{"version":"0.4","data":[{"t":"Demographics","q":[{"name":" NEELLOCPOOR E  ","gend":1,"add":"G TSEROF 1632 TPA TC NEL","city":"STRASBURG","state":"VA","zip":"22657-9998","dob":"1999-03-16","age":"","mstatus":"","insh":"6860110*90","cliId":"","pno":"84\/0454801-1","cno":"","email":"","ename":"","eno":"","pphy":"DRESSLER, WILLIAM C MD","ppno":"540\/465-3751","pcpadd":"33674 OLD VALLEY PIKE","pcpcity":"STRASBURG","pcpstate":"VA","pcpzip":22657,"pcpcounty":"","pcpid":"","pcpname":"SHENANDOAH MEMORIAL HOSPITAL INC","plan":"OHP","program":"MEDICAID","lob":"M4","region":"NORTHERN & WINCHESTER","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":["S36.90XA","R10.0","F33.2","R11.2","J10.1","E87.6","F32.2","T40.2X1A","F41.9","Z72.89","NO DATA","S36.123A","S31.610A","F43.0","T14.91XA","F43.20","F90.2","R09.02","R40.4","R40.20","R11.0","R06.89","R69.","Z53.21","F11.20","F32.9","T40.601A","T88.7XXA","R53.81","S37.031A","S36.115A","Z87.891","Z83.3","F12.90","T50.901A","R07.9","J34.89","R05.","R19.7","S36.113A","S36.81XA","N72.","R10.32","Z76.89","R09.81","S36.039A","W45.8XXA","S37.032A","S31.110A","X78.1XXA","N39.0","R31.9","T40.411A"],"date":["2019-06-01","2019-06-01","2020-07-16","2020-03-05","2020-01-04","2020-01-04","2020-03-25","2020-03-19","2020-07-16","2020-07-16","2021-09-01","2019-06-02","2019-06-02","2019-06-03","2019-06-03","2019-10-24","2019-12-06","2020-02-19","2020-02-19","2020-02-19","2020-02-19","2020-02-19","2021-11-30","2021-11-30","2021-12-30","2021-03-03","2020-02-19","2020-03-19","2020-03-19","2019-06-02","2019-06-02","2019-06-02","2019-06-02","2019-06-02","2021-03-20","2021-07-03","2021-09-01","2021-09-01","2021-09-01","2019-06-02","2019-06-02","2019-09-07","2019-09-07","2019-10-07","2019-10-07","2019-06-02","2019-06-02","2019-06-01","2019-06-01","2019-06-01","2020-02-19","2020-02-19","2021-03-20"],"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":[["","","SERTRALINE"," SERTRALINE ","30","Select","Select",""],["","","FLUOXETINE"," FLUOXETINE ","14","Select","Select",""],["","","NAPROXEN"," NAPROXEN ","20","Select","Select",""],["","","DOXYCYC"," DOXYCYC ","20","Select","Select",""],["","","NARCAN","SPR ","","Select","Select",""],["","","IBU","TAB 800MG","","Select","Select",""],["","","SUBOXONE","MIS 8-2MG","","Select","Select",""],["","","ESCITALOPRAM","TAB 10MG","","Select","Select",""],["","","BUSPIRONE","TAB 5MG","","Select","Select",""],["","","CEPHALEXIN","CAP 500MG","","Select","Select",""],["","","IBUPROFEN","TAB 800MG","","Select","Select",""],["","","BUPREN\/NALOX","MIS 8-2MG","","Select","Select",""],["","","ONDANSETRON","TAB 4MG ODT","","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":""}]}]}