{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"KEVIN PATTERSON","gend":0,"add":"1621 FERNDALE AVE","city":"PETERSBURG","state":"VA","zip":"23803-9998","dob":"1959-05-29","age":"","mstatus":"","insh":"20075819*01","cliId":"","pno":8048969157,"cno":8048969157,"email":"","ename":"","eno":"","pphy":"HERRERA, JOLANTA A MD","ppno":8045267990,"pcpadd":"2552 ALDRIDGE AVE,","pcpcity":"SOUTH CHESTERFIELD","pcpstate":"VA","pcpzip":"23834-9998","pcpcounty":"","pcpid":"","pcpname":"","plan":"OHP","program":"MEDICAID","lob":"OHCC","region":"CENTRAL","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":8045267950,"pcpnpi":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["R19.00","R22.41","U07.1","R10.12","R59.1","R53.83","R00.0","E11.9","Z79.4","C85.90","R10.9","C82.90","R18.8","J90.","R93.5","C82.13","N52.9","Z85.46","E29.1","L02.423","C61.","E11.65","R59.9","NO DATA","I10.","E66.01","E11.649","R19.09","K58.1","I88.0","R59.0","Z51.89","K59.00","Z01.812","Z20.822","H10.501","F17.200","E88.09","R60.0","S13.4XXA","S23.3XXA","S33.5XXA","M25.512","F33.2","Z51.11","G47.00","Z11.1","Z12.11","Z86.010","R19.7","R60.1","Z80.1","Z68.41","R10.30","I50.9","Z48.89","Z90.49","M54.5","H01.001","M79.604","F17.210","Z79.899","Z85.89","H01.9","H61.23","J20.9","E16.2","R51.9","Z01.89","K59.03","K66.8","K59.09","V43.52XA","E78.2","E66.9","R06.02","R19.07","F19.10","F14.10","Z87.891","C7A.8","G25.0","F41.1","D51.9","R31.9","T38.3X5A","Z11.52","C82.93","C82.94","C82.92","I49.1","Z85.72","M19.90","R07.2","R73.09","D12.2","D12.3","K57.30","K64.1","R10.13","B35.1","B37.49","B35.6","R19.5","R13.14","K62.89","Z71.6","K63.5","K29.70","K21.9","K31.89","R31.0","N32.9","R58.","C67.9","Z68.38","B02.23","B02.8","C79.10","D49.4","N32.89"],"date":["2021-09-23","2021-12-07","2022-01-20","2022-05-22","2022-05-22","2022-05-22","2022-05-22","2023-06-30","2023-05-02","2023-06-30","2022-10-07","2022-10-10","2022-10-07","2022-10-10","2023-05-02","2023-07-11","2023-04-04","2023-04-04","2023-02-27","2023-02-14","2023-08-03","2023-05-26","2022-05-26","2022-11-17","2023-07-25","2022-10-27","2022-04-23","2022-08-03","2022-05-26","2022-09-16","2022-10-14","2023-01-24","2022-11-14","2021-09-13","2021-11-01","2021-12-09","2023-05-31","2022-10-06","2023-04-14","2022-11-17","2022-11-17","2022-11-17","2022-11-17","2022-11-08","2023-07-11","2023-05-16","2021-09-14","2021-09-15","2023-05-31","2023-05-31","2022-10-10","2022-10-24","2022-10-27","2022-11-14","2021-06-10","2021-07-08","2021-07-08","2021-09-29","2021-12-07","2021-12-07","2023-04-26","2023-05-31","2021-12-07","2021-12-07","2022-08-22","2022-04-18","2022-04-23","2022-08-31","2022-10-08","2022-11-14","2021-06-23","2021-08-19","2021-08-19","2021-09-20","2023-06-30","2022-08-03","2021-06-23","2021-07-22","2021-07-22","2021-07-22","2021-07-22","2023-06-30","2022-01-31","2022-03-21","2023-08-03","2022-04-23","2022-05-31","2022-10-06","2022-10-06","2022-10-06","2022-10-06","2022-10-06","2022-10-06","2023-03-06","2023-04-04","2023-05-02","2023-05-02","2023-05-02","2023-05-02","2023-05-02","2023-05-16","2023-05-26","2023-04-14","2023-04-26","2023-04-26","2023-04-26","2023-05-31","2023-05-02","2023-05-02","2023-05-31","2023-05-31","2023-06-30","2023-06-30","2023-06-28","2023-09-13","2023-06-30","2023-07-25","2023-07-25","2023-07-25","2023-06-30","2023-06-28"],"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":[["","50111033402","METRONIDAZOL","TAB 500MG","6","Select","Select",""],["","42858000101","OXYCODONE","TAB 5MG","18","Select","Select",""],["","00169413212","OZEMPIC","INJ 2\/1.5ML","2","Select","Select",""],["","00254302902","LUBIPROSTONE","CAP 24MCG","60","Select","Select",""],["","00310654004","BYDUREON BC","INJ 2\/0.85ML","3","Select","Select",""],["","68180045001","QUETIAPINE","TAB 400MG","30","Select","Select",""],["","68382080601","TRAZODONE","TAB 100MG","60","Select","Select",""],["","80681007200","VITAMIN B-12","TAB 500MCG","30","Select","Select",""],["","68645056354","IBUPROFEN","TAB 800MG","60","Select","Select",""],["","42806054701","VITAMIN D","2 1250 MCG","8","Select","Select",""],["","11845056511","VITAMIN B-1","TAB 100MG","30","Select","Select",""],["","00169643810","LEVEMIR","INJ FLEXTOUC","30","Select","Select",""],["","45802086802","POLYETH GLYC","POW 3350 NF","238","Select","Select",""],["","49035031207","EQ CLEARLAX","POW ","238","Select","Select",""],["","65862001705","AMOXICILLIN","500 MG","10","Select","Select",""],["","70010075401","METHOCARBAM","TAB 500MG","60","Select","Select",""],["","00002879959","HUMALOG KWIK","INJ 100\/ML","15","Select","Select",""],["","00406048410","APAP\/CODEINE","TAB 300-30MG","12","Select","Select",""],["","00093505698","ATORVASTATIN","TAB 10MG","30","Select","Select",""],["","52268001201","SUPREP BOWEL","SOL PREP KIT","354","Select","Select",""],["","00093117701","NEOMYCIN","TAB 500MG","6","Select","Select",""],["","68645055254","LISINOPRIL","TAB 10MG","30","Select","Select",""],["","00591352530","LIDOCAINE","PAD 0.05","30","Select","Select",""],["","80777027398","MODERNA VAC","INJ COVID-19","0","Select","Select",""],["","00002822259","INSULIN LISP","INJ 100\/ML","15","Select","Select",""],["","65162010211","GABAPENTIN","CAP 300MG","23","Select","Select",""],["","69584068410","PRIMIDONE","50 MG","90","Select","Select",""],["","00603548421","PROPRANOLOL","TAB 40MG","90","Select","Select",""],["","31722077801","ACYCLOVIR","TAB 800MG","35","Select","Select",""],["","60258017101","MAG OXIDE","TAB 400MG","30","Select","Select",""],["","62175030232","RABEPRAZOLE","TAB 20MG","30","Select","Select",""],["","68462015713","ONDANSETRON","TAB 4MG ODT","45","Select","Select",""],["","17478007035","ERYTHROMYCIN","OIN 5MG\/GM","4","Select","Select",""],["","11523726803","MIRALAX","POW 3350 NF","90","Select","Select",""],["","65862017360","TOPIRAMATE","TAB 100MG","30","Select","Select",""],["","00456120230","LINZESS","CAP 290MCG","30","Select","Select",""],["","43547028111","ESCITALOPRAM","TAB 10MG","90","Select","Select",""],["","00002771559","BASAGLAR","INJ 100UNIT","15","Select","Select",""],["","68462035705","POT CHLORIDE","CAP 10MEQ ER","90","Select","Select",""],["","43547040211","FUROSEMIDE","TAB 40MG","60","Select","Select",""],["","70069000510","CYANOCOBALAM","INJ 1000MCG","3","Select","Select",""],["","63868093510","MAG CITRATE","SOL LEMON","240","Select","Select",""],["","00406052201","OXYCOD\/APAP","TAB 7.5-325","28","Select","Select",""],["","50111078751","AZITHROMYCIN","TAB 250MG","6","Select","Select",""],["","42806040021","METHYLPRED","TAB 4MG","21","Select","Select",""],["","65862007701","CIPROFLOXACN","TAB 500MG","10","Select","Select",""],["","11877001140","BINAXNOW COV","KIT HOME TES","8","Select","Select",""],["","69452014430","BENZONATATE","CAP 200MG","20","Select","Select",""],["","00904699880","DOCUSATE SOD","CAP 100MG","60","Select","Select",""],["","49035007860","EQ STOOL","CAP SOFTENER","60","Select","Select",""],["","50111091701","TORSEMIDE","20 MG","30","Select","Select",""],["","49884094499","VARENICLINE","0.5 (11)-1","53","Select","Select",""],["","31722072250","LEVOFLOXACIN","TAB 500MG","10","Select","Select",""],["","31722099601","HYDROCO\/APAP","TAB 5-325MG","20","Select","Select",""],["","16729044310","BUPROPN HCL","TAB 150MG XL","30","Select","Select",""],["","29300041519","CYCLOBENZAPR","TAB 10MG","60","Select","Select",""],["","16714057601","ALLOPURINOL","100 MG","30","Select","Select",""],["","69292056201","METOLAZONE","2.5 MG","30","Select","Select",""],["","63304069301","CLINDAMYCIN HCL","300 MG","40","Select","Select",""],["","00002879959","HUMALOG KWIKPEN U-","100 100\/ML","30","Select","Select",""],["","50383077504","LIDOCAINE HCL VISCOUS","2 %","250","Select","Select",""],["","00603548421","PROPRANOLOL HCL","40 MG","60","Select","Select",""],["","16729044310","BUPROPION XL","150 MG","30","Select","Select",""],["","65162063609","PANTOPRAZOLE SODIUM","20 MG","28","Select","Select",""],["","70010014805","POTASSIUM CHLORIDE","10 MEQ","30","Select","Select",""],["","65862016001","ZOLPIDEM TARTRATE","10 MG","30","Select","Select",""],["","68180044902","QUETIAPINE FUMARATE","300 MG","180","Select","Select",""],["","49884015676","VARENICLINE TARTRATE","1 MG","60","Select","Select",""],["","00002771559","BASAGLAR KWIKPEN U-","100 100\/ML (3)","9","Select","Select",""],["","70710168400","FAMOTIDINE","40 MG","90","Select","Select",""],["","00002822259","INSULIN LISPRO KWIKPEN U-","100 100\/ML","18","Select","Select",""],["","13668059502","NYSTATIN","100000\/G","30","Select","Select",""],["","08290320550","NANO","2ND GEN PEN NEEDLE 32GX 5\/32\"","100","Select","Select",""],["","43386009019","GAVILYTE-G","236-22.74G","4000","Select","Select",""],["","59762045001","COLESTIPOL HCL","1 G","90","Select","Select",""],["","70710113803","FLUCONAZOLE","100 MG","3","Select","Select",""],["","70700016020","KETOCONAZOLE","2 %","60","Select","Select",""],["","65862007930","TERBINAFINE HCL","250 MG","30","Select","Select",""],["","51672127502","CLOTRIMAZOLE","1 %","60","Select","Select",""],["","00456120230","LINZESS CAP","290MCG","30","Select","Select",""],["","65862017360","TOPIRAMATE TAB","100MG","90","Select","Select",""],["","11523726803","MIRALAX POW","3350 NF","90","Select","Select",""],["","00002771559","BASAGLAR INJ","100UNIT","15","Select","Select",""],["","16714045701","QUETIAPINE TAB","400MG","30","Select","Select",""],["","00603548421","PROPRANOLOL TAB","40MG","90","Select","Select",""],["","69584068410","PRIMIDONE TAB","50MG","90","Select","Select",""],["","43547028111","ESCITALOPRAM TAB","10MG","90","Select","Select",""],["","00002879959","HUMALOG KWIK INJ","100\/ML","30","Select","Select",""],["","70069000510","CYANOCOBALAM INJ","1000MCG","3","Select","Select",""],["","43547040211","FUROSEMIDE TAB","40MG","60","Select","Select",""],["","70010014805","POT CHLORIDE CAP","10MEQ ER","30","Select","Select",""],["","00093505698","ATORVASTATIN TAB","10MG","90","Select","Select",""],["","62175030232","RABEPRAZOLE TAB","20MG","30","Select","Select",""],["","49035007860","EQ STOOL CAP SOFTENER","","60","Select","Select",""],["","42806054701","VITAMIN D CAP","1.25MG","8","Select","Select",""],["","00406052201","OXYCOD\/APAP TAB","7.5-325","28","Select","Select",""],["","68645056354","IBUPROFEN TAB","800MG","60","Select","Select",""],["","00904699880","DOCUSATE SOD CAP","100MG","60","Select","Select",""],["","68645055254","LISINOPRIL TAB","10MG","90","Select","Select",""],["","50111078751","AZITHROMYCIN TAB","250MG","6","Select","Select",""],["","65862007701","CIPROFLOXACN TAB","500MG","10","Select","Select",""],["","00002822259","INSULIN LISP INJ","100\/ML","15","Select","Select",""],["","60258017101","MAG OXIDE TAB","400MG","30","Select","Select",""],["","68462015713","ONDANSETRON TAB","4MG ODT","45","Select","Select",""],["","42806040021","METHYLPRED TAB","4MG","21","Select","Select",""],["","69452014430","BENZONATATE CAP","200MG","20","Select","Select",""],["","63868093510","MAG CITRATE SOL LEMON","","240","Select","Select",""],["","11877001140","BINAXNOW COV KIT HOME TES","","8","Select","Select",""],["","00254302902","LUBIPROSTONE CAP","24MCG","60","Select","Select",""],["","49884015676","VARENICLINE TAB","1MG","60","Select","Select",""],["","00591352530","LIDOCAINE PAD","5%","30","Select","Select",""],["","31722099601","HYDROCO\/APAP TAB","5-325MG","20","Select","Select",""],["","31722072250","LEVOFLOXACIN TAB","500MG","10","Select","Select",""],["","49884094499","VARENICLINE PAK","0.5X1MG","53","Select","Select",""],["","80681007200","VITAMIN B-","12 TAB 500MCG","30","Select","Select",""],["","50111091701","TORSEMIDE TAB","20MG","60","Select","Select",""],["","00185505001","METOLAZONE TAB","2.5MG","12","Select","Select",""],["","16729044310","BUPROPN HCL TAB","150MG XL","30","Select","Select",""],["","29300041519","CYCLOBENZAPR TAB","10MG","60","Select","Select",""],["","16714004107","ALLOPURINOL TAB","100MG","30","Select","Select",""],["","72205001490","PREGABALIN","100 MG","60","Select","Select",""],["","65862044930","VALACYCLOVIR","1000 MG","21","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":""}]}]}