{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"JESSE WINSTON","gend":0,"add":"2139 BROADMOOR AVE APT 221","city":"CHESAPEAKE","state":"VA","zip":"23323-9998","dob":"1972-02-20","age":"","mstatus":"","insh":"20068414*01","cliId":"","pno":9046629510,"cno":9046629510,"email":"","ename":"","eno":"","pphy":"FEDRO, RANDALL C MD","ppno":7576863516,"pcpadd":"3235 BRIDGE RD STE 15,","pcpcity":"SUFFOLK","pcpstate":"VA","pcpzip":"23435-9998","pcpcounty":"","pcpid":"","pcpname":"North Suffolk Family Medicine","plan":"OHP","program":"MEDICAID","lob":"OHCC","region":"TIDEWATER","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":7576860230,"pcpnpi":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["I10.","N40.1","R06.02","F17.200","Z12.5","I49.3","I16.0","I21.4","Z72.0","Z68.31","R30.0","Z11.3","R07.9","I25.10","E78.5","G47.33","M50.20","M54.12","M48.02","Z48.89","R07.2","R77.8","I08.8","I50.30","Z98.61","Z23.","T63.301A","F17.210","Z68.35","M25.511","I25.2","R09.89","Z98.890","M54.9","E66.9","M25.551","R07.89","R94.39","V58.89","M54.2","Z87.828","K52.9"],"date":["2023-08-24","2022-03-28","2022-03-28","2022-08-02","2022-03-28","2022-05-31","2022-06-01","2022-06-02","2023-08-24","2022-06-01","2022-06-30","2022-06-30","2022-08-26","2023-08-24","2023-08-24","2022-08-26","2021-05-13","2021-06-30","2021-10-20","2021-01-20","2021-05-17","2021-05-17","2022-06-01","2022-06-01","2022-06-02","2022-08-02","2023-05-15","2023-05-15","2022-06-02","2021-09-02","2023-03-20","2023-03-20","2021-10-20","2021-10-20","2022-08-02","2022-08-02","2021-01-13","2021-01-15","2023-05-25","2021-12-08","2021-12-08","2021-07-18"],"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":[["","00603548321","PROPRANOLOL TAB","20MG","30","Select","Select",""],["","68645055354","LISINOPRIL TAB","20MG","30","Select","Select",""],["","68682010610","NIFEDIPINE TAB","60MG ER","90","Select","Select",""],["","68645055854","LISINOP\/HCTZ TAB","20-25MG","90","Select","Select",""],["","43598044770","NICOTINE TD DIS","14MG\/24H","7","Select","Select",""],["","00093505798","ATORVASTATIN TAB","80MG","90","Select","Select",""],["","00904404073","ASPIRIN CHW","81MG","30","Select","Select",""],["","50111078710","AZITHROMYCIN TAB","250MG","4","Select","Select",""],["","68645051054","HYDROCHLOROT TAB","25MG","30","Select","Select",""],["","49035056314","ASPIRIN LOW TAB","81MG EC","90","Select","Select",""],["","68382056410","METOPROL SUC TAB","25MG ER","30","Select","Select",""],["","00591352530","LIDOCAINE PAD","5%","30","Select","Select",""],["","49035019502","EQ NICOTINE DIS","14MG\/24H","7","Select","Select",""],["","00904679480","ASPIRIN LOW CHW","81MG","30","Select","Select",""],["","68645059090","CLOPIDOGREL TAB","75MG","90","Select","Select",""],["","70710112307","DOXYCYC MONO TAB","100MG","20","Select","Select",""],["","72511076002","REPATHA SURE INJ","140MG\/ML","2","Select","Select",""],["","72511075001","REPATHA INJ","140MG\/ML","2","Select","Select",""],["","57664050658","METOPROL TAR TAB","25MG","60","Select","Select",""],["","50111078710","AZITHROMYCIN","250 MG","6","Select","Select",""],["","68682010610","NIFEDIPINE ER","60 MG","90","Select","Select",""],["","68645059090","CLOPIDOGREL","75 MG","90","Select","Select",""],["","67877021905","CEPHALEXIN","500 MG","20","Select","Select",""],["","69238115403","EZETIMIBE","10 MG","90","Select","Select",""],["","00093505798","ATORVASTATIN CALCIUM","80 MG","90","Select","Select",""],["","68382056510","METOPROLOL SUCCINATE","50 MG","90","Select","Select",""],["","68645055854","LISINOPRIL-HYDROCHLOROTHIAZIDE","20 MG-25MG","90","Select","Select",""],["","00603548321","PROPRANOLOL HCL","20 MG","90","Select","Select",""],["","68382005005","MELOXICAM","7.5 MG","30","Select","Select",""],["","65862007930","TERBINAFINE HCL","250 MG","10","Select","Select",""],["","00406012301","HYDROCODONE-ACETAMINOPHEN","5 MG-325MG","15","Select","Select",""],["","00603548321","PROPRANOLOL","TAB 20MG","30","Select","Select",""],["","68645055354","LISINOPRIL","TAB 20MG","30","Select","Select",""],["","68645055854","LISINOP\/HCTZ","TAB 20-25MG","90","Select","Select",""],["","68682010610","NIFEDIPINE","TAB 60MG ER","90","Select","Select",""],["","49035056314","ASPIRIN LOW","TAB 81MG EC","90","Select","Select",""],["","49035019502","EQ NICOTINE","DIS 14MG\/24H","7","Select","Select",""],["","57664050658","METOPROL TAR","TAB 25MG","60","Select","Select",""],["","68645051054","HYDROCHLOROT","TAB 25MG","30","Select","Select",""],["","43598044770","NICOTINE TD","DIS 14MG\/24H","7","Select","Select",""],["","00093505798","ATORVASTATIN","TAB 80MG","90","Select","Select",""],["","00904404073","ASPIRIN","CHW 81MG","30","Select","Select",""],["","70710112307","DOXYCYC MONO","TAB 100MG","20","Select","Select",""],["","00591352530","LIDOCAINE","PAD 0.05","30","Select","Select",""],["","72511075001","REPATHA","INJ 140MG\/ML","2","Select","Select",""],["","68382056410","METOPROL SUC","TAB 25MG ER","90","Select","Select",""],["","72511076002","REPATHA SURE","INJ 140MG\/ML","2","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":""}]}]}