{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"LORI  A KROENER","gend":1,"add":"4105 NEWPORT AVE","city":"NORFOLK","state":"VA","zip":"23508-9998","dob":"1969-08-08","age":"","mstatus":"","insh":"2240630*01","cliId":"","pno":7572378006,"cno":7572378006,"email":"","ename":"","eno":"","pphy":"DERBER, PAUL MD","ppno":7574811113,"pcpadd":"SUITE 201 1168 FIRST COLONIAL R","pcpcity":"VIRGINIA BEACH","pcpstate":"VA","pcpzip":"23454-9998","pcpcounty":"","pcpid":"","pcpname":"First Colonial Medical Associates","plan":"OHP","program":"MEDICAID","lob":"M4","region":"TIDEWATER","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":7574963822,"pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["Z01.812","Z20.822","M54.2","F32.1","F90.2","R32.","K21.9","N92.1","J30.89","F90.0","R30.0","H83.2X2","I10.","R07.9","R06.02","R45.7","N39.0","F31.32","F60.4","N39.8","N39.44","K44.9","F98.8","M12.9","F32.9","G43.909","Z80.3","Z88.0","Z88.5","Z81.8","Z83.3","Z82.0","Z82.49","Z82.61","Z79.899","E87.5","NO DATA","F41.8","Z63.8","K29.70","N94.89","Z01.810","Z01.818","Z51.81","H31.092","H52.13","H52.223","H52.4","H90.3","I47.1","Z23.","I51.89","Z01.419","Z12.39","M54.5","G89.29","Z68.24","F41.9","N89.8","Z60.9","R03.0","N39.46","I25.2","D25.9","R12.","F60.89","F28.","F43.25","F29.","F15.10","E86.9","V62.84"],"date":["2021-07-15","2021-03-19","2021-11-02","2021-10-29","2023-03-13","2022-10-07","2021-10-25","2021-10-25","2021-10-25","2021-10-25","2021-10-25","2022-02-23","2023-04-02","2022-09-22","2022-09-22","2022-09-22","2022-10-07","2023-03-13","2023-03-13","2022-06-06","2022-06-06","2021-07-19","2021-07-16","2021-07-16","2021-07-16","2021-07-16","2021-07-16","2021-07-16","2021-07-16","2021-07-16","2021-07-16","2021-07-16","2021-07-16","2021-07-16","2021-07-16","2021-07-16","2021-04-06","2021-06-25","2021-03-17","2021-01-18","2021-06-25","2021-07-15","2021-07-15","2021-07-15","2021-12-13","2021-12-13","2021-12-13","2021-12-13","2022-02-23","2021-10-07","2021-10-25","2021-11-18","2021-09-01","2021-09-01","2021-09-16","2021-09-16","2021-09-16","2022-02-23","2022-04-29","2022-04-29","2022-04-29","2022-04-29","2022-04-29","2022-04-29","2021-01-18","2022-01-26","2023-04-07","2023-04-07","2023-04-07","2023-04-07","2023-04-02","2023-04-02"],"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":[["","68382003516","VENLAFAXINE","CAP 75MG ER","60","Select","Select",""],["","00093321205","CLONAZEPAM","1 MG","75","Select","Select",""],["","70436001002","BUPROPN HCL","TAB 150MG XL","30","Select","Select",""],["","65862042005","SMZ\/TMP DS","TAB 800-160","10","Select","Select",""],["","50111056101","TRAZODONE","TAB 100MG","30","Select","Select",""],["","00904667840","OXYCODONE","SOL 5MG\/5ML","200","Select","Select",""],["","63739019861","PEG 3350","POW ","30","Select","Select",""],["","45802095243","IBUPROFEN","SUS 100\/5ML","473","Select","Select",""],["","00185012201","NITROFURANTN","CAP 100MG","10","Select","Select",""],["","00527150537","AMPHET\/DEXTR","TAB 20MG","90","Select","Select",""],["","66993000210","ESTRADIOL","CRE 0.0001","42","Select","Select",""],["","50742061510","METOPROL SUC","TAB 25MG ER","30","Select","Select",""],["","59417010710","VYVANSE","70 MG","30","Select","Select",""],["","42806016005","HYDROXYZINE HCL","25 MG","90","Select","Select",""],["","68382003516","VENLAFAXINE HCL ER","75 MG","60","Select","Select",""],["","10702010201","METHYLPHENIDATE HCL","20 MG","90","Select","Select",""],["","70436001002","BUPROPION XL","150 MG","30","Select","Select",""],["","50742061510","METOPROLOL SUCCINATE","25 MG","30","Select","Select",""],["","50111056101","TRAZODONE HCL","100 MG","30","Select","Select",""],["","23155019101","BUPROPION HCL","75 MG","60","Select","Select",""],["","33342008307","OLANZAPINE ODT","5 MG","30","Select","Select",""],["","00527150537","DEXTROAMPHETAMINE-AMPHETAMINE","20 MG","90","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":""}]}]}