{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"SONYA  R WILLIAMS","gend":1,"add":"447 COX LNDG APT 3","city":"NEWPORT NEWS","state":"VA","zip":"23608-9998","dob":"1969-07-20","age":"","mstatus":"","insh":"20071150*01","cliId":"","pno":7577596710,"cno":7577596710,"email":"","ename":"","eno":"","pphy":"MILLER, JOYS I NP","ppno":7578732000,"pcpadd":"704 THIMBLE SHOALS BLVD, STE 700,","pcpcity":"NEWPORT NEWS","pcpstate":"VA","pcpzip":"23606-9998","pcpcounty":"","pcpid":"","pcpname":"Oyster Point Family Practice","plan":"OHP","program":"MEDICAID","lob":"OHCC","region":"TIDEWATER","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":7578732003,"pcpnpi":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["J45.20","G47.33","E66.01","M51.36","E87.6","R11.2","K59.00","F06.4","R20.2","M17.11","Z20.822","J02.9","I10.","M19.90","E11.9","Z82.3","Z82.49","Z83.3","F17.210","Z88.8","NO DATA","M17.0","M25.562","M25.561","Y93.01","W00.0XXA","Y92.480","G56.03","M79.641","M79.642","M25.511","M25.531","J06.9","R31.1","R10.9","E11.65","R10.811","R10.812","N39.44","G47.30","R31.9","R07.9","R31.29","G89.4","Z79.82","Z87.19","Z79.84","Z79.899","Z99.89","R32.","N32.81","R35.0","R39.15","D17.22","F12.90","E87.1","E11.43","K31.84","K21.9","Z79.4","Z86.16","I47.1","R00.2","R00.0","K44.9","D72.829","M54.2","M54.16","Z30.42","R10.11","D50.0","K57.92","F17.200","F12.20","Z68.41","J45.40","E55.9","Z71.6","F41.9","M54.5","R10.2","M22.41","R26.89","R35.1","M79.89","Z87.891","Z68.43","E78.5","R21.","R10.13","K76.0","I49.9","R10.84","E65.","Z86.010","J45.909","Z79.51","F12.188","R11.10","R11.0","M53.3","M46.1","Q66.222","B35.1","Q66.221","M79.672","M79.671","R19.4","L30.9","L70.0","Z00.00","B34.9","R51.9","U07.1","R06.09","M54.9","M51.9","K80.20","E66.9","J45.30","R05.8","U09.9","H40.023","R94.31","E86.0","I48.91","N39.8","M43.10","M17.12","R19.7","R53.83","J44.9","I48.0","I47.2","R10.33","Z11.1","Z23.","E11.40","M79.2","M20.12","M20.11","M24.572","M24.571","J02.8","W19.XXXA","M76.72","M25.572","M25.571","R10.32","Z53.21","Z76.89","M43.16","M25.552","R06.00","Z30.013","Z32.02","I45.81","I51.7","S39.92XA","S13.4XXA","V89.2XXA","E61.1","E86.9","R22.0","G44.309","Z01.419","N93.9","M85.88","N95.9","S39.012A","M47.816","R93.2","D64.9","L21.9","Z72.89","R74.8","Z02.71","R06.2","S09.90XS","W22.8XXS","Z87.828","E09.40","K57.90","R10.12","M62.89","Z68.44","Z01.810","R07.89","Z01.411","N81.6","K62.5","R14.2","Z80.0","J30.9","M22.42","M54.6","M72.2"],"date":["2023-05-30","2023-06-06","2023-05-11","2023-02-28","2022-11-02","2022-11-04","2023-05-04","2021-02-22","2021-07-30","2022-10-17","2022-07-29","2022-02-19","2023-07-18","2022-10-31","2023-07-26","2021-12-22","2021-12-22","2021-12-22","2023-05-31","2022-11-14","2023-02-28","2023-07-24","2022-01-26","2022-01-26","2022-01-26","2022-01-26","2022-01-26","2023-06-28","2022-02-25","2022-02-25","2022-02-25","2022-02-25","2022-07-29","2022-04-08","2023-05-31","2023-07-13","2022-04-08","2022-04-08","2022-04-08","2022-11-14","2023-05-04","2023-04-28","2022-04-21","2022-10-31","2023-05-11","2022-07-01","2022-10-30","2022-10-30","2023-05-11","2023-06-08","2023-06-28","2022-08-24","2022-08-24","2022-12-07","2023-05-30","2022-10-29","2022-10-31","2022-10-31","2023-05-31","2023-05-11","2023-05-30","2023-05-11","2022-11-21","2022-11-02","2022-11-02","2022-11-02","2023-03-24","2023-03-24","2023-02-16","2023-02-27","2023-05-31","2023-02-27","2023-05-30","2023-05-31","2023-05-31","2021-07-07","2021-07-22","2021-07-22","2021-07-22","2021-08-17","2022-03-04","2023-06-07","2022-07-05","2023-06-08","2022-05-04","2023-05-11","2023-05-31","2023-07-18","2022-08-13","2022-10-30","2022-11-03","2022-11-03","2022-12-01","2022-12-01","2022-10-24","2022-10-24","2023-05-30","2022-10-29","2022-11-03","2022-11-03","2023-02-08","2023-02-09","2023-07-26","2023-07-26","2023-07-26","2023-07-26","2023-07-26","2021-02-10","2022-07-05","2022-07-05","2023-07-18","2022-07-09","2022-07-07","2022-07-22","2023-03-02","2022-11-14","2022-08-17","2022-08-31","2023-05-30","2023-05-30","2022-08-18","2022-08-18","2022-10-19","2022-11-01","2022-10-31","2022-10-31","2022-01-20","2022-02-04","2022-09-16","2022-07-07","2022-07-07","2022-07-12","2022-07-12","2022-07-12","2021-02-14","2021-09-20","2022-12-01","2021-12-09","2021-12-09","2021-12-09","2021-12-09","2021-12-09","2021-12-09","2021-12-22","2022-01-24","2022-05-10","2022-05-10","2022-05-10","2022-07-01","2022-07-01","2022-11-04","2022-11-11","2023-02-28","2023-05-03","2022-03-22","2022-03-22","2022-10-29","2022-11-01","2022-11-16","2022-11-16","2022-11-16","2022-11-16","2021-02-14","2022-02-17","2022-02-17","2022-02-15","2022-02-15","2022-02-15","2022-02-15","2022-06-28","2022-11-14","2022-12-07","2023-03-08","2021-02-08","2021-09-20","2021-10-18","2021-11-08","2021-11-08","2022-02-17","2022-02-17","2022-02-17","2022-02-28","2022-07-02","2022-07-02","2023-06-28","2023-04-29","2023-03-13","2023-04-28","2023-04-25","2023-04-25","2023-05-31","2023-05-31","2023-05-31","2023-05-30","2023-06-07","2022-11-14","2023-07-26"],"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":[["","45802000403","HYDROCORT","CRE 0.025","28","Select","Select",""],["","51672129803","KETOCONAZOLE","CRE 0.02","60","Select","Select",""],["","05388000924","VITAMIN D-3","CAP 1000UNIT","30","Select","Select",""],["","68645051054","HYDROCHLOROT","TAB 25MG","90","Select","Select",""],["","68382032010","POT CHLORIDE","TAB 10MEQ ER","30","Select","Select",""],["","64380076921","PEG-3350\/KCL","SOL \/SODIUM","4000","Select","Select",""],["","68462015713","ONDANSETRON","TAB 4MG ODT","20","Select","Select",""],["","68645058259","METFORMIN","TAB 500MG","60","Select","Select",""],["","65862086099","FAMOTIDINE","TAB 40MG","30","Select","Select",""],["","00186037020","SYMBICORT","160-4.5MCG","10.2","Select","Select",""],["","59310057922","PROAIR HFA","AER ","17","Select","Select",""],["","68180096301","ALBUTEROL","AER HFA","17","Select","Select",""],["","29300022019","MONTELUKAST","TAB 10MG","30","Select","Select",""],["","00310737020","BUDES\/FORMOT","AER 160-4.5","10","Select","Select",""],["","49348098023","SM ASPIRIN","TAB 81MG EC","30","Select","Select",""],["","49035056314","ASPIRIN LOW","TAB 81MG EC","30","Select","Select",""],["","68645051554","AMLODIPINE","TAB 5MG","90","Select","Select",""],["","00093220401","METOCLOPRAM","TAB 5MG","30","Select","Select",""],["","00832532411","POT CL MICRO","TAB 10MEQ ER","30","Select","Select",""],["","45802075930","PROMETHAZINE","SUP 25MG","12","Select","Select",""],["","70069000801","EPINASTINE","DRO 0.0005","5","Select","Select",""],["","70069009101","AZELASTINE","DRO 0.0005","6","Select","Select",""],["","45963043963","CONSTULOSE","10 G\/15 ML","237","Select","Select",""],["","67877048430","TELMISARTAN","80 MG","30","Select","Select",""],["","31722071390","PANTOPRAZOLE","TAB 40MG","30","Select","Select",""],["","45802086866","POLYETH GLYC","POW 3350 NF","90","Select","Select",""],["","42806071401","BENZONATATE","CAP 100MG","20","Select","Select",""],["","65162083366","DICLOFENAC","GEL 0.01","100","Select","Select",""],["","69543038810","KETOROLAC","TAB 10MG","15","Select","Select",""],["","00548570100","MEDROXYPR AC","INJ 150MG\/ML","1","Select","Select",""],["","00054327099","FLUTICASONE","SPR 50MCG","16","Select","Select",""],["","69238112001","OXAPROZIN","TAB 600MG","60","Select","Select",""],["","0","COMPOUND","","120","Select","Select",""],["","49035049860","EQ MUCUS ER","TAB 600MG","20","Select","Select",""],["","42192071506","CICLOPIROX","8 %","6.6","Select","Select",""],["","53885001110","ONETOUCH DEL","MIS PLUS 30G","200","Select","Select",""],["","00469260130","MYRBETRIQ","TAB 25MG","30","Select","Select",""],["","67877052830","SOLIFENACIN","TAB 10MG","30","Select","Select",""],["","29300041519","CYCLOBENZAPR","TAB 10MG","21","Select","Select",""],["","21922000404","DESONIDE","OIN 0.0005","60","Select","Select",""],["","81131007165","D3","CAP 1000UNIT","30","Select","Select",""],["","53885092701","ONETOUCH","KIT VERIO RE","1","Select","Select",""],["","00406324301","HYDROMORPHON","TAB 2MG","30","Select","Select",""],["","50383077932","LACTULOSE","SOL 10GM\/15","300","Select","Select",""],["","43386031214","GAVILAX","POW ","510","Select","Select",""],["","00536124710","SENEXON-S","TAB 8.6-50MG","30","Select","Select",""],["","59088099703","LIDOCAINE","CRE 0.03","28","Select","Select",""],["","00143122701","DICYCLOMINE","TAB 20MG","30","Select","Select",""],["","16714047601","AMOX\/K CLAV","TAB 250-125","20","Select","Select",""],["","00713052612","PROMETHEGAN","SUP 25MG","12","Select","Select",""],["","11877001140","BINAXNOW COV","KIT HOME TES","2","Select","Select",""],["","66993013697","FLUTIC\/VILAN","INH 200-25","60","Select","Select",""],["","00173088210","BREO ELLIPTA","INH 200-25","60","Select","Select",""],["","68645056259","IBUPROFEN","600 MG","90","Select","Select",""],["","49035019602","EQ NICOTINE","DIS 7MG\/24HR","28","Select","Select",""],["","68645019059","METOPROL TAR","TAB 50MG","60","Select","Select",""],["","29300022019","MONTELUKAST SODIUM","10 MG","30","Select","Select",""],["","31722071390","PANTOPRAZOLE SODIUM","40 MG","90","Select","Select",""],["","49035056314","ASPIRIN EC","81 MG","30","Select","Select",""],["","68645051554","AMLODIPINE BESYLATE","5 MG","30","Select","Select",""],["","00093220401","METOCLOPRAMIDE HCL","5 MG","30","Select","Select",""],["","00487950103","ALBUTEROL SULFATE","2.5 MG\/3ML","300","Select","Select",""],["","68645058259","METFORMIN HCL","500 MG","60","Select","Select",""],["","68645019059","METOPROLOL TARTRATE","50 MG","60","Select","Select",""],["","68180096301","ALBUTEROL SULFATE HFA","90 MCG","8.5","Select","Select",""],["","00310737020","BUDESONIDE-FORMOTEROL FUMARATE","160-4.5MCG","10.2","Select","Select",""],["","00548570100","MEDROXYPROGESTERONE ACETATE","150 MG\/ML","1","Select","Select",""],["","00832532411","POTASSIUM CHLORIDE","10 MEQ","90","Select","Select",""],["","68382056610","METOPROLOL SUCCINATE","100 MG","135","Select","Select",""],["","53885012403",""," ","1","Select","Select",""],["","00093505698","ATORVASTATIN CALCIUM","10 MG","90","Select","Select",""],["","42192033901","HYOSCYAMINE SULFATE","0.125 MG","120","Select","Select",""],["","00054327099","FLUTICASONE PROPIONATE","50 MCG","16","Select","Select",""],["","31722071390","PANTOPRAZOLE TAB","40MG","90","Select","Select",""],["","05388000924","VITAMIN D-","3 CAP 1000UNIT","30","Select","Select",""],["","49035056314","ASPIRIN LOW TAB","81MG EC","30","Select","Select",""],["","67877048430","TELMISARTAN TAB","80MG","30","Select","Select",""],["","69543038810","KETOROLAC TAB","10MG","15","Select","Select",""],["","65162083366","DICLOFENAC GEL","1%","100","Select","Select",""],["","68645051654","AMLODIPINE TAB","10MG","30","Select","Select",""],["","69238112001","OXAPROZIN TAB","600MG","60","Select","Select",""],["","00548570100","MEDROXYPR AC INJ","150MG\/ML","1","Select","Select",""],["","49035049860","EQ MUCUS ER TAB","600MG","20","Select","Select",""],["","68645051054","HYDROCHLOROT TAB","25MG","90","Select","Select",""],["","00054327099","FLUTICASONE SPR","50MCG","16","Select","Select",""],["","42806071401","BENZONATATE CAP","100MG","20","Select","Select",""],["","45802014167","CICLOPIROX SOL","8%","7","Select","Select",""],["","00469260130","MYRBETRIQ TAB","25MG","30","Select","Select",""],["","53885001110","ONETOUCH DEL MIS PLUS","30G","200","Select","Select",""],["","67877052830","SOLIFENACIN TAB","10MG","30","Select","Select",""],["","53885065701","ONETOUCH KIT VERIO","","1","Select","Select",""],["","29300041519","CYCLOBENZAPR TAB","10MG","21","Select","Select",""],["","53885027210","ONETOUCH TES VERIO","","100","Select","Select",""],["","81131007165","D","3 CAP 1000UNIT","30","Select","Select",""],["","00406324301","HYDROMORPHON TAB","2MG","30","Select","Select",""],["","53885092701","ONETOUCH KIT VERIO RE","","1","Select","Select",""],["","00832532411","POT CL MICRO TAB","10MEQ ER","90","Select","Select",""],["","00143924920","AMOX\/K CLAV TAB","875-125","20","Select","Select",""],["","45802086866","POLYETH GLYC POW","3350 NF","90","Select","Select",""],["","21922000404","DESONIDE OIN","0.05%","60","Select","Select",""],["","29300022019","MONTELUKAST TAB","10MG","30","Select","Select",""],["","00143122701","DICYCLOMINE TAB","20MG","30","Select","Select",""],["","68645058259","METFORMIN TAB","500MG","60","Select","Select",""],["","00472080415","DESONIDE CRE","0.05%","60","Select","Select",""],["","50383077932","LACTULOSE SOL","10GM\/15","300","Select","Select",""],["","59310057922","PROAIR HFA AER","","17","Select","Select",""],["","68180096301","ALBUTEROL AER HFA","","17","Select","Select",""],["","45963043963","CONSTULOSE SOL","10GM\/15","150","Select","Select",""],["","11877001140","BINAXNOW COV KIT HOME TES","","2","Select","Select",""],["","68462015713","ONDANSETRON TAB","4MG ODT","20","Select","Select",""],["","00536124710","SENEXON-S TAB","8.6-50MG","30","Select","Select",""],["","43386031214","GAVILAX POW","","510","Select","Select",""],["","59088099703","LIDOCAINE CRE","3%","28","Select","Select",""],["","66993013697","FLUTIC\/VILAN INH","200-25","60","Select","Select",""],["","00713052612","PROMETHEGAN SUP","25MG","7","Select","Select",""],["","68645019059","METOPROL TAR TAB","50MG","60","Select","Select",""],["","45802075930","PROMETHAZINE SUP","25MG","5","Select","Select",""],["","49348098023","SM ASPIRIN TAB","81MG EC","30","Select","Select",""],["","00173088210","BREO ELLIPTA INH","200-25","60","Select","Select",""],["","00093220401","METOCLOPRAM TAB","5MG","30","Select","Select",""],["","68645056354","IBUPROFEN TAB","800MG","30","Select","Select",""],["","49035019602","EQ NICOTINE DIS","7MG\/24HR","28","Select","Select",""],["","65862039110","ONDANSETRON ODT","8 MG","24","Select","Select",""],["","70377000712","ROSUVASTATIN CALCIUM","10 MG","90","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":""}]}]}