{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"  YLLODLLAB M ","gend":1,"add":"OB OP181 X","city":"SWORDS CREEK","state":"VA","zip":"24649-9998","dob":"1958-06-01","age":"","mstatus":"","insh":"53200210*50","cliId":"","pno":"99\/6726241-1","cno":"","email":"","ename":"","eno":"","pphy":"STEVENS, VICKIE L NP","ppno":"276\/783-1827","pcpadd":"5296 REDBUD HIGHWAY","pcpcity":"HONAKER","pcpstate":"VA","pcpzip":24260,"pcpcounty":"","pcpid":"","pcpname":"REDBUD FAMILY MEDICINE","plan":"OHP","program":"MEDICAID","lob":"OHCC","region":"SOUTHWEST","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":["J43.1","E88.01","R06.02","F17.209","D47.3","K76.0","D72.820","E11.42","E78.2","K21.9","R53.83","R79.89","D12.6","E11.9","F33.1","I10.","R07.9","R05.","H66.001","M15.0","M25.511","E11.21","J45.20","Z20.828","J06.9","M51.37","M54.16","F33.9","Z23.","E11.65","H92.09","M19.90","E78.5","Z12.31","R30.0","Z79.899","M79.7","NO DATA","N95.1","M85.9","E55.9","F17.200","R07.82","M25.50","E11.40","L01.00","M50.30","M54.2","J30.9","K76.9","M25.572","M54.5","J32.9","G56.01","H40.023","H16.223","Z00.00","Z13.31","B35.4","H65.02","Z79.84","H25.813","R03.0","R05.9"],"date":["2022-11-11","2022-10-13","2022-10-27","2022-10-13","2022-08-18","2021-08-16","2022-08-18","2021-12-01","2021-02-04","2021-05-20","2020-06-03","2021-03-18","2021-03-18","2022-08-03","2021-12-01","2021-06-03","2021-04-01","2021-06-30","2021-08-12","2021-12-01","2021-09-30","2022-05-02","2022-05-02","2021-02-11","2021-02-11","2021-05-20","2021-05-20","2021-07-23","2021-12-01","2020-01-29","2021-04-19","2021-07-23","2021-07-23","2021-08-09","2021-09-10","2022-08-03","2019-01-09","2019-01-09","2019-01-22","2019-02-06","2019-01-22","2019-04-04","2019-02-06","2019-02-06","2019-09-20","2019-09-20","2019-02-20","2019-02-20","2019-02-20","2019-08-27","2019-09-20","2019-09-20","2019-10-30","2019-03-20","2022-03-14","2019-07-26","2022-08-03","2022-05-02","2022-02-01","2022-02-01","2022-03-14","2022-03-14","2022-03-14","2022-10-27"],"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":[["","55111015810","OMEPRAZOLE","CAP 20MG","30","Select","Select",""],["","","FARXIGA","TAB 5MG","","Select","Select",""],["","65862052405","GABAPENTIN","TAB 800MG","90","Select","Select",""],["","43547035050","PAROXETINE","TAB 40MG","30","Select","Select",""],["","","CYANOCOBALAM","INJ 1000MCG","","Select","Select",""],["","29300012410","MELOXICAM","TAB 7.5MG","30","Select","Select",""],["","68001025317","FLUCONAZOLE","TAB 150MG","2","Select","Select",""],["","","CEFDINIR","CAP 300MG","","Select","Select",""],["","51224000760","METFORMIN","TAB 500MG ER","120","Select","Select",""],["","50383070016","FLUTICASONE","SPR 50MCG","16","Select","Select",""],["","00168009960","KETOCONAZOLE","CRE 0.02","60","Select","Select",""],["","00186037020","SYMBICORT","AER 160-4.5","10","Select","Select",""],["","60505014102","GLIPIZIDE","TAB 5MG","60","Select","Select",""],["","21922001605","CLOBETASOL","CRE 0.0005","60","Select","Select",""],["","08290305270","BD","MIS 25GX1\"","1","Select","Select",""],["","30768030172","FISH","CAP 1200MG","30","Select","Select",""],["","00487950125","ALBUTEROL","NEB 0.00083","300","Select","Select",""],["","00310737020","BUDES\/FORMOT","AER 160-4.5","10","Select","Select",""],["","33332032203","AFLURIA","INJ 2022-23","0","Select","Select",""],["","62559043130","HYDROCORTISO","CRE 0.025","30","Select","Select",""],["","43547035211","LISINOPRIL","TAB 5MG","30","Select","Select",""],["","00904386575","DEEP","SPR 0.0065","44","Select","Select",""],["","55111012601","CIPROFLOXACN","TAB 250MG","20","Select","Select",""],["","56151147002","TRUE","KIT METER","1","Select","Select",""],["","16042001058","PREMIUM","MIS METER","1","Select","Select",""],["","45802091987","CETIRIZINE","TAB 10MG","30","Select","Select",""],["","65862064169","AZITHROMYCIN","TAB 250MG","6","Select","Select",""],["","42571016201","AMOX\/K","TAB 875-125","20","Select","Select",""],["","00006027731","JANUVIA","TAB 100MG","30","Select","Select",""],["","16729011917","MONTELUKAST","TAB 10MG","90","Select","Select",""],["","80777027398","MODERNA","INJ COVID-19","0","Select","Select",""],["","53885027150","ONETOUCH","TES VERIO","50","Select","Select",""],["","61442010201","DICLOFENAC","TAB 50MG DR","60","Select","Select",""],["","58657045001","PHENAZOPYRID","TAB 100MG","9","Select","Select",""],["","24208063562","NEO\/POLY\/HC","SUS 1% OTIC","10","Select","Select",""],["","","FLUZONE","INJ 2020-21","","Select","Select",""],["","64380080308","RANITIDINE","TAB 150MG","30","Select","Select",""],["","68382070718","DOXYCYC","CAP 100MG","14","Select","Select",""],["","67877032105","IBUPROFEN","TAB 800MG","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":{"indx":[["","","",""],[""],[""],[""],[""],[""]],"comment":[["","","",""],[""],[""],[""],[""],[""]],"sub":[]}}},{"a":{"indx":["1",""],"comment":["",""],"sub":{"indx":[["","","",""],[""],[""],[""],[""],[""]],"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":""}]}]}