{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"IRENE J REED","gend":1,"add":"2231 N. WHITEHILL DR","city":"PETERSBURG","state":"VA","zip":"23803-9998","dob":"1947-08-19","age":"","mstatus":"","insh":"11000769","cliId":"","pno":8048928959,"cno":"","email":"","ename":"","eno":"","pphy":"VILLANUEVA, JOHN G","ppno":8044525800,"pcpadd":"8380 BOYDTON PLANK ROAD","pcpcity":"PRINCE GEORGE","pcpstate":"VA","pcpzip":238751400,"pcpcounty":"","pcpid":"","pcpname":"HOPEWELL PRINCE GEORGE COMMUNITY HEALTH CENTER","plan":"VPHP","program":"MEDICARE","lob":"DSNP","region":"CENTRAL","aligned":"Y","ano":"","add2":"","add3":"","madd1":"2231 N. WHITEHILL DR","madd2":"","madd3":"","mcity":"PETERSBURG","mstate":"VA","mzip":"23803-9998","pcpfaxno":"(804) 452-5801","pcpnpi":""},{"a":{"indx":["","1","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":[]}]},{"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":[]}]},{"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":[["","08290320109","BD  PEN NEEDL","31GX8MM","200.00","Select","Select",""],["","67877019905","AMLODIPINE ","10MG","90.00","Select","Select",""],["","33342010937","RISEDRONATE ","35MG","4.00","Select","Select",""],["","68462019930","TELMISARTAN ","20MG","90.00","Select","Select",""],["","60505017009","PRAVASTATIN ","40MG","30.00","Select","Select",""],["","60505317007","OMEGA-3-ACID ","1GM","180.00","Select","Select",""],["","00088221905","LANTUS ","100\/ML","15.00","Select","Select",""],["","49884012301","LABETALOL ","200MG","270.00","Select","Select",""],["","61314054701","LATANOPROST ","0.01%","2.50","Select","Select",""],["","99073070827","FREESTYLE    TES LITE","LITE","300.00","Select","Select",""],["","08496310601","EASY ","31GX5\/16","100.00","Select","Select",""],["","59762500802","MISOPROSTOL ","200MCG","90.00","Select","Select",""],["","65862006301","METOPROL ","50MG","180.00","Select","Select",""],["","99073013001","FREESTYLE    MIS LANCETS","LANCETS","200.00","Select","Select",""],["","00169633910","NOVOLOG ","FLEXPEN","15.00","Select","Select",""],["","00378718705","METFORMIN ","1000MG","60.00","Select","Select",""],["","00054429731","FUROSEMIDE ","20MG","90.00","Select","Select",""],["","00713063831","CICLOPIROX ","0.77%","30.00","Select","Select",""],["","55111019690","CLOPIDOGREL ","75MG","90.00","Select","Select",""],["","73070010315","INSULIN ","FLEXPEN","15.00","Select","Select",""],["","69097081307","GABAPENTIN ","100MG","60.00","Select","Select",""],["","60505082901","FLUTICASONE ","50MCG","16.00","Select","Select",""],["","76282066339","DICLOFENAC ","1%","100.00","Select","Select",""],["","72647033104","METHYLPRED ","4MG","21.00","Select","Select",""],["","45802006435","TRIAMCINOLON ","0.10%","15.00","Select","Select",""],["","99073070914","FREESTYLE    KIT FREEDOM","FREEDOM","1.00","Select","Select",""],["","65862020190","LOSARTAN ","25MG","90.00","Select","Select",""],["","68462063945","NITROGLYCERN ","0.4MG","25.00","Select","Select",""],["","50111032701","HYDRALAZINE ","25MG","270.00","Select","Select",""],["","00781572001","POT  CL MICRO","20MEQ ER","90.00","Select","Select",""],["","16714049401","AMOX\/K ","500-125","30.00","Select","Select",""],["","69097096507","NABUMETONE ","500MG","28.00","Select","Select",""],["","67877022001","CEPHALEXIN ","250MG","21.00","Select","Select",""],["","70461012003","FLUAD ","0.5ML","0.50","Select","Select",""],["","65862007930","TERBINAFINE ","250MG","14.00","Select","Select",""],["","65862085901","FAMOTIDINE ","20MG","90.00","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":["",""]}},{"a":{"indx":["1",""],"comment":["",""],"sub":{"indx":[["","","",""],[""],[""],[""],[""],[""]],"comment":[["","","",""],[""],[""],[""],[""],[""]],"sub":[]}}},{"a":{"indx":["","1"],"comment":["",""]}},{"a":{"indx":["","1"],"comment":["",""]}},{"a":{"indx":["","1"],"comment":["",""]}},{"a":{"indx":["","1"],"comment":["",""]}},{"a":{"indx":["","1"],"comment":["",""]}},{"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":""}]}]}