{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"RYAN PARKER","gend":0,"add":"204 BREEZEWOOD DR","city":"FREDERICKSBURG","state":"VA","zip":"22407-9998","dob":"1989-11-08","age":"","mstatus":"","insh":"2236029*01","cliId":"","pno":5407489166,"cno":5407489166,"email":"","ename":"","eno":"","pphy":"LIN, ROBERT T MD","ppno":5408785408,"pcpadd":"225 OAK SPRINGS DR STE 201,","pcpcity":"WARRENTON","pcpstate":"VA","pcpzip":"20186-9998","pcpcounty":"","pcpid":"","pcpname":"","plan":"OHP","program":"MEDICAID","lob":"M4","region":"CENTRAL","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":5408785731,"pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["L03.115","G40.209","R56.9","R94.01","F10.239","F12.20","F17.210","F11.21","F14.21","F15.21","F10.20","Z00.00","F31.9","G43.909","E03.8","F98.8","Z51.81","R55.","NO DATA","R00.2","R03.0","L03.114","R05.9","Z20.822","G40.919","V62.84","F10.10","F31.0","G40.901","F84.0","F31.81","F10.230","F10.220","G40.89","F11.24","B95.62","Z78.1","Z79.899","Z91.410","Z91.51","F15.10","F90.9","F31.11","L03.90","L02.01","R00.0","Z87.898","F15.20","F34.9","F11.20","U07.1","R09.81","J96.00","L03.116","L03.211","E86.0","R11.2","Z53.21","T63.301A","R06.02","L02.415","F17.200","J45.30","Z11.59","F19.21","F31.60"],"date":["2022-12-02","2022-10-20","2022-12-07","2022-12-04","2022-12-09","2023-01-19","2022-12-09","2022-12-09","2022-12-09","2022-12-09","2023-01-19","2022-02-28","2022-12-07","2022-08-26","2022-08-26","2022-11-23","2022-02-28","2022-05-03","2022-12-02","2022-10-04","2022-10-04","2022-10-04","2022-10-04","2022-10-04","2022-10-19","2022-10-19","2022-12-07","2022-10-24","2022-12-04","2022-12-02","2022-12-02","2022-12-02","2022-12-02","2022-12-02","2022-12-02","2022-12-02","2022-12-02","2022-12-02","2022-12-02","2022-12-02","2022-12-02","2022-12-02","2022-12-07","2022-12-07","2022-07-11","2022-12-03","2022-08-23","2022-10-31","2022-10-31","2022-11-17","2022-11-27","2022-11-27","2022-12-05","2022-06-13","2022-07-12","2022-07-12","2022-07-12","2022-07-20","2022-10-21","2022-11-27","2022-06-14","2022-06-14","2022-11-23","2022-11-23","2022-04-06","2022-10-20"],"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":[["","47335032688","NALTREXONE","TAB 50MG","30","Select","Select",""],["","62756079888","DIVALPROEX","TAB 500MG DR","90","Select","Select",""],["","13668001105","CITALOPRAM","TAB 40MG","90","Select","Select",""],["","65162089703","ARIPIPRAZOLE","TAB 5MG","30","Select","Select",""],["","59417010310","VYVANSE","30 MG","30","Select","Select",""],["","47781035703","BUPREN\/NALOX","MIS 8-2MG","9","Select","Select",""],["","51991036378","RIZATRIPTAN","TAB 10MG ODT","9","Select","Select",""],["","00378180310","LEVOTHYROXIN","TAB 50MCG","90","Select","Select",""],["","45802081184","NALOXONE HCL","SPR 4MG","2","Select","Select",""],["","12496120803","SUBOXONE","MIS 8-2MG","7","Select","Select",""],["","43547028110","ESCITALOPRAM","TAB 10MG","30","Select","Select",""],["","23155050201","HYDROXYZ HCL","TAB 50MG","90","Select","Select",""],["","51991029301","OXCARBAZEPIN","TAB 300MG","60","Select","Select",""],["","67877024901","QUETIAPINE","TAB 50MG","90","Select","Select",""],["","43598044774","NICOTINE TD","DIS 14MG\/24H","14","Select","Select",""],["","24658031205","DOXYCYCL HYC","TAB 100MG","20","Select","Select",""],["","68180012202","CEPHALEXIN","CAP 500MG","40","Select","Select",""],["","65862042005","SMZ\/TMP DS","TAB 800-160","20","Select","Select",""],["","43547034006","RISPERIDONE","TAB 0.5MG","30","Select","Select",""],["","68462010530","ONDANSETRON","TAB 4MG","10","Select","Select",""],["","16571020210","DICLOFENAC","TAB 50MG DR","14","Select","Select",""],["","68180096301","ALBUTEROL","AER HFA","8","Select","Select",""],["","68180016011","AZITHROMYCIN","TAB 250MG","6","Select","Select",""],["","13668033005","TRAZODONE","TAB 50MG","7","Select","Select",""],["","00131247835","VIMPAT","TAB 100MG","60","Select","Select",""],["","63304061650","DOXYCYC MONO","CAP 100MG","6","Select","Select",""],["","68462025301","ROPINIROLE","TAB 0.25MG","30","Select","Select",""],["","70677003101","SM NICOTINE","DIS 14MG\/24H","14","Select","Select",""],["","00781717612","NALOXONE","SPR 4MG","2","Select","Select",""],["","59651036005","IBUPROFEN","TAB 400MG","30","Select","Select",""],["","00527058601","DICYCLOMINE","CAP 10MG","10","Select","Select",""],["","68462067960","LACOSAMIDE","100 MG","60","Select","Select",""],["","65757030001","VIVITROL","INJ 380MG","1","Select","Select",""],["","00536132701","ACETAMINOPHE","TAB 325MG","60","Select","Select",""],["","00115180301","HYDROXYZ PAM","CAP 25MG","15","Select","Select",""],["","52817018000","CLONIDINE","TAB 0.1MG","20","Select","Select",""],["","69547035302","NARCAN","SPR 4MG","2","Select","Select",""],["","47335032688","NALTREXONE TAB","50MG","30","Select","Select",""],["","65162089703","ARIPIPRAZOLE TAB","5MG","30","Select","Select",""],["","62756079888","DIVALPROEX TAB","500MG DR","90","Select","Select",""],["","13668001105","CITALOPRAM TAB","40MG","90","Select","Select",""],["","59417010310","VYVANSE CAP","30MG","30","Select","Select",""],["","51991036378","RIZATRIPTAN TAB","10MG ODT","9","Select","Select",""],["","12496120803","SUBOXONE MIS","8-2MG","7","Select","Select",""],["","00378180310","LEVOTHYROXIN TAB","50MCG","90","Select","Select",""],["","45802081184","NALOXONE HCL SPR","4MG","2","Select","Select",""],["","23155050201","HYDROXYZ HCL TAB","50MG","90","Select","Select",""],["","47781035703","BUPREN\/NALOX MIS","8-2MG","9","Select","Select",""],["","43547028110","ESCITALOPRAM TAB","10MG","30","Select","Select",""],["","65862049001","QUETIAPINE TAB","50MG","90","Select","Select",""],["","51991029201","OXCARBAZEPIN TAB","150MG","60","Select","Select",""],["","43598044774","NICOTINE TD DIS","14MG\/24H","14","Select","Select",""],["","68462010530","ONDANSETRON TAB","4MG","10","Select","Select",""],["","24658031205","DOXYCYCL HYC TAB","100MG","20","Select","Select",""],["","68180012202","CEPHALEXIN CAP","500MG","40","Select","Select",""],["","65862042005","SMZ\/TMP DS TAB","800-160","20","Select","Select",""],["","43547034006","RISPERIDONE TAB","0.5MG","30","Select","Select",""],["","16571020210","DICLOFENAC TAB","50MG DR","14","Select","Select",""],["","00131247835","VIMPAT TAB","100MG","60","Select","Select",""],["","51991034906","LACOSAMIDE TAB","100MG","60","Select","Select",""],["","00115180301","HYDROXYZ PAM CAP","25MG","15","Select","Select",""],["","52817018000","CLONIDINE TAB","0.1MG","20","Select","Select",""],["","68462025301","ROPINIROLE TAB","0.25MG","30","Select","Select",""],["","59651036005","IBUPROFEN TAB","400MG","30","Select","Select",""],["","00527058601","DICYCLOMINE CAP","10MG","10","Select","Select",""],["","50111056003","TRAZODONE TAB","50MG","30","Select","Select",""],["","68180016011","AZITHROMYCIN TAB","250MG","6","Select","Select",""],["","00536132701","ACETAMINOPHE TAB","325MG","60","Select","Select",""],["","00093317431","ALBUTEROL AER HFA","","8","Select","Select",""],["","69547035302","NARCAN SPR","4MG","2","Select","Select",""],["","70677003101","SM NICOTINE DIS","14MG\/24H","14","Select","Select",""],["","63304061650","DOXYCYC MONO CAP","100MG","6","Select","Select",""],["","65757030001","VIVITROL INJ","380MG","1","Select","Select",""],["","00781717612","NALOXONE SPR","4MG","2","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":""}]}]}