{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"CALVIN   J WEATHERSPOON","gend":0,"add":"3124 LENS AVE","city":"NORFOLK","state":"VA","zip":"23509-9998","dob":"1965-08-27","age":"","mstatus":"","insh":"2376595*01","cliId":"","pno":7576954819,"cno":7576954819,"email":"","ename":"","eno":"","pphy":"PADIYAR, NANDITA MD","ppno":7575480076,"pcpadd":"SUITE 100 725 VOLVO PKWY","pcpcity":"CHESAPEAKE","pcpstate":"VA","pcpzip":"23320-9998","pcpcounty":"","pcpid":"","pcpname":"Volvo Medical Associates","plan":"OHP","program":"MEDICAID","lob":"M4","region":"TIDEWATER","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":7575481652,"pcpnpi":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["Z51.0","C79.51","C77.1","E89.0","Z85.850","C73.","R07.9","R73.09","I10.","E78.5","I42.9","E87.6","F10.20","E55.9","N52.9","K21.9","R63.0","G89.3","Z51.5","J96.01","J90.","Z88.8","Z92.3","R06.02","Z01.810","Z01.812","Z01.818","D69.9","R94.31","C78.00","C80.1","NO DATA","R29.898","R09.02","R10.84","C79.89","D84.9","F17.210","J96.21","J18.9","B97.89","L72.3","M62.830","R53.0","M51.16","M62.9","M54.9","R19.7","R63.8","Z79.899","I15.9","I48.91","R26.81","C34.90","F17.200","J98.8","R04.0","J34.2","J34.3","R00.2","Z72.0","J91.0","R91.8","J96.91","J96.11","J44.9","C78.02","C78.01","I11.9","Z99.81","R51.9","J40.","C78.7","R53.81","K59.03","G47.00","F41.9","R11.0","D23.72","Z71.9","R22.9","Z13.31","C79.52","C78.2","M25.511","R59.1","C79.02","C77.8","D63.0","M79.89","E11.65","E03.9","R06.00","I48.0","J69.0","J44.1","I70.0","R53.1","D72.829","R79.89","Z20.822","M79.2","N28.1","G62.9","Z68.23","R05.9","R53.83","C79.9","R59.0","R07.81","R06.89","N28.89","M25.552","M79.606","I11.0","I50.9","I07.1","R06.09","M54.2","C44.49","R22.1","E78.2","J98.11","T40.605A","R00.0","Z82.49","Z79.82","Z79.890","Z87.891","Z09.","R60.0"],"date":["2021-12-30","2023-03-12","2022-09-01","2023-02-14","2023-01-30","2023-03-12","2022-02-08","2022-02-08","2023-02-14","2022-12-26","2022-02-08","2022-12-18","2022-02-08","2022-02-08","2022-02-08","2023-02-14","2022-06-28","2023-02-18","2023-02-28","2023-03-09","2023-02-24","2023-01-30","2023-01-12","2023-02-28","2022-07-29","2022-07-29","2022-07-29","2022-07-29","2022-07-29","2023-01-30","2022-07-29","2023-02-14","2023-02-06","2023-02-14","2023-02-17","2023-02-17","2023-02-19","2023-02-20","2023-02-25","2023-03-11","2021-09-21","2021-12-13","2022-03-23","2022-03-23","2022-06-26","2022-06-26","2022-06-26","2022-08-30","2022-08-30","2022-12-26","2023-02-18","2023-02-04","2023-02-04","2023-02-19","2022-06-08","2021-09-21","2021-05-18","2021-05-18","2021-05-18","2021-08-02","2021-08-02","2023-02-14","2022-06-08","2023-02-24","2023-02-14","2022-12-29","2023-01-30","2023-01-30","2022-12-26","2022-12-26","2022-12-26","2022-12-29","2023-02-24","2023-02-28","2021-12-22","2022-06-28","2023-02-14","2022-06-28","2022-02-10","2022-02-10","2022-03-29","2022-03-29","2022-12-16","2023-01-30","2022-09-22","2023-01-30","2023-02-14","2023-01-30","2023-02-14","2023-01-30","2023-02-14","2023-02-10","2023-02-10","2023-02-10","2023-02-14","2023-02-14","2022-05-05","2023-02-03","2021-09-28","2021-09-28","2022-12-18","2022-06-28","2022-05-04","2022-05-04","2022-05-04","2022-12-18","2022-07-13","2023-02-19","2022-12-16","2022-12-18","2023-02-19","2022-01-20","2022-10-28","2023-01-19","2023-02-10","2023-02-10","2023-02-11","2023-02-12","2021-03-26","2021-04-06","2021-06-16","2022-08-12","2022-08-12","2022-08-12","2022-08-12","2022-08-12","2022-08-12","2022-08-12","2022-08-12","2023-01-04","2023-02-05"],"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":[["","60505017009","PRAVASTATIN","TAB 40MG","90","Select","Select",""],["","50419048858","NEXAVAR","TAB 200MG","60","Select","Select",""],["","59267100002","PFIZER VACC","INJ COVID-19","0","Select","Select",""],["","68180097401","LEVOTHYROXIN","TAB 175MCG","94","Select","Select",""],["","29300039805","AMLODIPINE","TAB 10MG","30","Select","Select",""],["","31722059101","METOPROL SUC","TAB 100MG ER","180","Select","Select",""],["","00406052301","OXYCOD\/APAP","TAB 10-325MG","240","Select","Select",""],["","65162079108","LIDOCAINE","PAD 0.05","30","Select","Select",""],["","69547035302","NARCAN","SPR ","2","Select","Select",""],["","27241011405","TADALAFIL","TAB 20MG","18","Select","Select",""],["","68180035109","SERTRALINE","TAB 25MG","90","Select","Select",""],["","59310057922","PROAIR HFA","AER ","8","Select","Select",""],["","47335070349","ALBUTEROL","NEB 0.00083","75","Select","Select",""],["","65862018830","ONDANSETRON","TAB 8MG","30","Select","Select",""],["","65862085901","FAMOTIDINE","TAB 20MG","60","Select","Select",""],["","60219204301","DEXAMETHASON","TAB 4MG","90","Select","Select",""],["","16729013600","CLONAZEPAM","TAB 0.5MG","10","Select","Select",""],["","00093506101","HYDROXYZ HCL","TAB 25MG","60","Select","Select",""],["","72888001405","CYCLOBENZAPR","TAB 10MG","90","Select","Select",""],["","62856072030","LENVIMA","20 MG\/DAY","600","Select","Select",""],["","00173068220","VENTOLIN HFA","AER ","18","Select","Select",""],["","67877075460","DRONABINOL","CAP 5MG","60","Select","Select",""],["","00172208380","HYDROCHLOROT","TAB 25MG","30","Select","Select",""],["","50111078710","AZITHROMYCIN","TAB 250MG","6","Select","Select",""],["","67877022310","GABAPENTIN","CAP 300MG","60","Select","Select",""],["","00406851501","OXYCODONE","TAB 15MG","84","Select","Select",""],["","63304061650","DOXYCYC MONO","CAP 100MG","14","Select","Select",""],["","70010075401","METHOCARBAM","TAB 500MG","240","Select","Select",""],["","69238106501","POT CHLORIDE","TAB 10MEQ ER","30","Select","Select",""],["","42806031250","DOXYCYCL HYC","TAB 100MG","20","Select","Select",""],["","00054429731","FUROSEMIDE","20 MG","60","Select","Select",""],["","31722072320","LEVOFLOXACIN","TAB 750MG","5","Select","Select",""],["","42806071401","BENZONATATE","100 MG","90","Select","Select",""],["","31722016930","DULOXETINE","CAP 30MG","30","Select","Select",""],["","00536124710","SENEXON-S","TAB 8.6-50MG","60","Select","Select",""],["","45802086803","POLYETH GLYC","POW 3350 NF","510","Select","Select",""],["","57896030410","STOOL SOFTNR","TAB 8.6-50MG","60","Select","Select",""],["","00781717612","NALOXONE","SPR 4MG","2","Select","Select",""],["","63824000820","MUCINEX","TAB 600MG ER","60","Select","Select",""],["","11822010233","PAIN RELIEF","TAB 500MG","40","Select","Select",""],["","00143924920","AMOX\/K CLAV","TAB 875-125","20","Select","Select",""],["","65162046650","IBUPROFEN","TAB 800MG","90","Select","Select",""],["","27808008601","HYD POL\/CPM","SUS 10-8\/5ML","50","Select","Select",""],["","00054418125","DEXAMETHASONE","1 MG","6","Select","Select",""],["","11534016501","FOLIC ACID","1 MG","30","Select","Select",""],["","00093506101","HYDROXYZINE HCL","25 MG","60","Select","Select",""],["","00002751001","HUMALOG","100\/ML","10","Select","Select",""],["","43598044774","NICOTINE PATCH","14MG\/24HR","42","Select","Select",""],["","00143924920","AMOXICILLIN-CLAVULANATE POTASS","875-125 MG","6","Select","Select",""],["","00002879959","HUMALOG KWIKPEN U-","100 100\/ML","9","Select","Select",""],["","31722071390","PANTOPRAZOLE SODIUM","40 MG","30","Select","Select",""],["","00172208380","HYDROCHLOROTHIAZIDE","25 MG","30","Select","Select",""],["","66993001968","ALBUTEROL SULFATE HFA","90 MCG","18","Select","Select",""],["","69097084087","IPRATROPIUM-ALBUTEROL","0.5-3MG\/3","360","Select","Select",""],["","11822300930","SENNA PLUS","8.6MG-50MG","60","Select","Select",""],["","67877056105","METFORMIN HCL","500 MG","60","Select","Select",""],["","47335070349","ALBUTEROL SULFATE","2.5 MG\/3ML","75","Select","Select",""],["","00536132271","OMEPRAZOLE MAGNESIUM","20 MG","28","Select","Select",""],["","53885004601","ONETOUCH ULTRA","2","1","Select","Select",""],["","27808008601","HYDROCODONE-CHLORPHENIRAMNE ER","10-8MG\/5ML","230","Select","Select",""],["","50228043301","NAPROXEN SODIUM","550 MG","60","Select","Select",""],["","00406052301","OXYCODONE-ACETAMINOPHEN","10MG-325MG","240","Select","Select",""],["","72516003201","METOPROLOL SUCCINATE","100 MG","180","Select","Select",""],["","00093216568","NALOXONE HCL","4 MG","2","Select","Select",""],["","59746017506","PREDNISONE","20 MG","10","Select","Select",""],["","68180097401","LEVOTHYROXINE SODIUM","175 MCG","94","Select","Select",""],["","29300039805","AMLODIPINE BESYLATE","10 MG","30","Select","Select",""],["","69238110005","DOXYCYCLINE HYCLATE","100 MG","6","Select","Select",""],["","53885000810","ONETOUCH DELICA PLUS LANCET","33 GAUGE","100","Select","Select",""],["","00088221905","LANTUS SOLOSTAR","100\/ML (3)","6","Select","Select",""],["","70010075401","METHOCARBAMOL","500 MG","20","Select","Select",""],["","53885024450","ONETOUCH ULTRA TEST STRIP","","50","Select","Select",""],["","51660007021","GUAIFENESIN ER","600 MG","120","Select","Select",""],["","51645087510","THERA-M","27MG-0.4MG","30","Select","Select",""],["","37000045503","PRILOSEC OTC","20 MG","28","Select","Select",""],["","08489831510","DROPLET PEN NEEDLE","32GX 5\/32\"","100","Select","Select",""],["","00904719106","VITAMIN B-","1 100 MG","30","Select","Select",""],["","60505017009","PRAVASTATIN SODIUM","40 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":""}]}]}