{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"LEIDA   M ARAUD","gend":1,"add":"5713 CASTLEBRIDGE ROAD APT 125","city":"FREDERICKSBURG","state":"VA","zip":"22407-9998","dob":"1944-02-12","age":"","mstatus":"","insh":"900038840*01","cliId":"","pno":"787\/536-2718","cno":"","email":"","ename":"","eno":"","pphy":"UMESEGHA, SAMUEL MD","ppno":"540\/656-2950","pcpadd":"STE 101 611 JEFFERSON DAVIS H","pcpcity":"FREDERICKSBURG","pcpstate":"VA","pcpzip":22401,"pcpcounty":"","pcpid":"","pcpname":"WECARE MEDICAL ASSOCIATES","plan":"OHP","program":"MEDICARE","lob":"DSNP","region":"CENTRAL","aligned":"Y","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"540\/656-2957","pcpnpi":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["R39.9","E78.5","E11.65","I10.","E11.9","Z79.4","H04.123","H02.831","H40.1133","H02.834","M79.89","M79.604","R60.9","N30.00","E11.39","E11.40","A41.9","R60.0","I89.0","I73.9","K59.00","E11.649","C18.4","C18.5","J18.9","K42.9","Z01.810","Z01.812","C18.9","Z48.815","K21.9","M62.81","E11.69","Z91.81","Z23.","N39.0","E11.42","R26.89","Z88.8","M85.80","R94.31","I87.2","R10.84","D12.3","K57.30","K64.1","B35.1","M79.609","Z83.3","G62.9","J30.9","B35.3","L85.3","M79.674","M79.675","Z89.429","R50.9","R12.","M79.605","R06.02","Z89.421","T68.XXXA","E87.2","R50.81","Z20.822","K57.90","K80.20","N28.1","K59.09","R68.0","R10.9","J98.4","N32.89","H40.9","M19.90","Z87.442","Z80.3","R10.2","R11.2","K63.5","D49.0","E16.2","T78.40XS","D41.4","F43.22"],"date":["2020-07-08","2021-09-21","2021-11-17","2021-11-17","2021-11-18","2021-09-21","2020-12-04","2020-12-04","2020-12-04","2020-12-04","2021-02-18","2021-02-18","2021-04-14","2021-08-18","2021-08-18","2021-08-18","2021-05-19","2021-06-01","2021-06-01","2021-08-12","2021-09-08","2021-08-18","2021-11-08","2021-11-08","2021-11-18","2021-11-08","2021-11-01","2021-11-01","2021-11-18","2021-11-24","2021-11-16","2021-11-24","2021-11-16","2021-11-16","2021-11-16","2021-11-23","2021-05-13","2020-09-03","2020-11-25","2021-05-19","2020-11-23","2021-02-18","2021-09-21","2021-09-21","2021-10-27","2021-09-21","2021-08-12","2020-11-06","2021-08-18","2021-03-05","2021-04-14","2020-10-16","2020-10-16","2021-02-25","2021-02-25","2021-08-12","2021-11-24","2020-10-29","2021-02-18","2021-05-13","2021-05-05","2021-05-13","2021-05-13","2021-05-13","2021-05-13","2021-10-27","2021-10-27","2021-10-27","2021-05-13","2021-05-13","2021-08-18","2021-11-08","2020-07-09","2021-05-13","2021-05-13","2021-05-13","2021-05-13","2021-05-13","2021-05-13","2021-09-21","2021-09-21","2021-06-18","2021-06-18","2021-07-23","2021-11-18"],"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":[]}]},{"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":[["","00088221905","LANTUS SOLOSTAR                                                       ","100\/ML","21","Select","Select",""],["","70377000315","SIMVASTATIN                                                           ","20MG","30","Select","Select",""],["","53885027210","ONETOUCH VERIO TEST STRIPS                                            ","VERIO","200","Select","Select",""],["","00135061503","FLONASE SENSIMIST                                                     ","27.5MCG","9","Select","Select",""],["","62175061743","PANTOPRAZOLE SODIUM                                                   ","40MG","90","Select","Select",""],["","00002879959","HUMALOG KWIKPEN                                                       ","100\/ML","30","Select","Select",""],["","45802091987","CETIRIZINE HYDROCHLORIDE                                              ","10MG","90","Select","Select",""],["","08290320122","BD PEN NEEDLE\/NANO\/ULTRA -FINE\/32G X 4MM                              ","32GX4MM","400","Select","Select",""],["","53885014201","ONETOUCH DELICA LANCING DEVICE                                        ","LANC DEV","1","Select","Select",""],["","68180030260","CEFUROXIME AXETIL                                                     ","250MG","20","Select","Select",""],["","70710113908","FLUCONAZOLE                                                           ","150MG","1","Select","Select",""],["","64980051405","TIMOLOL MALEATE                                                       ","0.5% OP","15","Select","Select",""],["","50580072636","ZYRTEC ALLERGY                                                        ","10MG","90","Select","Select",""],["","00169633910","NOVOLOG FLEXPEN                                                       ","FLEXPEN","45","Select","Select",""],["","69452015120","VITAMIN D                                                             ","50000UNT","13","Select","Select",""],["","00093321915","KETOCONAZOLE                                                          ","2%","-30","Select","Select",""],["","00378020810","FUROSEMIDE                                                            ","20MG","20","Select","Select",""],["","49281072010","FLUBLOK QUADRIVALENT 2020-2021                                        ","2020-21","0","Select","Select",""],["","16477034003","UREA                                                                  ","40%","28","Select","Select",""],["","00378064010","PREDNISONE                                                            ","5MG","30","Select","Select",""],["","58160082311","SHINGRIX                                                              ","50\/0.5ML","1","Select","Select",""],["","65862053750","LEVOFLOXACIN                                                          ","500MG","7","Select","Select",""],["","00023320503","LUMIGAN                                                               ","0.01%","2","Select","Select",""],["","23155000810","HYDROCHLOROTHIAZIDE                                                   ","25MG","10","Select","Select",""],["","65162044210","MECLIZINE HYDROCHLORIDE                                               ","25MG","30","Select","Select",""],["","59746012106","MECLIZINE HCL                                                         ","25MG","-30","Select","Select",""],["","08290320550","BD PEN NEEDLE\/NANO 2ND GEN\/32G X 5\/32\"                                ","32GX5\/32","400","Select","Select",""],["","31722070190","LOSARTAN POTASSIUM                                                    ","50MG","30","Select","Select",""],["","59779045888","CVS ALLERGY RELIEF                                                    ","10MG","90","Select","Select",""],["","00143992801","CIPROFLOXACIN HYDROCHLORIDE                                           ","500MG","8","Select","Select",""],["","47781030801","NITROFURANTOIN MACROCRYSTALS                                          ","100MG","90","Select","Select",""],["","59779003875","CVS STOOL SOFTENER                                                    ","100MG","30","Select","Select",""],["","00536124701","SENEXON-S                                                             ","8.6-50MG","60","Select","Select",""],["","45802048678","DOCUSATE SODIUM                                                       ","100MG","30","Select","Select",""],["","65862042005","SULFAMETHOXAZOLE\/TRIMETHOPRIM DS                                      ","800-160","10","Select","Select",""],["","50428050854","CVS PURELAX                                                           ","","3","Select","Select",""],["","69238148503","ERYTHROMYCIN BASE                                                     ","500MG BS","3","Select","Select",""],["","50428231183","CVS MAGNESIUM CITRATE                                                 ","CHERRY","296","Select","Select",""],["","42858010201","OXYCODONE\/ACETAMINOPHEN                                               ","5-325MG","-20","Select","Select",""],["","08290329515","BD AUTOSHIELD DUO 30G X 5MM                                           ","30GX5MM","100","Select","Select",""],["","00093117701","NEOMYCIN SULFATE                                                      ","500MG","6","Select","Select",""],["","50428030808","CVS GENTLE LAXATIVE                                                   ","5MG EC","30","Select","Select",""],["","59267100001","PFIZER-BIONTECH COVID-19 VACCINE                                      ","COVID-19","0","Select","Select",""],["","51672130803","CLOTRIMAZOLE\/BETAMETHASONE DIPROPIONATE                               ","DIPROP","30","Select","Select",""],["","00002822259","INSULIN LISPRO KWIKPEN                                                ","100\/ML","12","Select","Select",""],["","00088222033","LANTUS                                                                ","100\/ML","10","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":["",""]}},{"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":""}]}]}