{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"CAROL   L WILLIAMS","gend":1,"add":"2623   EVERS COURT                                          ","city":"CHESAPEAKE                    ","state":"VA","zip":"23324-3908","dob":"1976-10-09","age":"","mstatus":"","insh":6594504,"cliId":"","pno":7573232527,"cno":"","email":"","ename":"","eno":"","pphy":"MUSSELMANI, ZATTAM                                          ","ppno":7575433557,"pcpadd":"1422 Poindexter St                                          ,                                                            ","pcpcity":"Chesapeake                    ","pcpstate":"VA","pcpzip":233242431,"pcpcounty":"","pcpid":"","pcpname":"MUSSELMANI INTERNAL MEDICINE PC","plan":"VPHP","program":"MEDICAID","lob":"VPM4","region":"TIDEWATER","aligned":"","ano":"","add2":"2623   EVERS COURT                                          ","add3":"","madd1":"2623   EVERS COURT                                          ","madd2":"                                                            ","madd3":"","mcity":"CHESAPEAKE                    ","mstate":"VA","mzip":"23324-3908","pcpfaxno":"                    ","pcpnpi":""},{"a":{"indx":["","1","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["E66.01","I10","Z68.39","F43.21","G93.5","K12.2","R06.2","E87.6","R20.2","R51.0","R42","M54.2","Q04.8","R20.0","M54.12","R51.9","Q07.00","M54.9","H53.8","Z82.49","Z79.899","R06.09","R82.90","Z00.00","R93.89","Z12.31","Z11.59","Z11.4","Z12.4","G35","M47.812","N63.11","E66.9","Z68.41","Z01.818","Z01.812","Z20.822","K76.0","K44.9","G47.33","E55.9","J45.909","N39.3","M17.0","Z98.51","M19.90","R07.9","R06.02","D64.9","N93.9","J90","R00.2","Z98.84","Z79.01","J98.11","E88.89","R11.2","R10.12","N30.01","R10.9","E11.9","K30","R13.10","L85.3","R09.81","R09.82","K91.2","Z09","R77.0","J06.9","U07.1","M25.512","Z68.30","N63.10","N63.22","E66.3","L98.7","Z68.28","Z86.39","J45.30","Z12.11","I11.9","M54.50","Z68.26","G56.01","R90.82","M79.3"],"date":["2021-06-14","2022-04-26","2020-08-14","2020-12-10","2022-08-18","2021-01-19","2022-01-24","2021-09-14","2021-04-24","2021-02-23","2021-02-23","2021-05-17","2021-02-23","2021-02-23","2021-02-23","2021-02-23","2021-02-23","2021-02-23","2021-02-23","2021-06-14","2021-06-21","2021-02-24","2021-04-08","2022-04-11","2021-04-08","2021-04-23","2021-04-22","2021-04-22","2021-04-08","2022-11-09","2022-08-18","2021-12-01","2022-02-01","2021-06-14","2021-05-25","2021-06-09","2021-06-14","2021-06-14","2021-06-14","2022-09-12","2022-06-22","2022-05-19","2021-06-14","2021-06-14","2021-06-14","2021-06-14","2022-01-24","2021-06-21","2021-09-14","2022-04-11","2021-06-21","2021-06-22","2022-06-22","2021-06-21","2021-06-22","2021-06-24","2021-06-29","2021-06-24","2021-06-24","2021-06-24","2021-06-24","2021-06-29","2021-06-29","2021-08-03","2021-08-03","2022-04-11","2022-06-22","2021-09-14","2021-09-14","2021-09-20","2021-09-20","2021-10-18","2022-02-01","2021-12-01","2021-12-01","2022-06-22","2022-06-22","2022-01-19","2022-06-22","2022-04-11","2022-04-11","2022-05-19","2022-04-21","2022-06-22","2022-11-09","2022-08-18","2022-11-08"],"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":[["","00143962125","CYANOCOBALAM","INJ 1000MCG","1","Select","Select",""],["","08290309581","3ML","MIS 25GX1\"","1","Select","Select",""],["","66993001968","ALBUTEROL","AER HFA","18","Select","Select",""],["","50383070016","FLUTICASONE","SPR 50MCG","16","Select","Select",""],["","00832046515","NYAMYC","POW 100000","15","Select","Select",""],["","11822549870","VITAMIN","CAP 5000UNIT","60","Select","Select",""],["","08290305155","BD  HYPO NEED","MIS 22GX1\"","1","Select","Select",""],["","11822039970","RA","TAB 5MG EC","4","Select","Select",""],["","43386006019","GAVILYTE-C","SOL ","4,000.00","Select","Select",""],["","53191036201","D3-50","CAP 50000UNT","4","Select","Select",""],["","16714076901","NYSTATIN","POW 100000","15","Select","Select",""],["","00548560200","ENOXAPARIN","INJ 40\/0.4ML","2.8","Select","Select",""],["","67877019805","AMLODIPINE","TAB 5MG","30","Select","Select",""],["","29300012810","HYDROCHLOROT","TAB 25MG","30","Select","Select",""],["","59267100001","PFIZER","INJ COVID-19","0.3","Select","Select",""],["","69238106501","POT  CHLORIDE","TAB 10MEQ ER","7","Select","Select",""],["","31722095801","BENZONATATE","CAP 200MG","20","Select","Select",""],["","42858000101","OXYCODONE","TAB 5MG","18","Select","Select",""],["","65862039010","ONDANSETRON","TAB 4MG ODT","20","Select","Select",""],["","65162047810","NITROFURANTN","CAP 100MG","10","Select","Select",""],["","10135015250","ACETAMIN","TAB 500MG","30","Select","Select",""],["","11822010233","PAIN","TAB 500MG","30","Select","Select",""],["","67877021901","CEPHALEXIN","CAP 500MG","28","Select","Select",""],["","00143924920","AMOX\/K","TAB 875-125","20","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":[]}},{"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":""}]}]}