{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"NADEEN  E HALL","gend":1,"add":"1371 KENTON AVE","city":"NORFOLK","state":"VA","zip":"23504-9998","dob":"1962-03-17","age":"","mstatus":"","insh":"20051548*01","cliId":"","pno":7574478005,"cno":7574478005,"email":"","ename":"","eno":"","pphy":"MALIAKAL, ALVIN MD","ppno":7574468920,"pcpadd":"825 FAIRFAX AVE STE 445,","pcpcity":"NORFOLK","pcpstate":"VA","pcpzip":"23507-9998","pcpcounty":"","pcpid":"","pcpname":"EVMS Internal Medicine","plan":"OHP","program":"MEDICAID","lob":"OHCC","region":"TIDEWATER","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":7574465242,"pcpnpi":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["K21.9","B20.","E11.9","Z13.220","F34.1","R39.81","M62.81","R73.03","Z01.419","Z87.891","F10.20","J30.9","F51.8","K22.70","D12.6","F32.9","Z12.11","K63.5","K64.8","K44.9","Z01.812","Z20.822","R10.9","R11.2","NO DATA","R09.82","F51.5","R53.83","E55.9","R73.09","R05.9","Z11.3","F43.21","J06.9","Z23.","Z88.5","Z21.","R74.02","R68.83","R05.","F32.1","F10.10"],"date":["2023-05-04","2022-05-16","2021-01-08","2021-01-08","2021-01-08","2023-05-02","2023-05-02","2022-10-24","2022-06-21","2022-10-24","2023-05-04","2022-05-04","2021-04-08","2021-04-08","2021-04-08","2021-04-08","2021-04-19","2021-04-19","2021-04-19","2021-04-19","2021-04-16","2023-02-10","2023-02-10","2023-02-10","2023-04-28","2022-05-04","2023-05-04","2022-05-04","2022-05-04","2022-05-04","2022-05-16","2021-07-13","2021-07-13","2022-08-31","2022-10-24","2023-02-10","2023-04-26","2023-02-10","2023-02-10","2021-06-01","2023-04-28","2023-04-25"],"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":[["","68180032006","BUPROPN HCL","TAB 300MG XL","90","Select","Select",""],["","61958190101","GENVOYA","TAB ","30","Select","Select",""],["","29300022019","MONTELUKAST","TAB 10MG","90","Select","Select",""],["","65862001330","SERTRALINE","TAB 100MG","180","Select","Select",""],["","16714012302","OMEPRAZOLE","40 MG","30","Select","Select",""],["","55111078430","FEXOFENADINE","TAB 180MG","30","Select","Select",""],["","70954001910","PRAZOSIN HCL","1 MG","30","Select","Select",""],["","00904530680","BANOPHEN","25 MG","60","Select","Select",""],["","80777027398","MODERNA VAC","INJ COVID-19","0","Select","Select",""],["","65862056090","PANTOPRAZOLE","TAB 40MG","60","Select","Select",""],["","00093317431","ALBUTEROL","AER HFA","8","Select","Select",""],["","49702024613","DOVATO","50MG-300MG","30","Select","Select",""],["","11877001140","BINAXNOW COV","KIT HOME TES","8","Select","Select",""],["","00781808926","AZITHROMYCIN","TAB 250MG","6","Select","Select",""],["","69543025216","VIRTUSSIN AC","SOL 100-10\/5","105","Select","Select",""],["","65862056090","PANTOPRAZOLE SODIUM","40 MG","60","Select","Select",""],["","65862039010","ONDANSETRON ODT","4 MG","20","Select","Select",""],["","55111078430","FEXOFENADINE HCL","180 MG","30","Select","Select",""],["","29300022019","MONTELUKAST SODIUM","10 MG","90","Select","Select",""],["","49702022813","TIVICAY","50 MG","30","Select","Select",""],["","00904549280","THERA-M","9MG-400MCG","30","Select","Select",""],["","16714061206","SERTRALINE HCL","50 MG","90","Select","Select",""],["","80681008600","MELATONIN","3 MG","30","Select","Select",""],["","64380071104","LAMIVUDINE","300 MG","30","Select","Select",""],["","53746036101","FOLIC ACID","1 MG","30","Select","Select",""],["","10006073021","VITAMIN B-","1 100 MG","30","Select","Select",""],["","00406117003","NALTREXONE HCL","50 MG","30","Select","Select",""],["","61958190101","GENVOYA TAB","","30","Select","Select",""],["","68462039730","OMEPRAZOLE CAP","40MG","60","Select","Select",""],["","70954001910","PRAZOSIN HCL CAP","1MG","30","Select","Select",""],["","00904530680","BANOPHEN CAP","25MG","60","Select","Select",""],["","65862001330","SERTRALINE TAB","100MG","180","Select","Select",""],["","29300022019","MONTELUKAST TAB","10MG","90","Select","Select",""],["","68180032006","BUPROPN HCL TAB","300MG XL","90","Select","Select",""],["","65862056090","PANTOPRAZOLE TAB","40MG","60","Select","Select",""],["","49702024613","DOVATO TAB","50-300MG","30","Select","Select",""],["","55111078430","FEXOFENADINE TAB","180MG","30","Select","Select",""],["","00093317431","ALBUTEROL AER HFA","","8","Select","Select",""],["","00781808926","AZITHROMYCIN TAB","250MG","6","Select","Select",""],["","69543025216","VIRTUSSIN AC SOL","100-10\/5","105","Select","Select",""],["","11877001140","BINAXNOW COV KIT HOME TES","","8","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":""}]}]}