{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"DOROTHY S ARGABRIGHT","gend":1,"add":"78 ST IVES CT APT E","city":"MATHEWS","state":"VA","zip":"23109-9998","dob":"1975-12-24","age":"","mstatus":"","insh":"20049826*01","cliId":"","pno":7579956689,"cno":7579956689,"email":"","ename":"","eno":"","pphy":"YOUNGBLOOD, LINDSEY G NP","ppno":7572208300,"pcpadd":"5231 JOHN TYLER HWY,","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":"23185-9998","pcpcounty":"","pcpid":"","pcpname":"Riverside Internal Medicine & Family Care","plan":"OHP","program":"MEDICAID","lob":"OHCC","region":"CENTRAL","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":7575655338,"pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["E66.2","G47.33","J20.9","E87.6","J96.10","I10.","H66.92","J45.21","J06.9","R05.9","R11.0","Z20.822","E11.9","E78.5","R07.89","R06.02","J45.41","NO DATA","J02.9","R50.81","Z86.16","E11.42","F31.78","E11.43","M17.0","E66.01","M79.3","Z79.4","K31.84","S83.92XA","F41.9","M25.571","M25.572","R51.9","R07.9","Z01.810","S93.325A","S92.322A","S92.302A","S92.332A","E66.8","Z68.44","W22.01XA","Y92.831"],"date":["2023-09-05","2023-09-05","2022-09-18","2022-09-12","2023-08-19","2022-09-18","2022-09-18","2023-01-09","2023-01-09","2022-01-12","2022-01-06","2022-01-06","2022-01-06","2022-01-06","2022-03-06","2022-03-06","2021-11-04","2021-11-04","2021-11-04","2021-11-03","2021-11-04","2023-07-31","2022-01-12","2022-01-12","2022-01-12","2022-01-12","2022-01-12","2023-07-31","2022-01-12","2022-06-09","2022-06-09","2022-06-09","2022-06-09","2022-06-13","2022-03-07","2023-07-17","2023-07-31","2023-07-31","2023-07-16","2023-07-24","2023-07-24","2023-07-24","2023-07-24","2023-07-24"],"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":[["","23155002305","BUSPIRONE","TAB 5MG","60","Select","Select",""],["","69097084064","IPRATROPIUM\/","SOL ALBUTER","360","Select","Select",""],["","27808008602","HYD POL\/CPM","SUS 10-8\/5ML","30","Select","Select",""],["","59310057922","PROAIR HFA","AER ","8","Select","Select",""],["","65862018730","ONDANSETRON","TAB 4MG","20","Select","Select",""],["","53885027150","ONETOUCH","TES VERIO","200","Select","Select",""],["","53885004401","ONE TOUCH","KIT VERIO FL","1","Select","Select",""],["","67877022305","GABAPENTIN","CAP 300MG","90","Select","Select",""],["","13668000805","ZOLPIDEM","TAB 10MG","30","Select","Select",""],["","00002773701","INSULIN LISP","INJ 100\/ML","70","Select","Select",""],["","69315090405","LORAZEPAM","TAB 0.5MG","15","Select","Select",""],["","61442010310","DICLOFENAC","TAB 75MG DR","60","Select","Select",""],["","51672200202","CLOTRIMAZOLE","CRE 0.01","90","Select","Select",""],["","57664050318","TIZANIDINE","TAB 4MG","90","Select","Select",""],["","55111032101","GLIMEPIRIDE","2 MG","60","Select","Select",""],["","00093220301","METOCLOPRAM","TAB 10MG","40","Select","Select",""],["","00088221905","LANTUS SOLOS","INJ 100\/ML","60","Select","Select",""],["","66993001968","ALBUTEROL","AER HFA","18","Select","Select",""],["","00591079501","DICYCLOMINE","TAB 20MG","60","Select","Select",""],["","69238149101","BUMETANIDE","2 MG","60","Select","Select",""],["","00006027731","JANUVIA","100 MG","30","Select","Select",""],["","45802065087","LORATADINE","TAB 10MG","30","Select","Select",""],["","00002143480","TRULICITY","1.5 MG\/0.5","2","Select","Select",""],["","42571017310","ATORVASTATIN","TAB 20MG","30","Select","Select",""],["","86227012105","SURE COMFORT","MIS 31GX3\/16","200","Select","Select",""],["","86227065105","INSULIN SYRG","MIS 1ML\/31G","100","Select","Select",""],["","65862020390","LOSARTAN POT","TAB 100MG","30","Select","Select",""],["","57664037713","TRAMADOL HCL","TAB 50MG","60","Select","Select",""],["","69543038810","KETOROLAC","TAB 10MG","15","Select","Select",""],["","53885000810","ONETOUCH DEL","MIS PLUS 33G","300","Select","Select",""],["","59746000103","METHYLPRED","TAB 4MG","21","Select","Select",""],["","51224001060","BENZONATATE","CAP 100MG","20","Select","Select",""],["","65862019430","FLUOXETINE","CAP 40MG","30","Select","Select",""],["","00781717612","NALOXONE","SPR 4MG","2","Select","Select",""],["","41100080743","CORICIDIN","CAP CONG\/CGH","20","Select","Select",""],["","69680013393","POT CHLORIDE","TAB 10MEQ ER","60","Select","Select",""],["","00781808926","AZITHROMYCIN","250 MG","6","Select","Select",""],["","00799000104","CALMOSEPTINE","OIN ","113","Select","Select",""],["","65162003310","APAP\/CODEINE","TAB 300-30MG","12","Select","Select",""],["","00955172805","INSULIN GLAR","INJ 100U\/ML","60","Select","Select",""],["","63304069201","CLINDAMYCIN","CAP 150MG","30","Select","Select",""],["","66993001968","ALBUTEROL SULFATE HFA","90 MCG","18","Select","Select",""],["","86227012105","SURE COMFORT PEN NEEDLE","31 GX3\/16\"","100","Select","Select",""],["","61442010310","DICLOFENAC SODIUM","75 MG","60","Select","Select",""],["","49483070350","FLUOXETINE HCL","40 MG","30","Select","Select",""],["","00088221905","LANTUS SOLOSTAR","100\/ML (3)","60","Select","Select",""],["","13668000810","ZOLPIDEM TARTRATE","10 MG","30","Select","Select",""],["","53885027150","ONETOUCH VERIO TEST STRIP","","100","Select","Select",""],["","49502039475","INSULIN GLARGINE-YFGN","100\/ML (3)","60","Select","Select",""],["","60505257908","ATORVASTATIN CALCIUM","20 MG","30","Select","Select",""],["","65862020390","LOSARTAN POTASSIUM","100 MG","30","Select","Select",""],["","60219170805","PREDNISONE","20 MG","10","Select","Select",""],["","53885000810","ONETOUCH DELICA PLUS LANCET","33 GAUGE","100","Select","Select",""],["","64380086107","POTASSIUM CHLORIDE","10 MEQ","60","Select","Select",""],["","00002773701","INSULIN LISPRO","100\/ML","70","Select","Select",""],["","69097017364","IPRATROPIUM-ALBUTEROL","0.5-3MG\/3","360","Select","Select",""],["","70436015542","PROMETHAZINE-DM","6.25-15\/5","120","Select","Select",""],["","23155002305","BUSPIRONE TAB","5MG","60","Select","Select",""],["","69097084064","IPRATROPIUM\/ SOL ALBUTER","","360","Select","Select",""],["","27808008602","HYD POL\/CPM SUS","10-8\/5ML","30","Select","Select",""],["","59310057922","PROAIR HFA AER","","8","Select","Select",""],["","66993001968","ALBUTEROL AER HFA","","18","Select","Select",""],["","00093220401","METOCLOPRAM TAB","5MG","90","Select","Select",""],["","65862018730","ONDANSETRON TAB","4MG","20","Select","Select",""],["","53885004401","ONE TOUCH KIT VERIO FL","","1","Select","Select",""],["","67877022305","GABAPENTIN CAP","300MG","90","Select","Select",""],["","00002773701","INSULIN LISP INJ","100\/ML","70","Select","Select",""],["","13668000810","ZOLPIDEM TAB","10MG","30","Select","Select",""],["","69315090410","LORAZEPAM TAB","0.5MG","15","Select","Select",""],["","61442010310","DICLOFENAC TAB","75MG DR","60","Select","Select",""],["","53885027150","ONETOUCH TES VERIO","","200","Select","Select",""],["","00088221905","LANTUS SOLOS INJ","100\/ML","60","Select","Select",""],["","00002143480","TRULICITY INJ","1.5\/0.5","2","Select","Select",""],["","51672127502","CLOTRIMAZOLE CRE","1%","90","Select","Select",""],["","57664050318","TIZANIDINE TAB","4MG","90","Select","Select",""],["","16729000201","GLIMEPIRIDE TAB","2MG","180","Select","Select",""],["","45802065087","LORATADINE TAB","10MG","30","Select","Select",""],["","69238149101","BUMETANIDE TAB","2MG","60","Select","Select",""],["","00591079501","DICYCLOMINE TAB","20MG","60","Select","Select",""],["","00006027754","JANUVIA TAB","100MG","30","Select","Select",""],["","42571017310","ATORVASTATIN TAB","20MG","30","Select","Select",""],["","86227012105","SURE COMFORT MIS","31GX3\/16","100","Select","Select",""],["","86227065105","INSULIN SYRG MIS","1ML\/31G","100","Select","Select",""],["","50228011505","FLUOXETINE CAP","40MG","30","Select","Select",""],["","69543038810","KETOROLAC TAB","10MG","15","Select","Select",""],["","57664037713","TRAMADOL HCL TAB","50MG","60","Select","Select",""],["","53885000810","ONETOUCH DEL MIS PLUS","33G","300","Select","Select",""],["","65862020390","LOSARTAN POT TAB","100MG","30","Select","Select",""],["","69680013393","POT CHLORIDE TAB","10MEQ ER","60","Select","Select",""],["","00781717612","NALOXONE SPR","4MG","2","Select","Select",""],["","00799000104","CALMOSEPTINE OIN","","113","Select","Select",""],["","63304069201","CLINDAMYCIN CAP","150MG","30","Select","Select",""],["","00406048401","APAP\/CODEINE TAB","300-30MG","12","Select","Select",""],["","00955172805","INSULIN GLAR INJ","100U\/ML","60","Select","Select",""],["","50111078710","AZITHROMYCIN TAB","250MG","4","Select","Select",""],["","41100080743","CORICIDIN CAP CONG\/CGH","","20","Select","Select",""],["","59746000103","METHYLPRED TAB","4MG","21","Select","Select",""],["","51224001060","BENZONATATE CAP","100MG","20","Select","Select",""],["","10702001801","OXYCODONE HCL","5 MG","10","Select","Select",""],["","45802081184","NALOXONE HCL","4 MG","2","Select","Select",""],["","47781019601","OXYCODONE-ACETAMINOPHEN","5 MG-325MG","12","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":""}]}]}