{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"JAMIE  L VAUGHAN","gend":1,"add":"225 W ONTARIO RD","city":"KEYSVILLE","state":"VA","zip":"23947-9998","dob":"1986-02-26","age":"","mstatus":"","insh":"20036634*01","cliId":"","pno":4343151448,"cno":4343151448,"email":"","ename":"","eno":"","pphy":"HAHESY-CALHOUN, MARIAN MD","ppno":4345425560,"pcpadd":"165 LEGRANDE AVENUE","pcpcity":"CHARLOTTE COURT HOUSE","pcpstate":"VA","pcpzip":"23923-9998","pcpcounty":"","pcpid":"","pcpname":"","plan":"OHP","program":"MEDICAID","lob":"OHCC","region":"CHARLOTTESVILLE WESTERN","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":4345424670,"pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["R10.84","Z74.3","N39.0","A41.9","K75.4","K74.60","D89.9","R93.2","G40.909","R10.9","Z93.6","R11.2","Z87.442","Z88.5","Z88.8","Z79.1","Z79.899","I81.","I85.11","R18.8","D69.6","R14.0","K65.2","K21.9","Z46.6","N13.5","S62.92XA","X50.1XXA","Y93.K9","R56.9","E87.6","R41.0","R82.90","Z91.89","R94.5","R51.9","R11.0","NO DATA","J02.0","G89.29","Z86.19","Z20.822","K22.2","I86.4","K76.6","K31.89","A49.02","D84.9","I82.402","R60.0","N20.1","Z71.89","M62.84","Z95.828","S37.10XS","R79.89","G93.41","D64.9","K72.90","D61.818","R10.31","E87.2","R78.81","E86.1","S00.31XA","B95.62","K72.10","G93.40","M54.9","R11.11","T83.84XA","Z76.82","T83.512A","N26.1","Z86.14","Z79.52","Z87.440","N23.","N13.2","T82.858A","R65.20","D68.9","K55.069","F41.1","R16.1","T83.012A","N13.0","N99.522","T83.022A","V58.89","R41.82","R10.30","D89.89","R17.","K76.0","M81.0","Z43.6","N20.0","T83.512S","E83.42","Z97.3","Z71.3","K74.69","M79.643","S62.317A","Z79.60","Q62.11","D68.4","N13.1","K57.30","N28.9","G47.33","S69.91XS","G43.919","R07.89","V54.12","E80.6","R10.32","M79.646","R07.9","Z98.890","R06.02","G43.909","N13.6","Z16.29","I82.612","T80.1XXA","K82.8","I80.9","S83.511A","R53.82","R01.1","S09.90XA","S01.01XA","R65.10","I85.00","N12.","M25.562","M25.571","W10.8XXA","M25.561","T78.40XA"],"date":["2023-04-14","2023-04-14","2023-03-23","2023-03-20","2023-04-24","2023-04-15","2023-03-20","2023-03-20","2023-03-20","2023-04-24","2023-03-23","2022-08-25","2023-01-17","2022-09-30","2021-08-02","2021-08-02","2022-09-30","2022-12-01","2022-12-01","2023-04-24","2023-04-08","2022-03-11","2022-03-25","2023-04-08","2023-03-27","2023-03-27","2022-06-22","2022-06-22","2022-06-22","2022-12-16","2023-03-20","2022-08-25","2022-10-01","2022-10-01","2022-10-01","2022-12-15","2022-12-15","2023-03-16","2022-12-16","2023-03-16","2022-12-16","2022-12-16","2023-01-31","2023-01-31","2023-01-31","2023-01-31","2023-03-23","2023-03-23","2023-03-22","2023-03-22","2022-02-15","2022-02-15","2021-11-03","2022-03-22","2021-11-03","2022-06-09","2022-03-07","2023-04-24","2022-12-01","2023-03-20","2022-06-05","2022-08-25","2023-03-21","2022-08-25","2022-08-25","2023-03-16","2022-08-25","2022-08-30","2022-11-03","2022-09-30","2022-11-02","2022-09-30","2022-09-30","2022-09-30","2022-09-30","2022-09-30","2022-09-30","2022-12-05","2022-12-07","2023-02-14","2021-08-03","2021-08-03","2021-12-20","2021-12-20","2022-03-22","2022-06-18","2022-06-18","2022-06-18","2023-03-27","2022-08-11","2022-08-29","2022-06-05","2022-06-09","2023-04-15","2021-10-28","2021-04-09","2022-09-20","2021-07-22","2021-07-22","2021-08-03","2021-10-01","2021-10-01","2023-01-17","2022-07-06","2022-08-29","2022-12-01","2022-12-01","2021-08-03","2022-03-02","2022-08-25","2022-08-25","2022-08-25","2022-01-12","2022-01-24","2022-01-24","2022-01-24","2023-04-06","2022-06-04","2022-08-03","2022-11-03","2022-11-03","2022-11-10","2022-12-15","2023-03-16","2023-03-16","2023-03-16","2023-03-16","2023-03-16","2023-03-20","2021-10-20","2021-06-07","2022-08-29","2022-11-14","2022-11-14","2022-12-16","2021-06-21","2021-09-16","2021-10-20","2021-10-20","2021-10-20","2021-10-20","2023-04-08"],"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":[["","65862018830","ONDANSETRON","TAB 8MG","60","Select","Select",""],["","00003089421","ELIQUIS","5 MG","60","Select","Select",""],["","00406055201","OXYCODONE","TAB 5MG","5","Select","Select",""],["","00781106110","ALPRAZOLAM","0.25 MG","90","Select","Select",""],["","70954005920","PREDNISONE","10 MG","70","Select","Select",""],["","65862050320","AMOX\/K CLAV","TAB 875-125","20","Select","Select",""],["","00054429731","FUROSEMIDE","TAB 20MG","60","Select","Select",""],["","68462039710","OMEPRAZOLE","CAP 40MG","90","Select","Select",""],["","53746051401","SPIRONOLACT","TAB 50MG","90","Select","Select",""],["","68382000301","AZATHIOPRINE","50 MG","30","Select","Select",""],["","11534016503","FOLIC ACID","1 MG","30","Select","Select",""],["","42806054701","VITAMIN D","CAP 1.25MG","12","Select","Select",""],["","00143992801","CIPROFLOXACN","TAB 500MG","10","Select","Select",""],["","59267100001","PFIZER VACC","INJ COVID-19","0","Select","Select",""],["","68382013201","TAMSULOSIN","CAP 0.4MG","12","Select","Select",""],["","69097052444","DICLOFENAC","GEL 0.01","100","Select","Select",""],["","43386035810","HYDROCO\/APAP","TAB 10-325MG","20","Select","Select",""],["","69547035302","NARCAN","SPR ","2","Select","Select",""],["","65649030302","XIFAXAN","TAB 550MG","60","Select","Select",""],["","00121087316","LACTULOSE","SOL 10GM\/15","473","Select","Select",""],["","42806031250","DOXYCYCL HYC","TAB 100MG","16","Select","Select",""],["","69238207701","PROPRANOLOL","TAB 10MG","90","Select","Select",""],["","00093216568","NALOXONE HCL","SPR ","2","Select","Select",""],["","00093031401","KETOROLAC","TAB 10MG","20","Select","Select",""],["","65862017760","CEFDINIR","300 MG","6","Select","Select",""],["","65862024605","LEVETIRACETA","TAB 500MG","60","Select","Select",""],["","31722072250","LEVOFLOXACIN","TAB 500MG","7","Select","Select",""],["","00093220305","METOCLOPRAM","TAB 10MG","10","Select","Select",""],["","00781261305","AMOXICILLIN","CAP 500MG","16","Select","Select",""],["","00143992801","CIPROFLOXACIN HCL","500 MG","14","Select","Select",""],["","00406055201","OXYCODONE HCL","5 MG","12","Select","Select",""],["","53746051401","SPIRONOLACTONE","50 MG","90","Select","Select",""],["","65862042005","SULFAMETHOXAZOLE-TRIMETHOPRIM","800-160 MG","14","Select","Select",""],["","70710113801","FLUCONAZOLE","100 MG","26","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":""}]}]}