{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"  ACCEBERADELAK K ","gend":1,"add":"IMMUH 6551NL DRIBGN","city":"VIRGINIA BEACH","state":"VA","zip":"23454-9998","dob":"1979-08-14","age":"","mstatus":"","insh":"3388110*35","cliId":"","pno":"97\/7570036-3","cno":"","email":"","ename":"","eno":"","pphy":"SAPONE, GRETCHEN M PA","ppno":"757\/821-2088","pcpadd":"1253 NIMMO PKWY SUITE 110","pcpcity":"VIRGINIA BEACH","pcpstate":"VA","pcpzip":23456,"pcpcounty":"","pcpid":"","pcpname":"TPMG THE HEALTHY WAY FAMILY MEDICINE","plan":"OHP","program":"MEDICAID","lob":"M4","region":"TIDEWATER","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"","pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["Z30.42","Z30.09","F34.1","F43.10","R42.","H81.8X1","Z87.891","E66.01","K21.00","K29.70","K44.9","G47.33","M25.511","R51.9","Z68.42","K83.8","M54.9","M25.50","N39.3","Z65.9","F32.9","R16.0","R94.31","R53.82","Z68.41","R40.0","Z32.02","H81.10","R87.619","N87.0","Z13.810","K21.9","F41.8","L91.8","L81.4","L82.1","Z71.9","Z30.9","M79.602","Z91.81","R87.610","R87.810","Z01.818","E78.5","NO DATA","F41.9","R60.0","Z83.3","Z82.0","Z79.899","R11.2","E86.0","Z72.0","F54.","Z20.822","Z01.419","Z20.2","G47.8","S93.411A","W18.49XA","M79.89","Z30.019","S93.401A","R53.81","Z86.32","F17.210","V58.89","M25.571","Z98.84","Z48.89","Z71.3","Z71.82","E66.09","Z91.11","K59.00","R13.10","Z68.34","F33.2","F41.1","F51.01"],"date":["2022-07-01","2020-03-31","2020-05-15","2022-06-16","2021-01-27","2020-08-10","2021-12-02","2021-12-02","2021-06-24","2021-06-24","2021-06-24","2021-12-18","2021-03-18","2021-03-18","2021-12-02","2021-05-07","2021-12-02","2021-11-23","2021-12-02","2021-04-21","2021-04-21","2021-05-07","2021-05-07","2021-08-24","2021-08-24","2021-10-04","2022-07-01","2020-08-05","2020-10-22","2020-10-22","2021-06-24","2021-12-02","2020-11-17","2020-06-23","2020-06-23","2020-06-23","2020-06-23","2022-03-28","2020-09-08","2020-09-08","2020-09-28","2020-09-28","2021-11-29","2021-12-02","2021-12-02","2021-12-02","2021-12-02","2021-12-02","2021-12-02","2021-12-02","2022-04-20","2022-04-20","2020-11-17","2021-06-09","2021-11-29","2020-08-25","2020-08-25","2021-09-29","2019-05-10","2019-05-10","2019-05-10","2019-10-21","2019-05-08","2019-04-08","2019-04-08","2019-11-04","2019-06-11","2019-06-11","2022-04-19","2022-04-19","2022-04-19","2022-04-19","2022-04-19","2022-04-19","2022-04-19","2022-04-19","2022-04-19","2022-06-16","2022-06-16","2022-06-16"],"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":{"indx":[false,false],"comment":["",""],"score":["",""]}},{"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":[["","","VENLAFAXINE","CAP 37.5 ER","","Select","Select",""],["","59651000305","OMEPRAZOLE","CAP 40MG","90","Select","Select",""],["","42806050301","URSODIOL","CAP 300MG","60","Select","Select",""],["","00115180401","HYDROXYZ","CAP 50MG","60","Select","Select",""],["","65862049001","QUETIAPINE","TAB 50MG","30","Select","Select",""],["","49884015676","VARENICLINE","TAB 1MG","180","Select","Select",""],["","33342032715","TRIAMCINOLON","CRE 0.00025","60","Select","Select",""],["","00093101042","MUPIROCIN","OIN 0.02","22","Select","Select",""],["","68645056354","IBUPROFEN","TAB 800MG","30","Select","Select",""],["","63304061650","DOXYCYC","CAP 100MG","15","Select","Select",""],["","","LORAZEPAM","TAB 0.5MG","","Select","Select",""],["","","PREDNISONE","TAB 10MG","","Select","Select",""],["","43386035101","HYDROCO\/APAP","TAB 5-300MG","20","Select","Select",""],["","","MECLIZINE","TAB 25MG","","Select","Select",""],["","42858010201","OXYCOD\/APAP","TAB 5-325MG","16","Select","Select",""],["","","AMOXICILLIN","TAB 500MG","","Select","Select",""],["","63304069301","CLINDAMYCIN","CAP 300MG","15","Select","Select",""],["","65862039010","ONDANSETRON","TAB 4MG ODT","12","Select","Select",""],["","10702001801","OXYCODONE","TAB 5MG","12","Select","Select",""],["","70710175806","ENOXAPARIN","INJ 40\/0.4ML","6","Select","Select",""],["","13668013701","ESCITALOPRAM","TAB 20MG","90","Select","Select",""],["","65862067799","ALPRAZOLAM","TAB 0.5MG","30","Select","Select",""],["","","DEPO-SQ","INJ 104","","Select","Select",""],["","","SCOPOLAMINE","DIS 1MG\/3DAY","","Select","Select",""],["","00069046903","CHANTIX","PAK 1MG","56","Select","Select",""],["","00228306011","AMPHET\/DEXTR","CAP 20MG ER","60","Select","Select",""],["","54092038701","ADDERALL","CAP 20MG","60","Select","Select",""],["","65162019050","NAPROXEN","TAB 500MG","14","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":""}]}]}