{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"BRIANNA  M NEWMAN","gend":1,"add":"10071 IVOR RD APT 10071","city":"IVOR","state":"VA","zip":"23866-9998","dob":"1998-08-24","age":"","mstatus":"","insh":"20032720*01","cliId":"","pno":7578944858,"cno":7578944858,"email":"","ename":"","eno":"","pphy":"HERBERT, VALERIE J NP","ppno":7573128730,"pcpadd":"109 RAILROAD AVE,","pcpcity":"WAKEFIELD","pcpstate":"VA","pcpzip":"23888-9998","pcpcounty":"","pcpid":"","pcpname":"SMG - Sentara Family Medicine Physicians - Wakefield","plan":"OHP","program":"MEDICAID","lob":"OHCC","region":"CENTRAL","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":7575109326,"pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["H93.12","H90.41","F41.9","G81.14","R26.1","M24.562","M24.572","M24.571","M21.372","K92.1","K59.00","E88.40","F33.42","D69.6","I69.359","G43.409","Z83.49","J02.9","K12.30","R05.","J06.9","F70.","E88.41","G81.90","G43.101","NO DATA","M79.662","F80.1","G40.011","N89.8","Z23.","G40.019","K21.9","R10.30","F33.41","H93.13","H61.21","R42.","H55.00","H04.123","R30.0","M62.81","R26.89","R53.83","R25.2","M21.371","M79.605","R29.818","M25.572","S93.402A","S96.912A","T14.8XXA","L08.9","K62.5","G81.12","J03.90","B37.0","Z68.22","J35.01","J03.91","R09.89","J35.8","F17.200","I69.354","N76.2"],"date":["2021-03-17","2021-03-17","2022-02-12","2023-04-12","2023-04-12","2023-02-17","2023-02-20","2023-02-20","2023-04-12","2022-05-18","2022-12-08","2022-12-08","2022-12-08","2022-12-08","2022-12-08","2022-12-08","2022-05-18","2023-05-12","2021-07-19","2021-07-19","2021-07-19","2022-05-31","2023-06-08","2022-08-09","2022-08-09","2022-08-09","2022-12-02","2022-12-02","2021-06-24","2022-01-25","2022-12-08","2022-12-08","2021-04-27","2021-04-27","2022-03-21","2021-10-18","2021-10-18","2021-10-18","2023-04-13","2022-01-04","2022-01-27","2023-04-12","2023-04-12","2023-04-12","2023-01-05","2023-04-12","2023-03-08","2023-03-08","2021-11-18","2021-11-18","2021-11-18","2021-09-28","2021-09-28","2021-10-14","2023-04-12","2023-05-12","2023-05-12","2023-05-12","2023-06-08","2023-06-08","2023-06-06","2023-06-08","2023-06-08","2023-06-08","2023-07-18"],"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":[["","69097083412","SERTRALINE","TAB 50MG","30","Select","Select",""],["","69097012203","TOPIRAMATE","25 MG","270","Select","Select",""],["","00131247960","VIMPAT","TAB 150MG","60","Select","Select",""],["","59267100002","PFIZER VACC","INJ COVID-19","0","Select","Select",""],["","57237016199","OMEPRAZOLE","20 MG","30","Select","Select",""],["","68180086111","AZITHROMYCIN","250 MG","6","Select","Select",""],["","0","COMPOUND"," ","390","Select","Select",""],["","23155013525","DOXYCYC MONO","TAB 100MG","14","Select","Select",""],["","16571066001","MECLIZINE","TAB 12.5MG","30","Select","Select",""],["","68462068060","LACOSAMIDE","150 MG","180","Select","Select",""],["","31722099601","HYDROCO\/APAP","TAB 5-325MG","16","Select","Select",""],["","65162046510","IBUPROFEN","TAB 600MG","30","Select","Select",""],["","69097083412","SERTRALINE HCL","50 MG","30","Select","Select",""],["","00116200116","CHLORHEXIDINE GLUCONATE","0.12 %","473","Select","Select",""],["","00121086802","NYSTATIN","100000\/ML","110","Select","Select",""],["","69097012203","TOPIRAMATE TAB","25MG","270","Select","Select",""],["","57237016199","OMEPRAZOLE CAP","20MG","30","Select","Select",""],["","00131247935","VIMPAT TAB","150MG","60","Select","Select",""],["","69097083412","SERTRALINE TAB","50MG","30","Select","Select",""],["","31722099601","HYDROCO\/APAP TAB","5-325MG","16","Select","Select",""],["","65162046510","IBUPROFEN TAB","600MG","30","Select","Select",""],["","68462068060","LACOSAMIDE TAB","150MG","60","Select","Select",""],["","45802086802","POLYETHYLENE GLYCOL","3350 17 G\/DOSE","238","Select","Select",""],["","42858010250","OXYCODONE-ACETAMINOPHEN","5 MG-325MG","30","Select","Select",""],["","68462015713","ONDANSETRON ODT","4 MG","10","Select","Select",""],["","42806040021","METHYLPREDNISOLONE","4 MG","21","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":""}]}]}