{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"JAMES E SLAUGHTER","gend":0,"add":"710 HAMILTON AVE APT 1","city":"PORTSMOUTH","state":"VA","zip":"23707-9998","dob":"1978-07-18","age":"","mstatus":"","insh":"20079296*01","cliId":"","pno":7577376006,"cno":7577376006,"email":"","ename":"","eno":"","pphy":"PATEL, APURVA M MD","ppno":7575390444,"pcpadd":"1030 HILLPOINT BLVD N,","pcpcity":"SUFFOLK","pcpstate":"VA","pcpzip":"23434-9998","pcpcounty":"","pcpid":"","pcpname":"","plan":"OHP","program":"MEDICAID","lob":"OHCC","region":"TIDEWATER","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":7575394824,"pcpnpi":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["Z01.818","N18.6","I10.","L76.22","I12.0","F17.210","Z79.82","Z99.2","Z79.899","R58.","L72.9","Z82.49","F12.90","R07.9","R77.8","I42.9","R94.31","I50.43","E27.9","I48.91","Z68.27","N25.81","I21.4","Z72.0","Z68.26","R06.02","J81.0","I42.8","I33.0","NO DATA","I45.2","R94.39","I08.1","I48.0","F17.200","I16.0","R07.89","I48.92","H11.32","I13.2","I50.42","H57.9","I50.9","D64.9","D68.69","D63.1","R18.8","Z79.01","Z91.14","Z49.02","M79.652","I08.8","I50.31","I87.1","T82.590S","R03.0","E87.70","V58.89","I87.8","J90.","R79.89","I51.7","R10.84","R00.0","R05.9","R52.","S30.1XXA","R10.31","I50.23","Z91.15","Z91.19","I25.2","R74.8","R60.9","T82.9XXA","Z03.89","T82.590A","R00.2","I77.0","Z53.8","M79.89","R22.32","M25.521","M25.522","E87.5","I44.4"],"date":["2021-12-06","2023-09-14","2023-04-07","2021-12-28","2023-09-11","2023-09-14","2022-10-23","2023-09-11","2023-09-14","2021-12-28","2022-06-22","2023-01-17","2022-06-22","2023-06-19","2023-06-17","2022-08-04","2022-08-01","2022-10-24","2022-10-23","2023-09-14","2022-10-25","2023-09-08","2022-08-01","2022-07-31","2022-08-01","2023-06-17","2022-10-24","2023-09-14","2022-08-04","2022-10-23","2023-03-21","2022-05-23","2022-07-31","2022-10-23","2022-08-10","2022-10-23","2023-06-17","2022-10-24","2023-01-17","2023-09-14","2023-09-14","2023-01-17","2022-10-25","2021-12-22","2022-10-23","2023-08-04","2022-10-23","2023-09-14","2022-10-23","2021-12-22","2022-04-19","2022-08-12","2022-05-23","2022-07-12","2022-07-12","2022-07-30","2022-10-23","2022-02-22","2022-08-12","2022-08-12","2022-10-24","2023-03-21","2023-03-19","2023-03-19","2023-03-19","2023-03-19","2023-03-19","2023-03-19","2022-08-10","2022-08-10","2022-08-10","2023-06-17","2023-06-17","2023-09-14","2023-08-30","2023-09-15","2023-09-11","2023-06-17","2023-09-14","2023-09-14","2023-09-14","2023-09-14","2023-09-14","2023-09-14","2023-09-14","2023-09-14"],"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":[["","29300013701","CLONIDINE","TAB 0.3MG","180","Select","Select",""],["","16729044210","CINACALCET","TAB 90MG","60","Select","Select",""],["","00406055201","OXYCODONE","TAB 5MG","28","Select","Select",""],["","49035013606","EQ LIDOCAINE","PAD 0.04","15","Select","Select",""],["","49035048462","ACETAMINOPHN","TAB 500MG","30","Select","Select",""],["","16729032215","OLMESA MEDOX","TAB 40MG","90","Select","Select",""],["","70010075401","METHOCARBAM","TAB 500MG","20","Select","Select",""],["","00078069620","ENTRESTO","TAB 97-103MG","180","Select","Select",""],["","00003089421","ELIQUIS","5 MG","180","Select","Select",""],["","65862092127","SEVELAMER","TAB 800MG","180","Select","Select",""],["","29300013601","CLONIDINE HCL","0.2 MG","180","Select","Select",""],["","16729044210","CINACALCET HCL","90 MG","60","Select","Select",""],["","29300013601","CLONIDINE TAB","0.2MG","180","Select","Select",""],["","16729044210","CINACALCET TAB","90MG","60","Select","Select",""],["","49035048462","ACETAMINOPHN TAB","500MG","30","Select","Select",""],["","70010075401","METHOCARBAM TAB","500MG","20","Select","Select",""],["","49035013606","EQ LIDOCAINE PAD","4%","15","Select","Select",""],["","16729032215","OLMESA MEDOX TAB","40MG","30","Select","Select",""],["","00078077720","ENTRESTO TAB","49-51MG","60","Select","Select",""],["","00003089421","ELIQUIS TAB","5MG","60","Select","Select",""],["","65862092127","SEVELAMER TAB","800MG","180","Select","Select",""],["","00406012301","HYDROCODONE-ACETAMINOPHEN","5 MG-325MG","42","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":""}]}]}