{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"DENNIS BARNETT","gend":0,"add":"807 REDHEART DR","city":"HAMPTON","state":"VA","zip":"23666-9998","dob":"1960-08-27","age":"","mstatus":"","insh":"20050175*01","cliId":"","pno":8433604373,"cno":8433604373,"email":"","ename":"","eno":"","pphy":"JONES, JOEL M DO","ppno":7573165050,"pcpadd":"209 VILLAGE AVE STE P,","pcpcity":"YORKTOWN","pcpstate":"VA","pcpzip":"23693-9998","pcpcounty":"","pcpid":"","pcpname":"Riverside Primary Care Kiln Creek","plan":"OHP","program":"MEDICAID","lob":"OHCC","region":"TIDEWATER","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":7573692999,"pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["F33.1","F41.1","F10.20","F51.01","I46.9","I42.8","J96.01","Z99.11","I10.","N17.9","D72.89","R77.8","Z79.01","Z79.899","E11.9","E78.2","R53.83","K70.30","F10.21","E66.01","Z68.41","Z79.84","Z86.74","E78.00","V58.69","Z91.14","Z68.42","I49.3","R55.","I82.611","I42.9","I48.0","I11.0","I50.20","L40.9","Z85.46","Z71.9","R14.0","R68.81","K26.5","E11.65","A41.01","I46.8","J15.211","J96.02","R65.21","D69.6","K70.31","NO DATA","I47.1","R06.89","H11.001","Z96.1","H04.123","Z83.511","K65.9","R18.8","E66.9","K66.8","F90.9","K21.9","I86.8","Z98.42","Z98.41","Z86.19","Z81.1","K59.00","F10.10","R10.9","J18.8","M25.511","F41.9","Z23.","Z68.39","F32.9","K26.1","R00.0","I51.7","I51.89","E78.5","D72.829","J18.9","A41.9","E66.09","R60.0","L02.818","E11.8","R07.9","Z95.810","Z87.19","Z02.2","K26.9","K74.60","R10.12","R10.13","R10.11","F10.239","I50.9","B18.2","I25.10","Z68.37","Z20.822","D49.89","I50.22","D31.02"],"date":["2022-11-07","2022-11-07","2023-08-10","2022-11-07","2022-12-09","2022-12-08","2022-12-09","2022-12-08","2023-08-15","2022-12-22","2022-12-08","2022-12-08","2023-08-15","2023-03-21","2023-08-10","2023-08-15","2023-03-06","2023-08-10","2023-03-06","2023-08-10","2023-03-06","2023-08-10","2023-08-15","2023-01-26","2021-04-20","2021-04-20","2023-08-10","2022-12-02","2022-12-02","2022-12-07","2023-08-15","2023-08-15","2023-08-10","2023-01-26","2022-12-22","2021-12-09","2021-09-08","2021-08-31","2021-08-31","2021-12-22","2022-12-04","2022-12-02","2022-12-02","2022-12-09","2022-12-02","2022-12-04","2023-01-23","2022-12-02","2023-03-21","2022-12-22","2022-12-02","2021-07-02","2021-12-09","2023-07-19","2021-07-02","2021-12-09","2021-12-09","2023-03-21","2021-12-09","2021-12-09","2021-12-09","2021-12-09","2021-12-09","2021-12-09","2021-12-09","2021-12-09","2021-09-09","2023-03-15","2021-12-09","2022-12-08","2022-12-08","2022-12-08","2021-09-14","2021-09-14","2021-09-14","2021-12-09","2022-12-02","2022-12-02","2022-12-02","2023-03-22","2022-12-03","2022-12-04","2022-12-04","2023-01-23","2021-03-30","2021-08-25","2021-08-25","2021-12-09","2022-12-09","2022-12-09","2023-03-22","2021-12-09","2021-12-09","2021-12-09","2021-12-09","2021-12-09","2023-03-21","2023-03-21","2023-03-21","2023-03-21","2023-03-21","2023-03-21","2023-08-04","2023-08-10","2023-09-25"],"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":[["","50111056003","TRAZODONE","TAB 50MG","30","Select","Select",""],["","65162089703","ARIPIPRAZOLE","TAB 5MG","30","Select","Select",""],["","65862001205","SERTRALINE","TAB 50MG","30","Select","Select",""],["","69315090410","LORAZEPAM","0.5 MG","60","Select","Select",""],["","51672125902","CLOBETASOL","OIN 0.0005","60","Select","Select",""],["","70010006510","METFORMIN","TAB 1000MG","60","Select","Select",""],["","16729000617","SIMVASTATIN","TAB 40MG","30","Select","Select",""],["","68180098103","LISINOPRIL","TAB 20MG","30","Select","Select",""],["","00185209901","AMPHET\/DEXTR","TAB 30MG","60","Select","Select",""],["","43547028210","ESCITALOPRAM","TAB 20MG","90","Select","Select",""],["","65757030001","VIVITROL","INJ 380MG","1","Select","Select",""],["","47781060730","DISULFIRAM","TAB 250MG","30","Select","Select",""],["","00006027731","JANUVIA","TAB 100MG","30","Select","Select",""],["","69315011710","FUROSEMIDE","40 MG","60","Select","Select",""],["","57844013001","ADDERALL","TAB 30MG","30","Select","Select",""],["","65162027250","SMZ\/TMP DS","TAB 800-160","20","Select","Select",""],["","00074153903","HUMIRA PEN","KIT PS\/UV","3","Select","Select",""],["","10702001801","OXYCODONE","TAB 5MG","20","Select","Select",""],["","65862056099","PANTOPRAZOLE","TAB 40MG","60","Select","Select",""],["","00143312601","DICYCLOMINE","CAP 10MG","120","Select","Select",""],["","60505014101","GLIPIZIDE","TAB 5MG","60","Select","Select",""],["","59267100002","PFIZER VACC","INJ COVID-19","0","Select","Select",""],["","33342032954","TRIAMCINOLON","CRE 0.001","454","Select","Select",""],["","88888888887","DMR ADJUSTMEN","T ","1","Select","Select",""],["","45963070996","METOPROL SUC","TAB 25MG ER","30","Select","Select",""],["","00904719106","VITAMIN B-1","TAB 100MG","30","Select","Select",""],["","69315012710","FOLIC ACID","1 MG","30","Select","Select",""],["","00555015802","CHLORDIAZEP","CAP 5MG","4","Select","Select",""],["","00536354710","DAILY-VITE","TAB ","30","Select","Select",""],["","10006070011","VITAMIN B1","TAB 100MG","30","Select","Select",""],["","00003089421","ELIQUIS","5 MG","60","Select","Select",""],["","68180037609","LOSARTAN POT","TAB 25MG","30","Select","Select",""],["","57896085101","VITAMIN B-","1 100 MG","30","Select","Select",""],["","45963070996","METOPROLOL SUCCINATE","25 MG","30","Select","Select",""],["","13668018005","ROSUVASTATIN CALCIUM","10 MG","90","Select","Select",""],["","51672125903","CLOBETASOL PROPIONATE","0.05 %","60","Select","Select",""],["","10135013201","THIAMINE HCL","100 MG","30","Select","Select",""],["","00078077720","ENTRESTO","49 MG-51MG","60","Select","Select",""],["","65862001205","SERTRALINE HCL","50 MG","90","Select","Select",""],["","70010006510","METFORMIN HCL","1000 MG","180","Select","Select",""],["","43547028210","ESCITALOPRAM OXALATE","20 MG","30","Select","Select",""],["","68180037709","LOSARTAN POTASSIUM","50 MG","30","Select","Select",""],["","47335032683","NALTREXONE HCL","50 MG","30","Select","Select",""],["","68094011659",""," ","30","Select","Select",""],["","59267100002","PFIZER VACC INJ COVID-","19","0","Select","Select",""],["","00555097402","AMPHET\/DEXTR TAB","30MG","60","Select","Select",""],["","70010006510","METFORMIN TAB","1000MG","60","Select","Select",""],["","51672125903","CLOBETASOL OIN","0.05%","60","Select","Select",""],["","60505014101","GLIPIZIDE TAB","5MG","60","Select","Select",""],["","00143312601","DICYCLOMINE CAP","10MG","120","Select","Select",""],["","16729000617","SIMVASTATIN TAB","40MG","30","Select","Select",""],["","68180098103","LISINOPRIL TAB","20MG","30","Select","Select",""],["","43547028210","ESCITALOPRAM TAB","20MG","90","Select","Select",""],["","88888888887","DMR ADJUSTMENT","","1","Select","Select",""],["","33342032954","TRIAMCINOLON CRE","0.1%","454","Select","Select",""],["","10006070021","VITAMIN B","1 TAB 100MG","30","Select","Select",""],["","00003089421","ELIQUIS TAB","5MG","60","Select","Select",""],["","00536354710","DAILY-VITE TAB","","30","Select","Select",""],["","58657015110","FOLIC ACID TAB","1MG","30","Select","Select",""],["","00555015802","CHLORDIAZEP CAP","5MG","4","Select","Select",""],["","69315011710","FUROSEMIDE TAB","40MG","30","Select","Select",""],["","68180037609","LOSARTAN POT TAB","25MG","30","Select","Select",""],["","45963070911","METOPROL SUC TAB","25MG ER","30","Select","Select",""],["","64980051505","OFLOXACIN","0.3 %","5","Select","Select",""],["","61314063705","PREDNISOLONE ACETATE","1 %","5","Select","Select",""],["","68382066005","SPIRONOLACTONE","25 MG","15","Select","Select",""],["","70069013101","TOBRAMYCIN","0.3 %","5","Select","Select",""],["","33332032303","AFLURIA QUAD","2023-24 (3YR UP) 60MCG\/.5ML","0.5","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":""}]}]}