119","M79.606","L98.499","F17.290","B95.2","E11.649","Z68.33","Z76.5","Z00.8","G93.40","F23.","L97.509","R03.0","I63.9","L97.311","L97.411","W01.198A","R00.1","D50.9"],"date":["2023-02-13","2021-02-02","2022-10-07","2022-06-29","2022-07-11","2022-11-24","2022-10-07","2023-03-03","2022-11-08","2022-11-08","2021-04-05","2023-03-02","2021-03-29","2022-10-31","2021-06-11","2022-01-24","2022-12-12","2023-02-13","2022-09-07","2022-03-05","2023-02-14","2022-05-30","2022-04-04","2022-04-04","2022-09-09","2022-05-26","2022-06-02","2022-11-25","2022-11-25","2022-11-23","2022-11-23","2022-11-23","2022-05-31","2022-11-25","2022-11-25","2023-01-15","2022-11-23","2022-11-23","2022-11-23","2022-09-07","2022-07-11","2022-11-25","2022-07-10","2022-06-06","2022-11-25","2022-08-20","2022-08-01","2022-06-17","2022-06-17","2022-07-07","2022-09-09","2022-11-24","2022-08-04","2022-09-07","2022-10-07","2022-09-02","2022-09-02","2022-09-09","2023-03-03","2023-03-02","2022-11-25","2021-05-29","2021-04-07","2023-03-03","2022-10-31","2021-05-11","2022-02-18","2021-08-15","2021-11-09","2022-01-07","2022-05-27","2022-10-31","2022-07-08","2022-09-04","2022-07-08","2022-07-08","2022-08-04","2022-08-04","2022-08-20","2022-11-04","2022-11-04","2022-11-23","2022-11-23","2022-11-24","2022-11-23","2023-02-14","2023-02-14","2023-02-14","2023-02-14","2023-02-14","2022-10-31","2021-04-20","2021-04-20","2021-04-20","2021-04-22","2022-08-01","2022-09-09","2022-10-31","2022-02-17","2022-06-06","2022-11-24","2022-02-17","2022-06-13","2022-10-31","2022-04-11","2022-04-11","2022-04-11","2022-11-25","2022-04-21","2022-05-26","2022-05-26","2022-05-26","2022-05-31","2021-11-24","2021-12-14","2021-12-21","2022-04-06","2022-04-06","2022-11-23","2022-05-27","2022-11-24","2022-11-23","2022-07-07","2022-07-07","2022-07-07","2022-08-01","2022-10-07","2021-04-07","2021-07-26","2022-05-27","2022-10-30","2023-03-03","2022-06-13","2022-06-13","2022-08-03","2022-08-09","2022-08-09","2022-11-23","2022-06-06","2022-10-31","2022-06-06","2022-06-06","2022-08-20","2022-08-20","2022-08-20","2022-11-24","2022-06-13","2021-07-23","2021-09-07","2021-12-17","2021-12-17","2022-01-07","2022-02-17","2022-02-17","2022-02-17","2022-02-18","2022-02-18","2022-03-29","2022-03-29","2022-03-29","2022-04-05","2022-04-21","2022-04-21","2022-04-21","2022-06-13","2022-06-13","2022-06-13","2022-06-13","2022-09-07","2022-09-07","2022-09-07","2022-10-31","2022-10-31","2022-11-25","2021-03-05","2021-08-12","2021-12-14","2022-05-26","2021-06-12","2021-06-12","2022-02-17","2022-08-01","2022-08-01"],"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":[]},{"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":[["","00143980305","DOXYCYCL HYC","CAP 100MG","10","Select","Select",""],["","00904501360","VITAMIN C","TAB 1000MG","20","Select","Select",""],["","00904582460","VITAMIN D3","TAB 1000UNIT","28","Select","Select",""],["","00904319160","ZINC GLUCON","TAB 50MG","20","Select","Select",""],["","90166083152","PEN NEEDLES","31 GX5\/16\"","100","Select","Select",""],["","57896092110","ASPIRIN","TAB 325MG EC","10","Select","Select",""],["","67877021901","CEPHALEXIN","500 MG","28","Select","Select",""],["","00088221905","LANTUS SOLOS","INJ 100\/ML","15","Select","Select",""],["","13107000305","MIRTAZAPINE","TAB 30MG","28","Select","Select",""],["","68462039610","OMEPRAZOLE","20 MG","28","Select","Select",""],["","68001015303","CARVEDILOL","3.125 MG","56","Select","Select",""],["","69315011710","FUROSEMIDE","40 MG","56","Select","Select",""],["","68382000105","PAROXETINE","TAB 40MG","28","Select","Select",""],["","68462018805","NAPROXEN","TAB 250MG","56","Select","Select",""],["","10006070022","VITAMIN B-12","TAB 1000MCG","28","Select","Select",""],["","78206012601","DULERA","200-5 MCG","13","Select","Select",""],["","59267100001","PFIZER VACC","INJ COVID-19","0","Select","Select",""],["","00597007541","SPIRIVA","CAP HANDIHLR","30","Select","Select",""],["","59746017509","PREDNISONE","TAB 20MG","4","Select","Select",""],["","43547027611","DONEPEZIL","TAB 10MG","56","Select","Select",""],["","00904675180","ASPIRIN LOW","TAB 81MG EC","56","Select","Select",""],["","64980041410","PREGABALIN","150 MG","60","Select","Select",""],["","68382013210","TAMSULOSIN","CAP 0.4MG","28","Select","Select",""],["","43598016605","OLANZAPINE","10 MG","28","Select","Select",""],["","00169633910","NOVOLOG","INJ FLEXPEN","15","Select","Select",""],["","68001023503","POT CL MICRO","TAB 20MEQ ER","28","Select","Select",""],["","63402030630","LATUDA","TAB 60MG","28","Select","Select",""],["","00185067605","HYDROXYZ PAM","CAP 50MG","56","Select","Select",""],["","57237007530","ONDANSETRON","TAB 4MG","30","Select","Select",""],["","60505257908","ATORVASTATIN","TAB 20MG","28","Select","Select",""],["","73070010315","INSULIN ASPA","INJ FLEXPEN","12","Select","Select",""],["","00245531910","KLOR-CON M20","TAB 20MEQ ER","30","Select","Select",""],["","68001033203","LISINOPRIL","2.5 MG","28","Select","Select",""],["","00904673080","ACETAMIN","TAB 500MG","30","Select","Select",""],["","53885014301","ONETOUCH","MIS LANCETS","100","Select","Select",""],["","45802006003","BACITRACIN","OIN 500\/GM","28","Select","Select",""],["","65862001501","AMOXICILLIN","TAB 875MG","14","Select","Select",""],["","00548585000","GLUCAGON","KIT 1MG","1","Select","Select",""],["","90166011103","GLOBAL PREP","PAD PADS","100","Select","Select",""],["","00281032660","NITRO-BID","2 %","60","Select","Select",""],["","00904110309","POVIDONE-IOD","SOL 0.1","240","Select","Select",""],["","42571025201","CLINDAMYCIN","CAP 300MG","21","Select","Select",""],["","68001044503","POT CHLORIDE","TAB 20MEQ ER","28","Select","Select",""],["","08080575000","CURITY PREP","PAD ALCOHOL","100","Select","Select",""],["","68462018022","MUPIROCIN","OIN 0.02","22","Select","Select",""],["","50111078751","AZITHROMYCIN","TAB 250MG","6","Select","Select",""],["","70954040310","DEXAMETHASON","TAB 4MG","5","Select","Select",""],["","00904681552","MUCUS RELIEF","TAB 400MG","30","Select","Select",""],["","68001040831","ERTAPENEM","INJ 1GM","7","Select","Select",""],["","00054350049","LIDOCAINE","SOL 2% VISC","200","Select","Select",""],["","44567024010","CEFEPIME","INJ 1GM","7","Select","Select",""],["","00409120713","GENTAMICIN","INJ 40MG\/ML","21","Select","Select",""],["","69452015120","VITAMIN D","2 1250 MCG","4","Select","Select",""],["","44567070125","CEFTRIAXONE","INJ 1GM","1","Select","Select",""],["","49502025171","SEMGLEE","INJ 100U\/ML","15","Select","Select",""],["","68001036206","CEFDINIR","CAP 300MG","10","Select","Select",""],["","65862050320","AMOX\/K CLAV","TAB 875-125","14","Select","Select",""],["","68001047303","DIVALPROEX","TAB 250MG DR","90","Select","Select",""],["","66993001968","ALBUTEROL","AER HFA","18","Select","Select",""],["","00472017956","TRIPLE ANTIB","OIN ","28","Select","Select",""],["","16729022516","SPIRONOLACT","TAB 25MG","28","Select","Select",""],["","10135070104","MENTHOL-ZINC","OIN ","113","Select","Select",""],["","72578009918","LEVOFLOXACIN","500 MG","10","Select","Select",""],["","82607066026","FLOWFLEX","KIT TEST","6","Select","Select",""],["","68001000501","METHYLPRED","TAB 4MG","21","Select","Select",""],["","57599000101","FREESTYLE","KIT SENSOR","2","Select","Select",""],["","00799000104","CALMOSEPTINE","OIN ","113","Select","Select",""],["","00536131108","CHEST CONGES","TAB 400MG","42","Select","Select",""],["","62332042771","BENZONATATE","CAP 200MG","42","Select","Select",""],["","65862042001","SMZ\/TMP DS","TAB 800-160","20","Select","Select",""],["","00904641292","CALC ANTACID","CHW 500MG","60","Select","Select",""],["","19515080852","FLULAVAL QUA","INJ 2022-23","0","Select","Select",""],["","76204060030","IPRATROPIUM\/","SOL ALBUTER","90","Select","Select",""],["","66993001968","ALBUTEROL SULFATE HFA","90 MCG","18","Select","Select",""],["","49502039475","INSULIN GLARGINE-YFGN","100\/ML (3)","15","Select","Select",""],["","16729022516","SPIRONOLACTONE","25 MG","28","Select","Select",""],["","43547027611","DONEPEZIL HCL","10 MG","56","Select","Select",""],["","68001039708","FAMOTIDINE","20 MG","56","Select","Select",""],["","94046000173","ADVOCATE PEN NEEDLES","31 GX5\/16\"","100","Select","Select",""],["","00093970101","CARBIDOPA-LEVODOPA","10MG-100MG","84","Select","Select",""],["","00904641292","CALCIUM ANTACID","200(500)MG","56","Select","Select",""],["","53885027150","ONETOUCH VERIO TEST STRIP","","100","Select","Select",""],["","10006070022","VITAMIN B-","12 1000 MCG","28","Select","Select",""],["","00536131108","CHEST CONGESTION RELIEF","400 MG","30","Select","Select",""],["","00904675180","ASPIRIN EC","81 MG","56","Select","Select",""],["","70000051202","NICOTINE PATCH","21 MG\/24HR","28","Select","Select",""],["","53885014301","ONETOUCH DELICA","33 GAUGE","100","Select","Select",""],["","60505257908","ATORVASTATIN CALCIUM","20 MG","28","Select","Select",""],["","68001044503","POTASSIUM CHLORIDE","20 MEQ","28","Select","Select",""],["","90166011103","ALCOHOL PADS","","100","Select","Select",""],["","68382013210","TAMSULOSIN HCL","0.4 MG","28","Select","Select",""],["","68462063945","NITROGLYCERIN","0.4 MG","25","Select","Select",""],["","00597007541","SPIRIVA HANDIHALER","18 MCG","30","Select","Select",""],["","70954040310","DEXAMETHASONE","4 MG","5","Select","Select",""],["","73070010315","INSULIN ASPART FLEXPEN","100\/ML (3)","9","Select","Select",""],["","62332009831","ARIPIPRAZOLE","5 MG","15","Select","Select",""],["","00904673080","ACETAMINOPHEN","500 MG","30","Select","Select",""],["","68382000105","PAROXETINE HCL","40 MG","28","Select","Select",""],["","76204060030","IPRATROPIUM-ALBUTEROL","0.5-3MG\/3","90","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":""}]}]}