{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"CHEVELLA   C SAUNDERS","gend":1,"add":"525   HIGHLAND TERRACE                                      ","city":"PULASKI                       ","state":"VA","zip":"24301-6209","dob":"2004-10-13","age":"","mstatus":"","insh":4205217,"cliId":"","pno":2762746165,"cno":"","email":"","ename":"","eno":"","pphy":"KAATZ, MATTHEW S                                            ","ppno":5409800550,"pcpadd":"101 1st St NW                                               ,                                                            ","pcpcity":"PULASKI                       ","pcpstate":"VA","pcpzip":243015603,"pcpcounty":"","pcpid":"","pcpname":"KAATZ MATTHEW S MD PC","plan":"VPHP","program":"MEDICAID","lob":"VPM4","region":"ROANOKE\/ ALLEGHANY","aligned":"","ano":"","add2":"525   HIGHLAND TERRACE                                      ","add3":"","madd1":"525   HIGHLAND TERRACE                                      ","madd2":"                                                            ","madd3":"","mcity":"PULASKI                       ","mstate":"VA","mzip":"24301-6209","pcpfaxno":"(540) 980-9141","pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["F34.81","R63.5","D64.9","R06.83","D50.9","J45.909","F41.9","Z13.228","E66.01","R10.31","R11.10","R11.2","E11.9","Z79.84","E66.9","E65","L83","Z68.54","G47.9","J45.20","G47.33","J02.9","R51","Z68.43","J30.89","E28.2","L70.9","R39.9","Z51.81","Z91.013","J30.1","J30.81","H66.92","H92.02","R51.9","R73.03","R23.2","M25.571","M79.671","S93.601A","S99.919A","X50.1XXA","L50.9","G43.909","R53.83","J06.9","K59.00","H69.91","B37.3","K21.9","R12","K21.00","K29.50","K44.9","Z20.822","K29.30","D13.2","K20.90","R11.0","S61.452A","M79.642","W54.0XXA","Z30.46","J30.9","F33.1","F41.1","Z00.129","Z72.3","R41.89","B34.9","R09.81","R05.9","R52","N39.0","F17.200","Z23","R05.1","Z79.1","R06.02","Z00.00","F12.90","R30.0"],"date":["2020-06-24","2020-02-03","2020-02-13","2020-08-25","2022-11-08","2021-08-31","2020-08-13","2021-02-24","2022-11-18","2020-03-08","2020-03-08","2021-08-31","2022-10-08","2020-03-08","2020-04-06","2020-04-02","2020-04-02","2022-06-29","2020-07-21","2020-04-21","2020-07-21","2022-10-08","2020-08-13","2022-11-08","2020-08-25","2021-02-24","2020-11-18","2020-11-18","2021-02-24","2022-05-19","2020-11-18","2020-11-18","2020-12-19","2020-12-19","2022-06-29","2021-02-24","2021-02-24","2021-03-11","2021-03-11","2021-03-11","2021-03-11","2021-03-11","2021-05-24","2021-05-24","2022-10-08","2022-10-08","2021-07-28","2022-05-19","2021-07-28","2022-06-29","2021-08-31","2021-08-10","2021-08-10","2021-08-16","2022-07-02","2021-08-16","2021-08-10","2021-08-16","2021-08-16","2021-10-20","2021-10-20","2021-10-20","2021-12-07","2022-06-29","2022-11-08","2022-06-29","2022-06-29","2022-06-29","2022-06-29","2022-07-02","2022-10-08","2022-07-02","2022-07-02","2022-11-18","2022-07-02","2022-11-08","2022-10-08","2022-10-08","2022-10-08","2022-11-08","2022-11-08","2022-11-18"],"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":[["","45802091987","CETIRIZINE","TAB 10MG","30","Select","Select",""],["","00115180301","HYDROXYZ","CAP 25MG","30","Select","Select",""],["","13668013501","ESCITALOPRAM","TAB 5MG","30","Select","Select",""],["","00536100901","FERROUS","TAB 325MG","30","Select","Select",""],["","55111015810","OMEPRAZOLE","CAP 20MG","30","Select","Select",""],["","47781030301","NITROFURANTN","CAP 100MG","14","Select","Select",""],["","65162068210","PHENAZOPYRID","TAB 200MG","9","Select","Select",""],["","68180012202","CEPHALEXIN","CAP 500MG","28","Select","Select",""],["","42799080601","IVERMECTIN","TAB 3MG","20","Select","Select",""],["","68382009605","HYDROXYCHLOR","TAB 200MG","21","Select","Select",""],["","68180016013","AZITHROMYCIN","TAB 250MG","6","Select","Select",""],["","00054327099","FLUTICASONE","SPR 50MCG","16","Select","Select",""],["","00536111248","BUDESONIDE","SUS 32MCG","8.43","Select","Select",""],["","67877032005","IBUPROFEN","TAB 600MG","60","Select","Select",""],["","00115169449","EPINEPHRINE","INJ 0.3MG","2","Select","Select",""],["","70710114003","FLUCONAZOLE","TAB 200MG","2","Select","Select",""],["","59267100001","PFIZER","INJ COVID-19","0.3","Select","Select",""],["","65862050220","AMOX\/K","TAB 500-125","15","Select","Select",""],["","69097014260","ALBUTEROL","AER HFA","6.7","Select","Select",""],["","00093310905","AMOXICILLIN","CAP 500MG","30","Select","Select",""],["","43386035701","HYDROCO\/APAP","TAB 7.5-325","12","Select","Select",""],["","55111029336","SUMATRIPTAN","TAB 100MG","9","Select","Select",""],["","50580072824","ZYRTEC-D","TAB 5-120MG","24","Select","Select",""],["","00143122701","DICYCLOMINE","TAB 20MG","20","Select","Select",""],["","65862039010","ONDANSETRON","TAB 4MG ODT","10","Select","Select",""],["","00093770198","LEVOCETIRIZI","TAB 5MG","30","Select","Select",""],["","76385012810","METFORMIN","TAB 500MG ER","30","Select","Select",""],["","00574222520","TRETINOIN","CRE 0.00025","20","Select","Select",""],["","86790001930","SLOW","TAB 45MG","30","Select","Select",""],["","45802028001","BENZOYL","LIQ 5% WASH","142","Select","Select",""],["","50428031818","MELATONIN","TAB 3MG","30","Select","Select",""],["","45802010901","TRIAMCINOLON","AER 55MCG\/AC","16.9","Select","Select",""],["","00168020230","CLINDAMYCIN","GEL 0.01","30","Select","Select",""],["","00054418125","DEXAMETHASON","TAB 1MG","1","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":""}]}]}