{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"TAMMY MYERS","gend":1,"add":"5617 HANDEL CT APT F","city":"RICHMOND","state":"VA","zip":"23234-9998","dob":"1959-10-17","age":"","mstatus":"","insh":"20059161*01","cliId":"","pno":8045082138,"cno":8045082138,"email":"","ename":"","eno":"","pphy":"MILLER, AMY MD","ppno":8048938100,"pcpadd":"1230 ALVERSER DR STE 100,","pcpcity":"MIDLOTHIAN","pcpstate":"VA","pcpzip":"23113-9998","pcpcounty":"","pcpid":"","pcpname":"Health Visions MD, Inc","plan":"OHP","program":"MEDICAID","lob":"OHCC","region":"CENTRAL","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":8044239917,"pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["J44.9","R07.89","R07.9","S79.919A","S73.005A","M24.452","F17.210","R52.","F17.200","M25.559","Z04.9","V58.89","J43.9","I48.91","F31.9","K21.9","Z79.82","Z79.891","Z91.81","M27.0","S73.015A","K02.9","K00.7","Z96.649","Z79.51","R06.2","M16.12","T84.011A","T84.021A","J06.9","R73.9","R19.7","Z20.822","R09.81","T84.031A","T84.032A","T84.091A","M25.552","J44.1","R63.6","W18.00XA","E87.1","I49.2","I49.8","R94.31","I10.","Z96.642","M24.459","Z96.643","I35.8","I34.8","R09.02","Z90.710","Z71.9","R20.0","M25.512","R20.2","M50.30","S79.912A","E46.","H91.90","M19.90","Z56.0","Z68.21","I25.119","R06.02","R10.2","K02.61","J42.","R32.","K58.9","F41.9","W19.XXXA","S13.4XXA","S50.02XA","F17.219","J43.2","Z12.2","T14.90XA","T84.029A","Z98.1","Z01.818","D50.9","T84.051A","M25.452","R59.0","L82.0","F32.9","L81.9","Z87.81","Z59.86","Z01.811","Z72.0","R46.0","R54.","L59.9","M54.2","R51.9","V49.40XA"],"date":["2023-07-12","2023-04-19","2022-01-12","2022-10-08","2023-02-23","2022-10-13","2023-02-13","2023-04-19","2023-06-21","2023-01-21","2022-05-20","2023-07-12","2022-10-13","2022-10-13","2023-07-12","2023-02-13","2022-12-03","2022-04-22","2022-04-22","2022-06-07","2022-06-22","2022-06-22","2022-06-22","2023-07-12","2022-06-22","2022-06-22","2022-09-09","2022-10-11","2023-02-22","2022-01-12","2023-05-02","2022-01-12","2022-10-08","2022-01-12","2023-01-31","2022-03-18","2023-07-12","2023-02-22","2022-05-10","2023-06-20","2022-06-30","2022-12-04","2022-06-22","2022-06-22","2023-02-12","2022-08-23","2023-06-13","2023-01-21","2023-01-21","2021-11-12","2021-11-12","2022-12-03","2022-12-03","2023-06-20","2022-02-21","2022-02-21","2022-02-21","2022-02-21","2022-05-28","2022-10-08","2022-10-08","2023-06-21","2022-10-08","2022-10-08","2021-11-11","2021-11-12","2022-05-20","2022-06-07","2022-06-07","2022-10-13","2022-10-13","2022-10-13","2023-01-21","2023-04-19","2023-04-19","2021-05-07","2021-05-07","2021-05-07","2023-04-19","2023-06-13","2023-07-12","2023-07-12","2023-05-02","2023-06-13","2023-06-13","2023-06-13","2023-06-16","2023-06-21","2023-06-16","2023-06-21","2023-06-21","2023-06-20","2023-06-20","2023-05-19","2023-05-19","2023-05-19","2023-07-03","2023-07-03","2023-04-19"],"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":[["","71093014105","METHOCARBAM","TAB 750MG","20","Select","Select",""],["","49483060350","IBUPROFEN","600 MG","40","Select","Select",""],["","00093005805","TRAMADOL HCL","TAB 50MG","10","Select","Select",""],["","00597010061","SPIRIVA","SPR 2.5MCG","4","Select","Select",""],["","00085461001","DULERA","200-5 MCG","13","Select","Select",""],["","53746010901","HYDROCO\/APAP","TAB 5-325MG","8","Select","Select",""],["","59310057922","PROAIR HFA","AER ","8","Select","Select",""],["","70436005901","BUPROPION","TAB 150MG SR","60","Select","Select",""],["","16571020106","DICLOFENAC","TAB 75MG DR","60","Select","Select",""],["","00093317431","ALBUTEROL","AER HFA","8","Select","Select",""],["","10702001801","OXYCODONE","TAB 5MG","30","Select","Select",""],["","00093031401","KETOROLAC","TAB 10MG","20","Select","Select",""],["","62175061743","PANTOPRAZOLE","TAB 40MG","30","Select","Select",""],["","33342002208","LEVOFLOXACIN","TAB 500MG","7","Select","Select",""],["","70954006020","PREDNISONE","TAB 20MG","18","Select","Select",""],["","68180016011","AZITHROMYCIN","TAB 250MG","6","Select","Select",""],["","50428038612","ACETAMINOPHN","TAB 500MG","60","Select","Select",""],["","00093031101","LOPERAMIDE","CAP 2MG","15","Select","Select",""],["","45802065078","LORATADINE","TAB 10MG","15","Select","Select",""],["","59746000103","METHYLPRED","TAB 4MG","21","Select","Select",""],["","59779013712","CVS ASPIRIN","TAB 325MG EC","60","Select","Select",""],["","47335075649","IPRATROPIUM\/","SOL ALBUTER","90","Select","Select",""],["","69842087651","CVS ACETAMIN","TAB 325MG","80","Select","Select",""],["","65862039010","ONDANSETRON","TAB 4MG ODT","15","Select","Select",""],["","45802075930","PROMETHAZINE","SUP 25MG","10","Select","Select",""],["","00116200116","CHLORHEX GLU","SOL 0.0012","473","Select","Select",""],["","67877025130","TRIAMCINOLON","CRE 0.001","30","Select","Select",""],["","00536123201","ASPIRIN","TAB 325MG EC","15","Select","Select",""],["","45802048678","DOCUSATE SOD","CAP 100MG","60","Select","Select",""],["","59779070228","CVS MUCUS","TAB 1200 ER","20","Select","Select",""],["","59779048478","PAIN RELIEF","TAB 500MG","60","Select","Select",""],["","76385012450","METHOCARBAMOL","750 MG","56","Select","Select",""],["","00093342210","CYCLOBENZAPRINE HCL","10 MG","30","Select","Select",""],["","10702001801","OXYCODONE HCL","5 MG","12","Select","Select",""],["","00116200116","CHLORHEXIDINE GLUCONATE","0.12 %","473","Select","Select",""],["","00603188016","LIDOCAINE","5 %","30","Select","Select",""],["","00093101042","MUPIROCIN","2 %","22","Select","Select",""],["","23155019201","BUPROPION HCL","100 MG","60","Select","Select",""],["","00093031101","LOPERAMIDE CAP","2MG","15","Select","Select",""],["","45802065078","LORATADINE TAB","10MG","15","Select","Select",""],["","68180016011","AZITHROMYCIN TAB","250MG","6","Select","Select",""],["","50428038612","ACETAMINOPHN TAB","500MG","60","Select","Select",""],["","70954006020","PREDNISONE TAB","20MG","18","Select","Select",""],["","00093317431","ALBUTEROL AER HFA","","8","Select","Select",""],["","59310057922","PROAIR HFA AER","","8","Select","Select",""],["","49483060350","IBUPROFEN TAB","600MG","20","Select","Select",""],["","59746000103","METHYLPRED TAB","4MG","21","Select","Select",""],["","10702001801","OXYCODONE TAB","5MG","30","Select","Select",""],["","45802075930","PROMETHAZINE SUP","25MG","10","Select","Select",""],["","47335075649","IPRATROPIUM\/ SOL ALBUTER","","90","Select","Select",""],["","59779013705","CVS ASPIRIN TAB","325MG EC","15","Select","Select",""],["","65862039010","ONDANSETRON TAB","4MG ODT","15","Select","Select",""],["","00116200116","CHLORHEX GLU SOL","0.12%","473","Select","Select",""],["","69842087651","CVS ACETAMIN TAB","325MG","80","Select","Select",""],["","53746010901","HYDROCO\/APAP TAB","5-325MG","8","Select","Select",""],["","00536123201","ASPIRIN TAB","325MG EC","15","Select","Select",""],["","59779048478","PAIN RELIEF TAB","500MG","60","Select","Select",""],["","45802048678","DOCUSATE SOD CAP","100MG","60","Select","Select",""],["","67877025130","TRIAMCINOLON CRE","0.1%","30","Select","Select",""],["","59779070228","CVS MUCUS TAB","1200 ER","20","Select","Select",""],["","16571020106","DICLOFENAC TAB","75MG DR","60","Select","Select",""],["","70436005901","BUPROPION HCL SR","150 MG","60","Select","Select",""],["","00093317431","ALBUTEROL SULFATE HFA","90 MCG","8.5","Select","Select",""],["","00536589588","NICOTINE PATCH","14MG\/24HR","28","Select","Select",""],["","00597010061","SPIRIVA RESPIMAT","2.5 MCG","4","Select","Select",""],["","47335075649","IPRATROPIUM-ALBUTEROL","0.5-3MG\/3","90","Select","Select",""],["","59779095704","NICOTINE LOZENGE","4 MG","135","Select","Select",""],["","69452015120","VITAMIN D","2 1250 MCG","4","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":""}]}]}