{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"LARRY MORGAN","gend":0,"add":"2341 TARTAN ROAD","city":"PETERSBURG","state":"VA","zip":"23805-9998","dob":"1980-03-29","age":"","mstatus":"","insh":"20032396*01","cliId":"","pno":8043390335,"cno":8043390335,"email":"","ename":"","eno":"","pphy":"HEDIAN, KATHERINE DO","ppno":4342863602,"pcpadd":"2256 IRISH ROAD,","pcpcity":"ESMONT","pcpstate":"VA","pcpzip":"22937-9998","pcpcounty":"","pcpid":"","pcpname":"","plan":"OHP","program":"MEDICAID","lob":"OHCC","region":"CENTRAL","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":4342863819,"pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["F33.1","F41.9","R10.9","N28.89","NO DATA","Z87.891","D12.6","C64.2","K64.2","A41.9","Z20.822","E78.5","I10.","K52.9","Z79.891","G89.4","M47.817","K21.9","M75.81","E55.9","Z71.89","Z71.3","R11.0","G25.81","D12.5","C80.1","Z51.81","Z03.89","Z01.810","R93.3","C18.7","F31.81","R41.840","F43.10","Z23.","N20.0","R21.","A63.0","K92.1","R74.8","R10.31","M54.42","F31.9","F41.1","F33.9","M54.5","M79.605","R74.01","G89.29","Z79.899","Z88.0","Z88.1","Z87.442","M54.41","G89.18","E78.00","Z86.16","N28.1","Z56.0","Z80.0","Z85.528","Z90.5","K63.9","D50.0","K66.0","K57.00","M51.37","M51.26","M54.16","N28.9","R11.2","R79.89","Z79.1","Z83.71","Z12.11","D12.3","D12.7","K64.4","N28.81","M25.511","M75.111","M75.41","R91.1","N53.13","N41.9","F32.9"],"date":["2023-01-20","2022-12-22","2022-10-22","2022-05-25","2023-09-08","2022-10-14","2022-10-14","2022-09-15","2022-09-02","2022-11-13","2022-11-09","2022-11-13","2022-11-13","2022-11-13","2023-09-08","2023-05-11","2023-09-08","2022-07-24","2021-09-20","2021-12-01","2021-12-01","2021-12-01","2022-07-24","2021-12-01","2022-09-02","2022-10-14","2023-09-08","2022-07-11","2022-10-04","2022-10-19","2022-10-19","2023-08-24","2023-08-28","2023-08-28","2021-06-18","2022-09-15","2022-03-10","2022-03-10","2022-03-17","2022-03-17","2022-04-27","2022-03-17","2023-08-28","2022-03-17","2022-12-22","2021-01-26","2021-01-26","2022-03-02","2022-03-02","2022-07-24","2022-03-09","2022-03-09","2022-10-14","2022-06-24","2022-11-09","2022-07-24","2022-07-24","2022-09-15","2022-10-14","2022-10-14","2022-10-14","2022-10-14","2022-10-14","2022-10-14","2022-10-14","2022-10-19","2023-03-16","2022-06-29","2022-06-29","2022-07-21","2022-04-27","2022-04-27","2022-04-27","2022-06-30","2022-06-30","2022-06-30","2022-06-30","2022-06-30","2022-07-21","2021-08-16","2021-08-16","2021-08-16","2022-05-05","2022-05-05","2022-05-05","2023-05-04"],"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":[["","59779014139","ACID CONTROL","TAB 10MG","30","Select","Select",""],["","68180072103","AMLODIPINE","TAB 10MG","90","Select","Select",""],["","23155019201","BUPROPION","TAB 100MG","30","Select","Select",""],["","50111056101","TRAZODONE","TAB 100MG","60","Select","Select",""],["","55111064530","OMEPRAZOLE","40 MG","90","Select","Select",""],["","69097081507","GABAPENTIN","CAP 400MG","120","Select","Select",""],["","42858010201","OXYCOD\/APAP","TAB 5-325MG","20","Select","Select",""],["","65862039010","ONDANSETRON","TAB 4MG ODT","30","Select","Select",""],["","29300041319","CYCLOBENZAPR","TAB 5MG","14","Select","Select",""],["","50742061710","METOPROL SUC","TAB 100MG ER","90","Select","Select",""],["","00093031401","KETOROLAC","TAB 10MG","12","Select","Select",""],["","31722099601","HYDROCO\/APAP","TAB 5-325MG","5","Select","Select",""],["","57237001401","TAMSULOSIN","CAP 0.4MG","14","Select","Select",""],["","00115180301","HYDROXYZ PAM","CAP 25MG","120","Select","Select",""],["","43547027110","ROPINIROLE","TAB 2MG","90","Select","Select",""],["","70377002911","ATORVASTATIN","TAB 40MG","90","Select","Select",""],["","65862042005","SMZ\/TMP DS","TAB 800-160","28","Select","Select",""],["","52268001201","SUPREP BOWEL","SOL PREP KIT","354","Select","Select",""],["","64380076921","PEG-3350\/KCL","SOL \/SODIUM","4000","Select","Select",""],["","59779030602","CVS PURELAX","POW ","238","Select","Select",""],["","00591352530","LIDOCAINE","PAD 0.05","15","Select","Select",""],["","42858000101","OXYCODONE","TAB 5MG","15","Select","Select",""],["","00904699880","DOCUSATE SOD","CAP 100MG","60","Select","Select",""],["","65162019011","NAPROXEN","TAB 500MG","60","Select","Select",""],["","42858030101","HYDROMORPHON","TAB 2MG","10","Select","Select",""],["","43547028111","ESCITALOPRAM","TAB 10MG","30","Select","Select",""],["","00093117701","NEOMYCIN","TAB 500MG","6","Select","Select",""],["","49035007860","EQ STOOL","CAP SOFTENER","60","Select","Select",""],["","50111033402","METRONIDAZOL","TAB 500MG","3","Select","Select",""],["","00074634620","ERYTHROCIN","TAB 250MG","12","Select","Select",""],["","13668060601","ERYTHROMYCIN","TAB 250MG BS","12","Select","Select",""],["","00143924920","AMOX\/K CLAV","TAB 875-125","28","Select","Select",""],["","65862007701","CIPROFLOXACN","TAB 500MG","14","Select","Select",""],["","62756018488","OXCARBAZEPIN","TAB 300MG","60","Select","Select",""],["","43547028950","BUPROPION HCL SR","150 MG","180","Select","Select",""],["","00406052301","OXYCODONE-ACETAMINOPHEN","10MG-325MG","120","Select","Select",""],["","16714008110","HYDROXYZINE HCL","10 MG","90","Select","Select",""],["","51672300302","HYDROCORTISONE","2.5 %","28.35","Select","Select",""],["","70954006020","PREDNISONE","20 MG","10","Select","Select",""],["","31722002401","OXCARBAZEPINE","300 MG","180","Select","Select",""],["","43547028211","ESCITALOPRAM OXALATE","20 MG","30","Select","Select",""],["","00093505898","ATORVASTATIN CALCIUM","40 MG","90","Select","Select",""],["","64380080807","IBUPROFEN","600 MG","20","Select","Select",""],["","45802081184","NALOXONE HCL","4 MG","2","Select","Select",""],["","68645051654","AMLODIPINE BESYLATE","10 MG","90","Select","Select",""],["","68180072103","AMLODIPINE TAB","10MG","90","Select","Select",""],["","59779014139","ACID CONTROL TAB","10MG","30","Select","Select",""],["","50111056101","TRAZODONE TAB","100MG","60","Select","Select",""],["","43547028950","BUPROPION TAB","150MG SR","60","Select","Select",""],["","50228018105","GABAPENTIN CAP","400MG","120","Select","Select",""],["","59651000305","OMEPRAZOLE CAP","40MG","180","Select","Select",""],["","50742061710","METOPROL SUC TAB","100MG ER","90","Select","Select",""],["","31722094901","OXYCOD\/APAP TAB","5-325MG","20","Select","Select",""],["","43547027110","ROPINIROLE TAB","2MG","90","Select","Select",""],["","00093031401","KETOROLAC TAB","10MG","12","Select","Select",""],["","68462015713","ONDANSETRON TAB","4MG ODT","30","Select","Select",""],["","31722099701","HYDROCO\/APAP TAB","10-325MG","21","Select","Select",""],["","57237001401","TAMSULOSIN CAP","0.4MG","14","Select","Select",""],["","70377002911","ATORVASTATIN TAB","40MG","90","Select","Select",""],["","29300041319","CYCLOBENZAPR TAB","5MG","14","Select","Select",""],["","00115180302","HYDROXYZ PAM CAP","25MG","60","Select","Select",""],["","52268001201","SUPREP BOWEL SOL PREP KIT","","354","Select","Select",""],["","00591352530","LIDOCAINE PAD","5%","15","Select","Select",""],["","65162019011","NAPROXEN TAB","500MG","60","Select","Select",""],["","49035007860","EQ STOOL CAP SOFTENER","","60","Select","Select",""],["","42858000101","OXYCODONE TAB","5MG","15","Select","Select",""],["","42858030101","HYDROMORPHON TAB","2MG","10","Select","Select",""],["","00904699880","DOCUSATE SOD CAP","100MG","60","Select","Select",""],["","59779030602","CVS PURELAX POW","","238","Select","Select",""],["","43547028111","ESCITALOPRAM TAB","10MG","30","Select","Select",""],["","64380076921","PEG-","3350\/KCL SOL \/SODIUM","4000","Select","Select",""],["","65862042005","SMZ\/TMP DS TAB","800-160","28","Select","Select",""],["","00093117701","NEOMYCIN TAB","500MG","6","Select","Select",""],["","50111033402","METRONIDAZOL TAB","500MG","21","Select","Select",""],["","13668060601","ERYTHROMYCIN TAB","250MG BS","12","Select","Select",""],["","62756018488","OXCARBAZEPIN TAB","300MG","60","Select","Select",""],["","65862007701","CIPROFLOXACN TAB","500MG","14","Select","Select",""],["","00074634620","ERYTHROCIN TAB","250MG","12","Select","Select",""],["","00143924920","AMOX\/K CLAV TAB","875-125","28","Select","Select",""],["","00093406701","PRAZOSIN HCL","1 MG","30","Select","Select",""],["","16729044310","BUPROPION XL","150 MG","90","Select","Select",""],["","68462025601","ROPINIROLE HCL","2 MG","90","Select","Select",""],["","29300046801","CLONIDINE HCL","0.1 MG","30","Select","Select",""],["","68382005005","MELOXICAM","7.5 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":""}]}]}