{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"CHRISTOPHER  L REIN","gend":0,"add":"2512 GREENWOOD DR","city":"PORTSMOUTH","state":"VA","zip":"23702-9998","dob":"1977-07-07","age":"","mstatus":"","insh":"20072229*01","cliId":"","pno":7573851798,"cno":7573851798,"email":"","ename":"","eno":"","pphy":"WELLS, JANELLE M MD","ppno":7573936363,"pcpadd":"664 LINCOLN ST","pcpcity":"PORTSMOUTH","pcpstate":"VA","pcpzip":"23704-9998","pcpcounty":"","pcpid":"","pcpname":"Hampton Roads Community Health Center","plan":"OHP","program":"MEDICAID","lob":"OHCC","region":"TIDEWATER","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":7573970047,"pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["F31.32","F31.31","F31.5","F41.9","Z59.1","F51.04","F39.","Z91.19","V62.84","F11.20","F43.23","R10.30","C80.0","Z79.899","NO DATA","V62.85","R10.9","G89.29","Z88.0","Z88.1","Z88.8","G89.3","Z51.5","C78.6","R11.0","C80.1","Z79.891","Z53.29","Z91.048","R30.0","R10.11","R11.2","R10.84","Z85.07","R63.6","Z68.20","C48.2","R18.0","R64.","K59.03","C25.9","F17.290","D63.0","F31.9","K92.1","T40.2X5A","G89.4","Z68.22","F32.9","F31.30","F31.63","F41.1","F11.10","I34.1","F31.2","Z72.0","R00.0","F31.4","Z65.8","Z20.822","N52.9","G47.9","R63.0","F13.90","Z56.0","Z65.3","Z81.8","R10.31","D72.829","F11.90","R14.1","M62.838","M79.2","C76.2","Z87.19","R10.10","R52.","F17.210","R18.8","Z83.71","R19.8","F17.200","R14.0","Z98.890","K59.00","R45.1","Z71.89","R11.10","F51.4","F41.0","F43.10","R07.9","F22.","F31.0","Z91.14","Z88.3","K59.01","F19.90","G25.81","B35.1","Z91.51","K35.80","R93.5","Z91.041","Z90.49","R06.00","R51.9","Z12.11","K64.8","F30.9","I25.2","Z72.89","F13.20","F15.20","F31.64","I34.8","R53.83","K59.09","Z91.89","C78.80","R50.9","R53.81","K59.04","Z85.89","F11.29","R07.89","R06.02","F32.1","D49.0","D64.9","Z53.21","E43.","Z66.","E87.1","D63.1","D63.8"],"date":["2022-06-03","2023-03-24","2022-06-27","2023-03-13","2022-02-15","2022-03-14","2022-02-15","2022-03-14","2022-07-14","2022-05-01","2022-06-03","2022-11-06","2023-02-28","2023-02-01","2023-04-06","2022-07-14","2023-03-24","2023-02-28","2023-03-13","2023-03-13","2023-02-27","2023-04-06","2023-03-24","2023-04-01","2023-03-23","2023-03-23","2023-02-21","2022-11-06","2022-11-06","2022-11-06","2023-01-30","2023-03-17","2023-03-24","2023-01-21","2023-01-21","2023-01-21","2023-03-24","2023-03-13","2023-03-24","2023-04-01","2023-04-06","2023-03-13","2023-02-27","2023-02-27","2023-02-27","2023-02-28","2023-03-22","2023-02-27","2022-05-01","2023-03-13","2022-01-13","2022-06-22","2022-01-13","2022-01-13","2022-01-13","2022-02-07","2023-01-31","2022-03-19","2022-03-21","2023-01-31","2022-03-14","2022-03-14","2022-04-29","2022-03-14","2022-03-14","2022-03-14","2022-03-14","2022-05-10","2023-01-31","2022-05-29","2022-06-02","2022-06-02","2022-06-02","2022-06-28","2022-06-28","2022-10-11","2022-10-11","2022-11-06","2023-02-21","2021-10-06","2021-10-06","2022-08-17","2023-02-20","2023-02-20","2023-03-07","2023-03-24","2023-03-24","2022-11-19","2022-12-13","2022-12-13","2022-12-13","2022-02-04","2022-02-04","2022-02-04","2022-02-04","2022-02-04","2022-06-21","2022-06-22","2021-02-12","2021-02-13","2022-02-07","2022-04-28","2022-04-29","2022-05-27","2022-05-10","2022-05-27","2021-02-13","2021-10-06","2021-10-06","2022-02-05","2022-02-05","2022-03-15","2022-03-21","2022-05-01","2022-01-16","2022-02-05","2023-01-31","2022-08-17","2023-02-01","2022-06-06","2022-09-25","2023-01-31","2023-03-07","2023-03-07","2021-01-22","2022-02-04","2022-02-04","2022-03-13","2022-04-29","2023-02-28","2021-02-10","2023-03-13","2023-03-13","2023-03-13","2023-03-13","2023-03-24"],"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":[["","12496120803","SUBOXONE","MIS 8-2MG","14","Select","Select",""],["","43598058230","BUPREN\/NALOX","MIS 8-2MG","14","Select","Select",""],["","00093321301","CLONAZEPAM","2 MG","10","Select","Select",""],["","69842031278","8HR PAIN ER","TAB 650MG","42","Select","Select",""],["","43547026910","ROPINIROLE","TAB 0.5MG","30","Select","Select",""],["","62332002231","FLUOXETINE","CAP 10MG","30","Select","Select",""],["","63402030230","LATUDA","TAB 20MG","30","Select","Select",""],["","64980032430","PROCTOZONE","CRE -HC 2.5%","30","Select","Select",""],["","43547028910","BUPROPION","TAB 150MG SR","30","Select","Select",""],["","00093406701","PRAZOSIN HCL","CAP 1MG","30","Select","Select",""],["","59779030602","CVS PURELAX","POW ","238","Select","Select",""],["","64764080530","ROZEREM","TAB 8MG","30","Select","Select",""],["","46122035374","GNP NICOTINE","DIS 21MG\/24H","14","Select","Select",""],["","10702000901","OXYCODONE","TAB 30MG","120","Select","Select",""],["","69238111801","BUSPIRONE","TAB 15MG","14","Select","Select",""],["","65862018501","CLINDAMYCIN","CAP 150MG","1","Select","Select",""],["","00406051201","OXYCOD\/APAP","TAB 5-325MG","12","Select","Select",""],["","00406831501","MORPHINE SUL","TAB 15MG ER","18","Select","Select",""],["","43598016430","OLANZAPINE","5 MG","10","Select","Select",""],["","11917001006","GLYCERIN","SUP 2.1GM","4","Select","Select",""],["","24510012010","XTAMPZA ER","CAP 18MG","14","Select","Select",""],["","00363013820","SENNA","TAB 8.6MG","30","Select","Select",""],["","31722099601","HYDROCO\/APAP","TAB 5-325MG","18","Select","Select",""],["","68382004101","PROMETHAZINE","TAB 25MG","20","Select","Select",""],["","51079030630","POLYETH GLYC","POW 3350 NF","30","Select","Select",""],["","71093014005","METHOCARBAM","TAB 500MG","21","Select","Select",""],["","00093216568","NALOXONE HCL","SPR 4MG","2","Select","Select",""],["","00904720660","SIMETHICONE","80 MG","60","Select","Select",""],["","11822331100","RA SENNA","TAB 8.6MG","60","Select","Select",""],["","59011044010","OXYCONTIN","40 MG","30","Select","Select",""],["","00093220401","METOCLOPRAM","TAB 5MG","120","Select","Select",""],["","16729022501","SPIRONOLACT","TAB 25MG","14","Select","Select",""],["","00781106101","ALPRAZOLAM","0.25 MG","10","Select","Select",""],["","65862039010","ONDANSETRON","TAB 4MG ODT","50","Select","Select",""],["","10135031401","SENNA LAXATI","TAB 8.6MG","60","Select","Select",""],["","10702000901","OXYCODONE HCL","30 MG","120","Select","Select",""],["","58980041012","ADULT GLYCERIN ADULT","","12","Select","Select",""],["","65862039010","ONDANSETRON ODT","4 MG","9","Select","Select",""],["","13811070310","HYDROMORPHONE ER","16 MG","14","Select","Select",""],["","00591225823","SCOPOLAMINE","1 MG\/3 DAY","9","Select","Select",""],["","00406838001","MORPHINE SULFATE ER","60 MG","60","Select","Select",""],["","60219204301","DEXAMETHASONE","4 MG","5","Select","Select",""],["","57896044101","BISACODYL","5 MG","30","Select","Select",""],["","42192033901","HYOSCYAMINE SULFATE","0.125 MG","12","Select","Select",""],["","43386009019","GAVILYTE-G","236-22.74G","4000","Select","Select",""],["","00093573301","OXYCODONE HCL ER","40 MG","30","Select","Select",""],["","16729022501","SPIRONOLACTONE","25 MG","30","Select","Select",""],["","68382004101","PROMETHAZINE HCL","25 MG","30","Select","Select",""],["","00172392660","DIAZEPAM","5 MG","30","Select","Select",""],["","00093220401","METOCLOPRAMIDE HCL","5 MG","100","Select","Select",""],["","62332002231","FLUOXETINE HCL","10 MG","30","Select","Select",""],["","00254302902","LUBIPROSTONE","24MCG","4","Select","Select",""],["","45802086866","POLYETHYLENE GLYCOL","3350 17 G","28","Select","Select",""],["","54838050115","HALOPERIDOL LACTATE","2 MG\/ML","15","Select","Select",""],["","11822855640","P-COL RITE","8.6MG-50MG","120","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":""}]}]}