{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"LLERRADSREYM ","gend":0,"add":" KCOR 0212DR DNALSI","city":"EAST WENATCHEE","state":"WA","zip":98802,"dob":"1954-09-02","age":"","mstatus":"","insh":"33114910613","cliId":"","pno":"6690547678","cno":"5096687674","email":"","ename":"","eno":"","pphy":"BRIAN DERRICK","ppno":"","pcpadd":"","pcpcity":"","pcpstate":"","pcpzip":"","pcpcounty":"Chelan","pcpid":"","pcpname":"","plan":"Health Alliance","program":"Medicare Advantage","lob":"Confluence","region":"","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"","pcpnpi":"1578573614"},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["G47.33","J32.4","J34.89","C90.00","Z22.322","J01.41","I50.32","J3489","J324","Z22322","L03211","C9000","D630","F17211","Z7682","G4733","F17220","I110","I5033","Z792","I5032","R7881","B9562","D638","D472","Z0101","H5203","H524","H25813","Z87891","M9903","M5441","M9905","M62830","J328","G620","T451X5A","J189","J9601","D849","J90","J984","A46","A419","J0141","J342","M810","R071","R0600","R509","J15212","R0602","R059","R918","Z23","Z0000","I10","R5383","E860","R42","D6481","C7951","F5104","R079","R0789","C7989","Z20822","E782","L03.211","D63.0","F17.211","Z76.82","F17.220","I11.0","I50.33","Z79.2","R78.81","B95.62","D63.8","D47.2","Z01.01","H52.03","H52.4","H25.813","Z87.891","M99.03","M54.41","M99.05","M62.830","J32.8","G62.0","T45.1X5A","J18.9","J96.01","D84.9","J98.4","A41.9","J34.2","M81.0","R07.1","R06.00","R50.9","J15.212","R06.02","R05.9","R91.8","Z00.00","R53.83","E86.0","D64.81","C79.51","F51.04","R07.9","R07.89","C79.89","Z20.822","E78.2"],"date":["2023-06-21","2023-05-01","2023-05-01","2023-05-01","2023-05-01","2023-03-28","2023-03-22","2022-12-27","2022-12-27","2022-12-27","2022-12-27","2022-12-23","2022-12-23","2022-12-23","2022-12-23","2022-12-22","2022-12-22","2022-12-05","2022-12-05","2022-12-02","2022-12-01","2022-11-25","2022-11-25","2022-11-18","2022-11-18","2022-11-17","2022-11-17","2022-11-17","2022-11-17","2022-11-03","2022-11-03","2022-11-03","2022-11-03","2022-11-03","2022-10-18","2022-10-13","2022-10-13","2022-09-30","2022-09-27","2022-09-22","2022-10-06","2022-09-27","2022-11-02","2022-09-26","2022-09-26","2022-09-26","2022-09-26","2022-09-26","2022-09-23","2022-09-21","2022-09-21","2022-09-19","2022-09-19","2022-09-19","2022-09-29","2022-09-06","2022-09-19","2022-08-24","2022-08-24","2022-08-31","2022-07-13","2022-07-01","2022-07-01","2022-06-28","2022-06-28","2022-06-28","2022-06-28","2022-06-28","2023-01-03","2023-02-27","2023-02-27","2023-02-27","2022-12-30","2022-12-12","2022-12-14","2022-12-29","2022-12-05","2022-12-05","2022-11-25","2022-11-25","2022-11-22","2022-11-22","2022-11-22","2022-11-22","2022-11-30","2022-11-10","2022-11-10","2022-11-10","2022-11-10","2022-10-26","2022-11-11","2022-10-20","2022-11-21","2022-11-21","2022-11-21","2022-10-06","2022-10-03","2022-10-03","2022-10-03","2022-10-31","2022-10-31","2022-11-02","2022-10-31","2022-09-26","2022-09-26","2022-09-28","2022-09-19","2022-08-31","2022-08-31","2022-08-01","2022-07-22","2022-07-12","2022-07-11","2022-07-21","2022-07-06","2022-07-06","2022-07-21"],"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":[["","","ATENOLOL","25.000MG","90","Select","Select",""],["","","FUROSEMIDE","20.000MG","180","Select","Select",""],["","","KLOR-CON M20","20.000MEQ","180","Select","Select",""],["","","BENAZEPRIL HYDROCHLORIDE","20.000MG","90","Select","Select",""],["","","DEXAMETHASONE","4.000MG","40","Select","Select",""],["","","BUDESONIDE","0.000MG\/2ML","120","Select","Select",""],["","","DOXYCYCLINE MONOHYDRATE","100.000MG","60","Select","Select",""],["","","ACYCLOVIR","400.000MG","180","Select","Select",""],["","","FENOFIBRATE","145.000MG","90","Select","Select",""],["","","GAVILYTE-C","0","4000","Select","Select",""],["","","LEVOFLOXACIN","500.000MG","21","Select","Select",""],["","","COLCHICINE","0.000MG","30","Select","Select",""],["","","OXYCODONE\/ACETAMINOPHEN","0","12","Select","Select",""],["","","ONDANSETRON ODT","4.000MG","5","Select","Select",""],["","","DOXYCYCLINE HYCLATE","100.000MG","28","Select","Select",""],["","","REVLIMID","25.000MG","14","Select","Select",""],["","","FLOWFLEX COVID-19 ANTIGEN HOME TEST","0","1","Select","Select",""],["","","POTASSIUM CHLORIDE ER","20.000MEQ","60","Select","Select",""],["","","FLUTICASONE PROPIONATE","50.000MCG\/ACT","16","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":["",""],"comment":["",""],"sub":[]}},{"a":{"indx":["",""],"comment":["",""],"sub":[]}},{"a":{"indx":["",""],"comment":["",""],"sub":[]}},{"a":{"indx":["",""],"comment":["",""],"sub":[]}},{"a":{"indx":["",""],"comment":["",""],"sub":[]}},{"a":{"indx":["",""],"comment":["",""],"sub":[]}},{"a":{"indx":["",""],"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":""}]}]}