{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"ANDREA S COLLINS","gend":1,"add":"2119 BAINBRIDGE ST","city":"RICHMOND","state":"VA","zip":"23225-9998","dob":"1974-01-01","age":"","mstatus":"","insh":"20050734*01","cliId":"","pno":8043816324,"cno":8043816324,"email":"","ename":"","eno":"","pphy":"JOSEPH, LERLA G MD","ppno":8042304913,"pcpadd":"1606 HULL ST RD,","pcpcity":"RICHMOND","pcpstate":"VA","pcpzip":"23224-9998","pcpcounty":"","pcpid":"","pcpname":"","plan":"OHP","program":"MEDICAID","lob":"OHCC","region":"CENTRAL","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":8042331841,"pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["R50.9","R05.","NO DATA","R91.8","M54.9","F11.10","F14.10","U07.1","F19.94","F10.20","F14.20","F19.20","F19.10","Z20.822","M54.2","R78.81","F20.9","B19.20","B95.62","F39.","B95.61","F41.9","Z86.14","Z87.442","Z90.49","A41.01","F31.0","F11.20","T40.1X1A","F13.10","R41.0","F31.9","F43.10","F17.210","G40.909","R00.0","Z86.2","R40.4","T50.904A","J18.9","M54.5","R07.9","J85.1","F11.23","R64.","Z68.1","G89.29","S02.5XXA","Z59.0","F11.90","R46.2","M54.6","E11.9","F19.90","D72.9","F31.12","I83.892","S81.802A","R07.89","R06.00","F19.939","R11.0","G06.1","M46.24","R94.31","R10.32","R91.1","N39.0","R45.6","I34.0","R06.02","I51.7","G89.11","W18.30XA","I49.8","G06.2","M46.22","E44.1","F31.30","E16.2","E87.6","F17.200","Z53.29","I83.899","G25.81","K08.89","R52.","R60.0","R51.9","R33.9","I49.1","T50.901A","R46.89","J11.1","Z87.891","R05.9"],"date":["2022-06-04","2021-02-09","2022-10-09","2021-02-11","2022-10-11","2022-08-09","2023-01-01","2021-02-11","2022-07-21","2022-11-16","2022-11-21","2022-07-21","2023-01-01","2023-01-18","2022-06-04","2022-07-24","2022-07-21","2022-06-12","2022-06-04","2022-06-04","2022-06-04","2022-07-21","2022-06-04","2022-06-04","2022-06-04","2022-07-24","2023-08-01","2022-12-28","2023-01-01","2023-01-01","2023-01-01","2023-01-01","2023-01-01","2023-01-01","2023-01-01","2023-01-01","2023-01-01","2023-01-01","2023-01-01","2021-02-11","2021-02-09","2022-05-19","2021-02-12","2022-05-19","2021-02-09","2022-06-12","2021-02-09","2021-02-11","2021-09-25","2021-02-12","2021-09-25","2022-07-21","2022-07-21","2022-07-21","2022-07-04","2022-08-01","2022-04-30","2022-04-30","2022-05-19","2022-05-19","2022-05-19","2022-10-09","2022-07-21","2022-07-21","2021-09-25","2022-10-09","2021-02-09","2022-10-11","2021-09-12","2022-06-13","2023-01-18","2021-02-07","2022-06-04","2022-06-04","2022-06-04","2022-06-12","2022-06-12","2022-06-12","2022-06-12","2022-06-12","2022-06-12","2022-10-11","2022-06-12","2022-06-12","2022-06-12","2022-06-12","2022-06-12","2022-10-11","2022-10-11","2022-10-11","2023-01-18","2023-01-01","2023-01-01","2023-01-18","2023-01-18","2023-01-18"],"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":[["","12496120801","SUBOXONE","8 MG-2 MG","7","Select","Select",""],["","47781035703","BUPREN\/NALOX","MIS 8-2MG","4","Select","Select",""],["","65862050301","AMOX\/K CLAV","TAB 875-125","62","Select","Select",""],["","62332005531","CLONIDINE","TAB 0.2MG","4","Select","Select",""],["","67877024210","QUETIAPINE","TAB 25MG","7","Select","Select",""],["","16729008101","NALTREXONE","TAB 50MG","14","Select","Select",""],["","16714066202","GABAPENTIN","CAP 300MG","21","Select","Select",""],["","57237000830","MIRTAZAPINE","TAB 15MG","30","Select","Select",""],["","67877043105","ARIPIPRAZOLE","TAB 5MG","9","Select","Select",""],["","00093506101","HYDROXYZ HCL","TAB 25MG","60","Select","Select",""],["","00591530701","PROMETHAZINE","TAB 25MG","30","Select","Select",""],["","69315013610","BENZTROPINE","TAB 0.5MG","60","Select","Select",""],["","65162046650","IBUPROFEN","TAB 800MG","90","Select","Select",""],["","57237002801","AMOXICILLIN","TAB 500MG","15","Select","Select",""],["","00054429731","FUROSEMIDE","TAB 20MG","5","Select","Select",""],["","00904772524","ANTI-DIARRHE","TAB 2MG","30","Select","Select",""],["","00185067605","HYDROXYZ PAM","CAP 50MG","60","Select","Select",""],["","00093506201","HYDROXYZINE HCL","50 MG","60","Select","Select",""],["","68180044701","QUETIAPINE FUMARATE","100 MG","45","Select","Select",""],["","45802081184","NALOXONE HCL","4 MG","2","Select","Select",""],["","00904699860","DOCUSATE SODIUM","100 MG","14","Select","Select",""],["","62332005491","CLONIDINE HCL","0.1 MG","28","Select","Select",""],["","00527133010","BACLOFEN","10 MG","21","Select","Select",""],["","62332005531","CLONIDINE TAB","0.2MG","4","Select","Select",""],["","16729008101","NALTREXONE TAB","50MG","14","Select","Select",""],["","65162046650","IBUPROFEN TAB","800MG","90","Select","Select",""],["","60505024708","MIRTAZAPINE TAB","15MG","31","Select","Select",""],["","00185067605","HYDROXYZ PAM CAP","50MG","60","Select","Select",""],["","29300014801","QUETIAPINE TAB","50MG","60","Select","Select",""],["","16714066202","GABAPENTIN CAP","300MG","93","Select","Select",""],["","67877043105","ARIPIPRAZOLE TAB","5MG","31","Select","Select",""],["","12496120803","SUBOXONE MIS","8-2MG","4","Select","Select",""],["","69315013610","BENZTROPINE TAB","0.5MG","60","Select","Select",""],["","00781261305","AMOXICILLIN CAP","500MG","21","Select","Select",""],["","00093506101","HYDROXYZ HCL TAB","25MG","60","Select","Select",""],["","00054429731","FUROSEMIDE TAB","20MG","5","Select","Select",""],["","00904772524","ANTI-DIARRHE TAB","2MG","30","Select","Select",""],["","47781035703","BUPREN\/NALOX MIS","8-2MG","4","Select","Select",""],["","00591530701","PROMETHAZINE TAB","25MG","30","Select","Select",""],["","57237002801","AMOXICILLIN TAB","500MG","15","Select","Select",""],["","00536338701","NICOTINE GUM","4 MG","100","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":""}]}]}