{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"LINDELLE D PARKER","gend":1,"add":"5835 CURLEW DR","city":"NORFOLK","state":"VA","zip":"23502-9998","dob":"1958-08-11","age":"","mstatus":"","insh":"20040154*01","cliId":"","pno":7572926995,"cno":7572926995,"email":"","ename":"","eno":"","pphy":"VANHORN, MARILYN MD","ppno":7576276220,"pcpadd":"SUITE 100 400 W BRAMBLETON AVE,","pcpcity":"NORFOLK","pcpstate":"VA","pcpzip":"23510-9998","pcpcounty":"","pcpid":"","pcpname":"Hague Medical Associates","plan":"OHP","program":"MEDICAID","lob":"OHCC","region":"TIDEWATER","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":7576270200,"pcpnpi":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["G43.011","G43.909","I10.","R00.1","R07.9","E04.1","V58.89","M79.672","G43.709","M32.9","R11.0","U07.1","R77.8","R94.31","Z68.28","S92.514A","M79.674","G56.22","M65.4","G56.02","M54.81","M32.10","M15.9","K59.00","K21.9","Z79.899","Z87.891","Z79.1","R51.9","K08.89","J32.9","R20.0","J45.909","NO DATA","M70.22","R52.","G44.89","S69.91XA","Z20.822","R68.83","M25.532","G89.29","F31.9","M06.9","F20.9","Z88.8","Z88.5","Z88.0","Z91.040","Z91.048","Z91.013","Z91.018","Z02.89","S97.82XS","G43.809","Z79.52","Z87.898","G89.4","Z12.31","Z11.59","L29.8","T50.905A","H61.23","J34.89","R53.1","R11.2","H92.03","R00.2","Z01.419","Z12.12","N95.1","J30.9","H61.21","M26.601","J32.2","N83.291","R10.31","R42.","M32.8","H16.223","H04.202","F41.9","F14.10","A41.9","R50.9","R05.9","M79.673","L60.3","V54.16","R31.9","N83.201","G44.209","Z13.31","R10.13","M25.522","M17.0","M25.562","M25.561","Z91.81","Z68.30","Z79.890","Z96.0","Z96.1","L56.8","M79.641","R20.2","Z68.29","G44.319","J32.0","J32.1","J32.3","Z88.6","L29.9","T39.1X5A","Z12.39","R61.","E83.52","H52.223","H52.03","R53.83","E55.9","R07.89","R06.02","G43.009","R79.89","R06.09","Z90.49","Z90.710","S63.501A","M25.531","Z68.32","J31.0","G50.1","R09.81","J34.2","K13.79","M79.605","G60.9","I70.222","R49.9","R13.10","E78.00","R60.0","R05.1","Z76.0","F41.1","D16.22","G62.9","R06.00","D72.819","E78.5","Z00.00","Z86.69"],"date":["2021-02-26","2023-03-14","2023-09-13","2021-03-02","2023-03-09","2023-09-27","2021-05-10","2023-06-05","2023-04-14","2023-09-18","2022-05-13","2023-01-20","2022-05-13","2022-05-12","2022-05-12","2022-11-21","2022-11-21","2021-05-12","2021-12-29","2021-05-12","2021-03-26","2023-08-30","2023-08-30","2021-12-01","2023-09-13","2023-09-18","2023-09-18","2021-12-29","2023-08-10","2022-10-27","2022-06-30","2022-03-30","2022-06-30","2022-05-13","2021-04-15","2023-08-10","2023-03-14","2021-10-25","2023-07-06","2022-05-13","2022-04-26","2023-07-11","2022-05-13","2023-09-18","2023-08-10","2022-07-13","2022-07-13","2022-07-13","2022-07-13","2022-07-13","2022-07-13","2022-04-26","2023-03-03","2021-01-20","2023-08-10","2021-12-17","2021-12-17","2021-12-17","2021-12-17","2021-12-17","2022-02-07","2022-02-07","2022-03-08","2022-03-08","2022-03-08","2022-03-08","2022-03-08","2022-11-29","2022-09-14","2022-09-14","2023-05-09","2023-03-09","2023-03-09","2023-03-09","2023-03-09","2023-03-15","2023-05-09","2021-03-14","2021-06-07","2021-06-07","2021-06-07","2021-12-01","2022-02-24","2022-05-13","2022-05-13","2023-07-06","2023-05-10","2023-01-04","2023-01-04","2023-01-18","2023-05-09","2023-06-23","2021-03-03","2021-04-01","2021-05-12","2023-09-18","2023-09-18","2023-09-18","2021-08-13","2021-08-13","2022-02-08","2021-11-17","2022-02-07","2021-11-17","2021-11-17","2022-03-16","2022-03-16","2022-09-19","2023-06-23","2022-12-21","2022-12-21","2022-07-13","2022-02-07","2022-02-07","2022-03-30","2022-03-30","2023-07-31","2022-06-02","2022-06-02","2023-09-13","2023-09-13","2022-05-12","2023-08-25","2023-09-13","2023-09-13","2023-03-09","2023-03-14","2023-03-14","2021-10-29","2021-10-29","2021-10-29","2022-04-13","2022-04-13","2023-07-06","2022-04-13","2023-04-14","2023-05-02","2023-06-19","2023-06-05","2023-06-20","2023-06-20","2023-06-23","2023-07-11","2023-07-06","2023-07-06","2023-08-02","2023-09-18","2023-09-18","2023-08-25","2023-08-25","2023-08-25","2023-09-13","2023-07-25"],"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":[["","81421002002","DULCOLAX","TAB 5MG EC","90","Select","Select",""],["","00527512570","LACTULOSE","SOL 10GM\/15","240","Select","Select",""],["","43598072101","HYDROXYCHLOR","TAB 200MG","60","Select","Select",""],["","23155005519","NARATRIPTAN","TAB 2.5MG","12","Select","Select",""],["","00093005805","TRAMADOL HCL","50 MG","28","Select","Select",""],["","00527058601","DICYCLOMINE","CAP 10MG","270","Select","Select",""],["","70710122901","AMITRIPTYLIN","TAB 100MG","45","Select","Select",""],["","00555088702","ESTRADIOL","TAB 2MG","90","Select","Select",""],["","00002143611","EMGALITY","INJ 120MG\/ML","1","Select","Select",""],["","50428348640","GENTLE LAXAT","TAB 5MG EC","90","Select","Select",""],["","65862086001","FAMOTIDINE","40 MG","90","Select","Select",""],["","42858010201","OXYCOD\/APAP","TAB 5-325MG","2","Select","Select",""],["","10702025350","BUT\/APAP\/CAF","TAB ","20","Select","Select",""],["","65862007601","CIPROFLOXACN","TAB 250MG","40","Select","Select",""],["","00023649810","UBRELVY","TAB 50MG","10","Select","Select",""],["","68180051303","LISINOPRIL","5 MG","90","Select","Select",""],["","72888003505","CARVEDILOL","6.25 MG","180","Select","Select",""],["","00456120230","LINZESS","CAP 290MCG","90","Select","Select",""],["","16571020106","DICLOFENAC","TAB 75MG DR","10","Select","Select",""],["","11822013729","RA COL-RITE","CAP 100MG","90","Select","Select",""],["","65649000330","TRULANCE","TAB 3MG","90","Select","Select",""],["","11822333000","MAG CITRATE","SOL LEMON","296","Select","Select",""],["","65162047810","NITROFURANTN","CAP 100MG","6","Select","Select",""],["","50428050854","CVS PURELAX","PAK ","90","Select","Select",""],["","72647033104","METHYLPRED","TAB 4MG","21","Select","Select",""],["","45802086802","POLYETH GLYC","POW 3350 NF","238","Select","Select",""],["","65162099508","DOTTI","DIS 0.075MG","8","Select","Select",""],["","65862039010","ONDANSETRON","TAB 4MG ODT","30","Select","Select",""],["","68382005101","MELOXICAM","TAB 15MG","30","Select","Select",""],["","67618010130","COLACE","CAP 100MG","90","Select","Select",""],["","42806016005","HYDROXYZ HCL","TAB 25MG","30","Select","Select",""],["","45802057178","FEXOFENADINE","TAB 180MG","30","Select","Select",""],["","00378064110","PREDNISONE","10 MG","30","Select","Select",""],["","63304069301","CLINDAMYCIN","CAP 300MG","84","Select","Select",""],["","31722099601","HYDROCO\/APAP","TAB 5-325MG","8","Select","Select",""],["","72618300002","NURTEC","TAB 75MG ODT","8","Select","Select",""],["","59267100002","PFIZER VACC","INJ COVID-19","0","Select","Select",""],["","00093310953","AMOXICILLIN","CAP 500MG","21","Select","Select",""],["","50428310425","STOOL SOFTNR","CAP 100MG","90","Select","Select",""],["","45802048678","DOCUSATE SOD","CAP 100MG","90","Select","Select",""],["","70700016301","PROGESTERONE","CAP 200MG","30","Select","Select",""],["","62559015001","EST ESTROGEN","TAB MTEST HS","30","Select","Select",""],["","00074709430","QULIPTA","60 MG","30","Select","Select",""],["","67877026218","RIZATRIPTAN","TAB 10MG","12","Select","Select",""],["","00093317431","ALBUTEROL","AER HFA","8","Select","Select",""],["","65162019050","NAPROXEN","500 MG","20","Select","Select",""],["","59310057922","PROAIR HFA","AER ","8","Select","Select",""],["","00904679480","ASPIRIN LOW","CHW 81MG","30","Select","Select",""],["","00093681673","BUDESONIDE","SUS 0.5MG\/2","120","Select","Select",""],["","65162074510","PROMETHAZINE","TAB 12.5MG","60","Select","Select",""],["","00069108530","PAXLOVID","TAB ","30","Select","Select",""],["","0","COMPOUND"," ","60","Select","Select",""],["","53489011905","DOXYCYCL HYC","CAP 100MG","20","Select","Select",""],["","00054327099","FLUTICASONE","SPR 50MCG","16","Select","Select",""],["","69452015120","VITAMIN D","CAP 50000UNT","4","Select","Select",""],["","59779014175","ACID CONTROL","TAB 10MG","90","Select","Select",""],["","70377002811","ATORVASTATIN","TAB 20MG","30","Select","Select",""],["","69097094312","GABAPENTIN","300 MG","30","Select","Select",""],["","10702025350","BUTALBITAL-ACETAMINOPHEN-CAFFE","50-325-40","20","Select","Select",""],["","69097014260","ALBUTEROL SULFATE HFA","90 MCG","6.7","Select","Select",""],["","00054327099","FLUTICASONE PROPIONATE","50 MCG","48","Select","Select",""],["","00069034530","PAXLOVID (EUA)","300-100 MG","30","Select","Select",""],["","70377002811","ATORVASTATIN CALCIUM","20 MG","90","Select","Select",""],["","43598072101","HYDROXYCHLOROQUINE SULFATE","200 MG","60","Select","Select",""],["","53746074501","PROMETHAZINE HCL","12.5 MG","30","Select","Select",""],["","59779014175","ACID CONTROLLER","10 MG","90","Select","Select",""],["","65862039110","ONDANSETRON ODT","8 MG","30","Select","Select",""],["","58492000422",""," ","1","Select","Select",""],["","69097052444","DICLOFENAC SODIUM","1 %","100","Select","Select",""],["","49483060350","IBUPROFEN","600 MG","30","Select","Select",""],["","63304069301","CLINDAMYCIN HCL","300 MG","40","Select","Select",""],["","65162079108","LIDOCAINE","5 %","30","Select","Select",""],["","23155005519","NARATRIPTAN TAB","2.5MG","12","Select","Select",""],["","63304069301","CLINDAMYCIN CAP","300MG","28","Select","Select",""],["","00093005805","TRAMADOL HCL TAB","50MG","12","Select","Select",""],["","00527512570","LACTULOSE SOL","10GM\/15","240","Select","Select",""],["","00378064110","PREDNISONE TAB","10MG","30","Select","Select",""],["","10702025350","BUT\/APAP\/CAF TAB","","20","Select","Select",""],["","43598072101","HYDROXYCHLOR TAB","200MG","60","Select","Select",""],["","70710122901","AMITRIPTYLIN TAB","100MG","45","Select","Select",""],["","65862086001","FAMOTIDINE TAB","40MG","90","Select","Select",""],["","68180051303","LISINOPRIL TAB","5MG","90","Select","Select",""],["","42806016005","HYDROXYZ HCL TAB","25MG","30","Select","Select",""],["","00074709430","QULIPTA TAB","60MG","30","Select","Select",""],["","67877026218","RIZATRIPTAN TAB","10MG","12","Select","Select",""],["","62559015001","EST ESTROGEN TAB MTEST HS","","30","Select","Select",""],["","69097014260","ALBUTEROL AER HFA","","7","Select","Select",""],["","59779027408","ASPIRIN LOW CHW","81MG","30","Select","Select",""],["","65162019050","NAPROXEN TAB","500MG","20","Select","Select",""],["","53746074501","PROMETHAZINE TAB","12.5MG","30","Select","Select",""],["","59310057922","PROAIR HFA AER","","8","Select","Select",""],["","53489011905","DOXYCYCL HYC CAP","100MG","20","Select","Select",""],["","00093681673","BUDESONIDE SUS","0.5MG\/2","120","Select","Select",""],["","00555088702","ESTRADIOL TAB","2MG","90","Select","Select",""],["","00069108530","PAXLOVID TAB","","30","Select","Select",""],["","76385011150","CARVEDILOL TAB","6.25MG","60","Select","Select",""],["","69452015120","VITAMIN D CAP","50000UNT","4","Select","Select",""],["","00054327099","FLUTICASONE SPR","50MCG","16","Select","Select",""],["","59779014175","ACID CONTROL TAB","10MG","90","Select","Select",""],["","70377002811","ATORVASTATIN TAB","20MG","30","Select","Select",""],["","70700016301","PROGESTERONE CAP","200MG","30","Select","Select",""],["","69097081312","GABAPENTIN CAP","100MG","34","Select","Select",""],["","49483034150","ACETAMINOPHEN","500 MG","20","Select","Select",""],["","64380071207","BENZONATATE","100 MG","30","Select","Select",""],["","64980056210","FUROSEMIDE","20 MG","90","Select","Select",""],["","55111078401","FEXOFENADINE HCL","180 MG","30","Select","Select",""],["","68968052508","COMBIPATCH .","05-.25\/24","24","Select","Select",""],["","41167041251","ALLEGRA ALLERGY","180 MG","30","Select","Select",""],["","76385012350","METHOCARBAMOL","500 MG","270","Select","Select",""],["","13107015490","PAROXETINE HCL","10 MG","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":""}]}]}