{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"CRYSTAL  L FERRAZZA","gend":1,"add":"164 HARVEY CAMPBELL DR APT 2","city":"ROSE HILL","state":"VA","zip":"24281-9998","dob":"1988-07-28","age":"","mstatus":"","insh":"2197672*01","cliId":"","pno":2766082413,"cno":2766082413,"email":"","ename":"","eno":"","pphy":"YEARY, JOSHUA A DO","ppno":2764454826,"pcpadd":"1446 DR THOMAS WALKER ROAD,","pcpcity":"EWING","pcpstate":"VA","pcpzip":"24248-9998","pcpcounty":"","pcpid":"","pcpname":"","plan":"OHP","program":"MEDICAID","lob":"M4","region":"SOUTHWEST","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":2765469702,"pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["F43.10","F11.20","Z3A.27","Z79.899","O31.11X0","O99.283","E03.9","Z3A.32","F15.10","B18.2","R05.1","R11.0","V91.03","O99.321","Z3A.12","U07.1","R05.9","Z34.92","O99.320","O99.324","O70.1","O69.81X0","Z37.0","Z3A.39","O98.42","B19.20","O99.344","O99.284","R51.9","J10.1","NO DATA","J10.89","O99.282","Z3A.19","M54.42","O62.9","Z3A.36","E88.81","Z36.9","Z86.19","B17.10","O21.9","Z3A.08","O26.853","Z3A.37","O80.","Z3A.00","F31.9","K04.7","F41.9","Z30.41","O99.212","Z3A.20","Z23.","B34.9","O26.892","R06.02","Z3A.28","O47.03","H04.123","M54.89","O31.13X0","O99.322","Z3A.23","R10.9","Z3A.25","Z3A.30","O26.893","Z3A.33","M54.9","O36.8190","Z39.1","Z34.82","Z34.83","O31.23X1","O23.43","F11.90","K21.9","O99.62","O99.02","K59.03","Z11.59","F41.1","Z71.3","Z71.82","Z11.52"],"date":["2022-05-04","2023-06-22","2022-02-16","2022-05-04","2022-03-21","2022-03-21","2022-10-20","2022-03-21","2023-05-25","2023-03-30","2022-11-10","2023-03-30","2021-11-02","2021-11-02","2021-11-02","2022-01-21","2022-01-21","2022-02-11","2022-02-11","2022-05-08","2022-05-08","2022-05-08","2022-05-08","2022-05-08","2022-05-08","2022-05-08","2022-05-08","2022-05-08","2023-05-25","2022-11-01","2023-01-05","2022-11-01","2021-12-15","2021-12-15","2022-03-29","2022-04-18","2022-04-18","2022-10-02","2021-10-04","2021-10-04","2021-10-04","2021-10-04","2021-10-04","2022-04-21","2022-04-21","2022-05-07","2022-05-07","2023-05-25","2022-07-06","2023-01-05","2022-09-07","2021-12-23","2021-12-23","2022-03-02","2022-07-27","2022-02-16","2022-02-16","2022-02-16","2022-04-18","2021-01-28","2021-11-15","2022-01-12","2022-01-12","2022-01-12","2022-03-29","2022-01-31","2022-03-02","2022-03-29","2022-03-29","2022-03-29","2022-03-29","2022-03-31","2022-03-31","2022-03-31","2022-05-07","2022-05-07","2022-05-07","2022-05-07","2022-05-07","2022-05-07","2022-06-07","2021-04-07","2023-04-13","2023-04-13","2023-04-13","2022-07-27"],"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",""],["","00406802003","BUPREN\/NALOX","SUB 8-2MG","56","Select","Select",""],["","50228017505","BUPROPION","TAB 150MG SR","56","Select","Select",""],["","16729044717","LEVOTHYROXIN","TAB 25MCG","90","Select","Select",""],["","29300011710","TOPIRAMATE","100 MG","56","Select","Select",""],["","69547035302","NARCAN","SPR ","2","Select","Select",""],["","00555901658","SPRINTEC 28","TAB 28 DAY","84","Select","Select",""],["","68462030929","NORGEST\/ETHI","TAB 0.25\/35","28","Select","Select",""],["","70954002010","PRAZOSIN HCL","CAP 2MG","30","Select","Select",""],["","50383093093","BUPRENORPHIN","SUB 8MG","14","Select","Select",""],["","63402030430","LATUDA","TAB 40MG","30","Select","Select",""],["","68382004001","PROMETHAZINE","TAB 12.5MG","30","Select","Select",""],["","11917013956","FOLIC ACID","TAB 400MCG","30","Select","Select",""],["","00536408501","PRENATAL","TAB 28-0.8MG","90","Select","Select",""],["","64011030103","MAKENA","INJ 275MG","4","Select","Select",""],["","68462015713","ONDANSETRON","TAB 4MG ODT","20","Select","Select",""],["","50428027137","CVS PRENATAL","TAB 27-0.8MG","90","Select","Select",""],["","08290305426","SHARPS CONT","MIS 5.4QT","1","Select","Select",""],["","00363410040","STOOL SOFTEN","CAP 100MG","60","Select","Select",""],["","00781324664","ENOXAPARIN","INJ 40\/0.4ML","8","Select","Select",""],["","00093216568","NALOXONE HCL","SPR ","2","Select","Select",""],["","00093314705","CEPHALEXIN","CAP 500MG","28","Select","Select",""],["","00591352530","LIDOCAINE","PAD 0.05","30","Select","Select",""],["","00574010770","CLOTRIMAZOLE","TRO 10MG","35","Select","Select",""],["","00185012201","NITROFURANTN","CAP 100MG","14","Select","Select",""],["","68645059459","FAMOTIDINE","TAB 20MG","30","Select","Select",""],["","71921018150","IBUPROFEN","600 MG","28","Select","Select",""],["","00378727253","NORETHINDRON","TAB 0.35MG","84","Select","Select",""],["","0","COMPOUND","","30","Select","Select",""],["","00781261305","AMOXICILLIN","CAP 500MG","15","Select","Select",""],["","16729021516","SERTRALINE","TAB 25MG","30","Select","Select",""],["","50742026750","NORETHIN ACE","TAB 5MG","30","Select","Select",""],["","00591544221","PREDNISONE","PAK 10MG","21","Select","Select",""],["","69618006501","SENNA PLUS","TAB 8.6-50MG","60","Select","Select",""],["","82607066026","FLOWFLEX","KIT TEST","1","Select","Select",""],["","16103037811","SENNA-S","TAB 8.6-50MG","60","Select","Select",""],["","64380079901","OSELTAMIVIR","CAP 75MG","10","Select","Select",""],["","00074262528","MAVYRET","100MG-40MG","84","Select","Select",""],["","10702002501","PHENTERMINE","TAB 37.5MG","30","Select","Select",""],["","55111068305","IBU","600 MG","28","Select","Select",""],["","63824005632","MUCINEX DM","TAB 30-600ER","12","Select","Select",""],["","00406802003","BUPRENORPHINE-NALOXONE","8 MG-2 MG","56","Select","Select",""],["","50742026750","NORETHINDRONE ACETATE","5 MG","30","Select","Select",""],["","68462015713","ONDANSETRON ODT","4 MG","20","Select","Select",""],["","29300022705","METRONIDAZOLE","500 MG","14","Select","Select",""],["","55111014512","FLUCONAZOLE","150 MG","2","Select","Select",""],["","50228017505","BUPROPION HCL SR","150 MG","56","Select","Select",""],["","00185067405","HYDROXYZINE PAMOATE","25 MG","90","Select","Select",""],["","16729044717","LEVOTHYROXINE SODIUM","25 MCG","30","Select","Select",""],["","00536408501","PRENATAL TAB","28-0.8MG","30","Select","Select",""],["","16729044717","LEVOTHYROXIN TAB","25MCG","90","Select","Select",""],["","63402030430","LATUDA TAB","40MG","30","Select","Select",""],["","64011030103","MAKENA INJ","275MG","4","Select","Select",""],["","68462015713","ONDANSETRON TAB","4MG ODT","20","Select","Select",""],["","08290305426","SHARPS CONT MIS","5.4QT","1","Select","Select",""],["","00363410040","STOOL SOFTEN CAP","100MG","60","Select","Select",""],["","00093216568","NALOXONE HCL SPR","","2","Select","Select",""],["","69547035302","NARCAN SPR","","2","Select","Select",""],["","00228315303","BUPRENORPHIN SUB","8MG","24","Select","Select",""],["","00781324664","ENOXAPARIN INJ","40\/0.4ML","8","Select","Select",""],["","00093314705","CEPHALEXIN CAP","500MG","28","Select","Select",""],["","00591352530","LIDOCAINE PAD","5%","30","Select","Select",""],["","00406802003","BUPREN\/NALOX SUB","8-2MG","56","Select","Select",""],["","11917013956","FOLIC ACID TAB","400MCG","30","Select","Select",""],["","00185012201","NITROFURANTN CAP","100MG","14","Select","Select",""],["","00574010770","CLOTRIMAZOLE TRO","10MG","35","Select","Select",""],["","00378727253","NORETHINDRON TAB","0.35MG","84","Select","Select",""],["","00781261305","AMOXICILLIN CAP","500MG","15","Select","Select",""],["","67877032105","IBUPROFEN TAB","800MG","60","Select","Select",""],["","68645059459","FAMOTIDINE TAB","20MG","30","Select","Select",""],["","50228017505","BUPROPION TAB","150MG SR","56","Select","Select",""],["","69618006501","SENNA PLUS TAB","8.6-50MG","60","Select","Select",""],["","68180035106","SERTRALINE TAB","25MG","30","Select","Select",""],["","50742026750","NORETHIN ACE TAB","5MG","30","Select","Select",""],["","69097012415","TOPIRAMATE TAB","100MG","56","Select","Select",""],["","16103037811","SENNA-S TAB","8.6-50MG","60","Select","Select",""],["","10702002501","PHENTERMINE TAB","37.5MG","30","Select","Select",""],["","82607066026","FLOWFLEX KIT TEST","","1","Select","Select",""],["","55111068301","IBU TAB","600MG","30","Select","Select",""],["","64380079901","OSELTAMIVIR CAP","75MG","10","Select","Select",""],["","63824005632","MUCINEX DM TAB","30-600ER","12","Select","Select",""],["","00074262528","MAVYRET TAB","100-40MG","84","Select","Select",""],["","00591544221","PREDNISONE PAK","10MG","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":""}]}]}