{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"LAWRENCE CANTRELL","gend":0,"add":"661 BOTTOM ROAD","city":"RAVEN","state":"VA","zip":"24639-9998","dob":"1963-03-22","age":"","mstatus":"","insh":"2397934*01","cliId":"","pno":2769795657,"cno":2769795657,"email":"","ename":"","eno":"","pphy":"TITHA, RAVI K MD","ppno":2769646711,"pcpadd":"3150 CLINCH ST,","pcpcity":"RICHLANDS","pcpstate":"VA","pcpzip":"24641-9998","pcpcounty":"","pcpid":"","pcpname":"","plan":"OHP","program":"MEDICAID","lob":"M4","region":"SOUTHWEST","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":8443312990,"pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["Z01.810","R00.1","C21.8","C21.0","Z51.11","T80.90XA","C20.","R53.1","Z71.2","K59.00","K80.20","R30.0","NO DATA","K92.1","Z93.3","Z90.49","N39.0","R68.89","R10.9","A41.9","L89.312","L89.322","N10.","I95.89","D72.829","E87.2","D50.9","E87.8","R74.8","R73.9","V58.89","R53.81","Z48.01","Z45.2","Z08.","C44.520","D12.9","K64.9","S31.000A","S31.809A","C21.1","R39.81","C18.9","L22.","R54.","Z90.89","K62.5","R63.4","D50.0","I10.","R19.7","Z91.018","I95.9","R00.0","D64.9","D62.","E87.6","E83.51","K21.9","F41.9","K35.80","E66.9","K92.2","Z20.822","M25.552","L89.132","R42.","Z85.048","C12.","M79.674","M79.675","B35.1","Z11.52","R05.1","R68.83","Z20.828","Z01.818","K63.89","Z91.19","U07.1","L89.152","E46.","L89.891","D63.0","Z92.3","Z92.21","E86.0","I96.","E44.0","L98.411","K56.7","L98.421","Z79.899","M19.90","K43.2","Z68.24","T85.618A","R65.10","N40.1","R39.11","K62.9","R59.0","K62.89","L89.323","L89.313","T81.32XA","E43.","L89.102","Z79.01","Z68.23","H26.491","H25.812","Z96.1","T81.41XA","R32.","Z48.89","H90.3","H65.01"],"date":["2022-09-01","2021-07-24","2022-10-04","2023-05-24","2021-10-09","2021-09-07","2021-10-11","2022-04-28","2022-05-05","2022-05-20","2022-05-20","2022-06-15","2022-10-01","2022-07-25","2023-09-26","2022-09-07","2023-05-24","2022-09-13","2022-09-13","2022-09-16","2022-10-02","2022-10-04","2022-10-01","2022-09-30","2022-10-01","2022-09-30","2022-09-30","2022-09-30","2022-10-01","2022-09-30","2023-01-09","2022-10-03","2023-05-24","2023-05-24","2023-03-20","2022-09-13","2022-05-02","2022-07-01","2022-09-26","2022-09-26","2023-03-20","2023-05-15","2023-05-09","2023-05-09","2023-02-03","2022-08-13","2021-07-27","2021-07-26","2021-07-26","2022-08-18","2022-05-02","2022-05-02","2022-10-04","2022-09-13","2022-09-13","2022-10-03","2022-10-01","2022-10-01","2022-10-03","2022-10-03","2021-07-25","2022-05-02","2022-08-13","2023-02-16","2022-08-13","2022-10-04","2022-10-04","2023-04-05","2021-08-16","2022-07-19","2022-07-19","2022-07-19","2023-02-16","2023-02-16","2021-07-23","2021-07-23","2022-08-26","2021-08-27","2021-08-27","2022-02-21","2022-09-21","2022-09-21","2022-09-21","2022-09-21","2022-09-21","2022-09-21","2022-09-13","2022-08-30","2022-08-30","2022-08-30","2022-08-30","2022-08-30","2022-08-30","2022-08-30","2022-08-30","2022-08-30","2022-08-30","2021-07-23","2021-07-25","2021-07-25","2021-07-25","2021-07-27","2021-07-27","2022-09-13","2022-09-13","2022-09-14","2022-09-14","2022-09-14","2022-09-14","2022-09-14","2023-04-11","2023-04-25","2023-03-29","2022-09-13","2022-09-13","2023-04-19","2023-08-10","2023-05-16"],"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":[["","68462010530","ONDANSETRON","TAB 4MG","60","Select","Select",""],["","52268001201","SUPREP BOWEL","SOL PREP KIT","354","Select","Select",""],["","00093005805","TRAMADOL HCL","TAB 50MG","7","Select","Select",""],["","42806016005","HYDROXYZ HCL","TAB 25MG","30","Select","Select",""],["","70436015301","POT CHLORIDE","TAB 20MEQ ER","60","Select","Select",""],["","65862042005","SMZ\/TMP DS","TAB 800-160","20","Select","Select",""],["","68180016011","AZITHROMYCIN","250 MG","6","Select","Select",""],["","59310057922","PROAIR HFA","AER ","8","Select","Select",""],["","66993001968","ALBUTEROL","AER HFA","18","Select","Select",""],["","00093342210","CYCLOBENZAPR","TAB 10MG","30","Select","Select",""],["","49483060450","IBUPROFEN","TAB 800MG","30","Select","Select",""],["","16571041250","CIPROFLOXACN","TAB 500MG","14","Select","Select",""],["","00186037020","SYMBICORT","AER 160-4.5","10","Select","Select",""],["","50428009256","GENTLE LAXAT","TAB 5MG EC","4","Select","Select",""],["","45802086802","POLYETH GLYC","POW 3350 NF","238","Select","Select",""],["","50428050854","CVS PURELAX","PAK ","60","Select","Select",""],["","45802048678","DOCUSATE SOD","CAP 100MG","60","Select","Select",""],["","50111033401","METRONIDAZOL","TAB 500MG","3","Select","Select",""],["","00378064205","PREDNISONE","20 MG","10","Select","Select",""],["","00093117701","NEOMYCIN","TAB 500MG","6","Select","Select",""],["","47781030301","NITROFURANTN","CAP 100MG","14","Select","Select",""],["","80681002000","MULTIVITAMIN","TAB ","30","Select","Select",""],["","59651024601","MIDODRINE","TAB 2.5MG","60","Select","Select",""],["","49483034150","ACETAMINOPHN","TAB 500MG","100","Select","Select",""],["","00378668910","PANTOPRAZOLE","TAB 40MG","30","Select","Select",""],["","70710134403","RAMELTEON","TAB 8MG","30","Select","Select",""],["","69842087651","CVS ACETAMIN","TAB 325MG","100","Select","Select",""],["","10135013201","THIAMINE HCL","TAB 100MG","100","Select","Select",""],["","00766074062","TUMS","CHW 500MG","100","Select","Select",""],["","50111056001","TRAZODONE","TAB 50MG","30","Select","Select",""],["","51383000314","VASHE WOUND","SOL THERAPY","1425","Select","Select",""],["","50428029464","CVS SENNA PL","TAB 8.6-50MG","30","Select","Select",""],["","37000074087","METAMUCIL","POW 28%ORG","30","Select","Select",""],["","50428059700","MELATONIN","CHW 5MG","90","Select","Select",""],["","51927361400","GUAR GUM","POW ","30","Select","Select",""],["","48433010601","CALC ANTACID","CHW 500MG","100","Select","Select",""],["","33342002208","LEVOFLOXACIN","TAB 500MG","7","Select","Select",""],["","00536124701","SENEXON-S","TAB 8.6-50MG","30","Select","Select",""],["","57896055510","SENNA PLUS","8.6MG-50MG","60","Select","Select",""],["","43386031214","GAVILAX","17 G\/DOSE","510","Select","Select",""],["","70436015301","POTASSIUM CHLORIDE","20 MEQ","60","Select","Select",""],["","70436015542","PROMETHAZINE-DM","6.25-15\/5","120","Select","Select",""],["","54629007501","MULTIVITAMINS WITH MINERALS","7.5 MG-400","100","Select","Select",""],["","42571013725","KETOROLAC TROMETHAMINE","0.5 %","5","Select","Select",""],["","60758011905","PREDNISOLONE ACETATE","1 %","5","Select","Select",""],["","00832141003","MOXIFLOXACIN","0.5 %","3","Select","Select",""],["","24208063562","NEOMYCIN-POLYMYXIN-HC","3.5-10K-1","10","Select","Select",""],["","00093310905","AMOXICILLIN","500 MG","20","Select","Select",""],["","16571041250","CIPROFLOXACIN HCL","500 MG","20","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":""}]}]}