{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"EMILY L FABBRIZI","gend":1,"add":"945 FOXRIDGE TRL","city":"CHESAPEAKE","state":"VA","zip":"23322-9998","dob":"2001-04-14","age":"","mstatus":"","insh":"9349588*01","cliId":"","pno":7575706131,"cno":7575706131,"email":"","ename":"","eno":"","pphy":"CURRY, MICHELLE T MD","ppno":7575475851,"pcpadd":"513 BAYLOR","pcpcity":"CHESAPEAKE","pcpstate":"VA","pcpzip":"23320-9998","pcpcounty":"","pcpid":"","pcpname":"M.T. Curry Inc.","plan":"OHP","program":"MEDICAID","lob":"M4","region":"TIDEWATER","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":7575480734,"pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["T50.904A","F31.81","F43.10","J30.1","T39.391A","N94.6","J03.90","R07.9","S20.212A","S30.1XXA","S06.0X0A","R51.9","J35.1","Z32.02","K21.9","R06.00","R07.0","R42.","R00.2","F32.9","F41.9","F31.9","S60.222A","T82.898A","Z00.00","Z68.37","R63.5","E66.9","R45.89","G47.33","I49.1","I49.3","R06.02","L76.32","F17.290","Z91.041","M79.642","F31.32","F90.0","F41.1","J35.3","J02.9","R49.0","A08.4","Z20.828","S05.11XA","I10.","H66.93","Z11.52","J20.9","R11.2","A09."],"date":["2021-06-13","2021-08-10","2022-12-28","2023-02-28","2021-06-13","2021-06-13","2022-05-18","2023-02-13","2021-01-08","2021-01-08","2022-04-18","2022-04-18","2022-12-28","2021-03-11","2021-03-11","2022-10-24","2022-10-24","2022-10-24","2023-01-05","2022-10-24","2022-10-24","2022-10-24","2022-12-28","2022-12-28","2021-10-04","2021-10-04","2021-10-04","2022-12-28","2021-10-04","2022-12-28","2023-01-05","2023-01-05","2022-11-14","2022-12-28","2022-12-28","2022-12-28","2022-12-28","2022-09-15","2022-09-15","2022-09-15","2022-10-23","2022-10-23","2022-10-23","2023-03-07","2023-03-07","2023-03-20","2023-03-20","2023-03-27","2023-04-19","2023-04-19","2023-05-22","2023-05-22"],"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":[["","27241009803","DULOXETINE","CAP 30MG","30","Select","Select",""],["","62756018488","OXCARBAZEPIN","TAB 300MG","60","Select","Select",""],["","57237002901","AMOXICILLIN","875 MG","14","Select","Select",""],["","72647033104","METHYLPRED","TAB 4MG","21","Select","Select",""],["","65162046650","IBUPROFEN","TAB 800MG","30","Select","Select",""],["","66689002316","HYDROCO\/APAP","SOL 7.5-325","600","Select","Select",""],["","11534018701","BUT\/APAP\/CAF","CAP ","12","Select","Select",""],["","67877021901","CEPHALEXIN","CAP 500MG","21","Select","Select",""],["","64380078706","BUSPIRONE","TAB 7.5MG","60","Select","Select",""],["","50383070016","FLUTICASONE","SPR 50MCG","16","Select","Select",""],["","00536129383","ANTACID","SUS REG ST","118","Select","Select",""],["","11822033209","ALLERGY REL","CAP 25MG","24","Select","Select",""],["","00904698520","DIPHENHYDRAM","LIQ 12.5\/5ML","120","Select","Select",""],["","68180072304","CEFDINIR","SUS 250\/5ML","180","Select","Select",""],["","68180015301","DESLORATADINE","5 MG","90","Select","Select",""],["","29300022019","MONTELUKAST SODIUM","10 MG","90","Select","Select",""],["","51660093901","CETIRIZINE HCL","10 MG","90","Select","Select",""],["","65162067684","AZELASTINE HCL","137 MCG","30","Select","Select",""],["","00054327099","FLUTICASONE PROPIONATE","50 MCG","48","Select","Select",""],["","71930002743","HYDROCODONE-ACETAMINOPHEN","7.5-325\/15","473","Select","Select",""],["","58160084252","BOOSTRIX TDAP","2.5-8-5\/.5","0.5","Select","Select",""],["","00904676620","CHILDREN'S ACETAMINOPHEN","160 MG\/5ML","600","Select","Select",""],["","11877001140","BINAXNOW COVID-","19 AG SELF TEST","8","Select","Select",""],["","58160089052","FLUARIX QUAD","2022-2023 60MCG\/.5ML","0.5","Select","Select",""],["","65862039010","ONDANSETRON ODT","4 MG","15","Select","Select",""],["","59267102504","PFIZER COVID (","12Y UP) VAC(EUA) 30 MCG\/0.3","0.3","Select","Select",""],["","42806040021","METHYLPREDNISOLONE","4 MG","21","Select","Select",""],["","62332025118","AZITHROMYCIN","250 MG","6","Select","Select",""],["","65862018830","ONDANSETRON HCL","8 MG","30","Select","Select",""],["","58602070176","LOPERAMIDE","2 MG","60","Select","Select",""],["","65862007701","CIPROFLOXACIN HCL","500 MG","3","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":""}]}]}