{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"KATHERINE MASON","gend":1,"add":"232 CARRIAGE RUN APT A","city":"EMPORIA","state":"VA","zip":"23847-9998","dob":"1962-09-24","age":"","mstatus":"","insh":"900039156*01","cliId":"","pno":"434\/634-0460","cno":"","email":"","ename":"","eno":"","pphy":"TEMPLE, AMANDA NP","ppno":"","pcpadd":"511 BELFIELD DRIVE","pcpcity":"EMPORIA","pcpstate":"VA","pcpzip":23847,"pcpcounty":"","pcpid":"","pcpname":"SOUTHSIDE PHYSICIANS NETWORK - FAMILY MEDICINE","plan":"OHP","program":"MEDICARE","lob":"DSNP","region":"CENTRAL","aligned":"Y","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"","pcpnpi":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["R06.02","I10.","E78.5","E66.3","M20.31","M20.12","E11.9","L60.3","L60.2","M79.673","L60.1","E87.6","G93.41","I16.0","K21.9","T38.3X5A","E11.649","M19.90","G47.33","J45.20","F41.1","Z79.4","Z79.899","G80.1","F99.","I70.1","R39.81","N39.44","F81.9","L85.1","M79.674","L60.0","R60.0","R53.83","R53.1","R25.2","R00.2","I49.9","R10.9","Z68.21","E86.0","M79.10","R41.0","R63.4","R09.89","R01.1","J20.9","S89.91XA","R94.39","I63.9","Z99.89","Z68.25","E78.2","R41.3","K44.9","Z12.11","K59.00","I73.9","Z87.448","Z68.28","L60.8","Z68.23","E16.2","D64.9","M62.81","R26.89","Z79.84","R41.82","R06.00","Z12.31","Z68.24"],"date":["2021-10-08","2021-10-08","2021-10-08","2020-09-02","2021-07-27","2021-07-27","2021-10-04","2021-07-27","2021-07-27","2021-07-27","2021-07-27","2021-07-27","2021-06-25","2021-06-17","2021-09-22","2021-06-17","2021-06-17","2021-06-17","2021-09-01","2021-09-01","2021-09-01","2021-06-17","2021-09-22","2021-09-01","2021-08-12","2021-09-22","2020-10-09","2020-10-09","2020-10-09","2021-07-27","2021-07-27","2021-07-27","2021-07-27","2021-07-27","2021-07-27","2021-07-27","2021-07-27","2021-07-27","2021-07-29","2021-07-29","2021-07-30","2021-07-30","2021-07-29","2021-07-29","2021-08-02","2021-10-08","2021-02-15","2021-04-16","2021-07-15","2021-06-21","2021-06-21","2021-09-01","2021-09-01","2021-09-01","2021-09-17","2021-05-23","2021-07-29","2021-09-16","2021-09-16","2020-07-27","2020-09-03","2021-04-15","2021-06-25","2021-06-25","2021-07-14","2021-07-14","2021-08-12","2021-06-16","2021-08-02","2021-10-04","2021-10-04"],"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":[["","31722070290","LOSARTAN POTASSIUM                                                    ","100MG","90","Select","Select",""],["","00006057561","JANUMET                                                               ","50-500MG","60","Select","Select",""],["","00093716456","TOLTERODINE TARTRATE ER                                               ","4MG ER","90","Select","Select",""],["","76385011350","CARVEDILOL                                                            ","25MG","60","Select","Select",""],["","00228212750","CLONIDINE HCL                                                         ","0.1MG","180","Select","Select",""],["","59651000305","OMEPRAZOLE DR                                                         ","40MG","90","Select","Select",""],["","68382075810","METFORMIN HYDROCHLORIDE                                               ","500MG","180","Select","Select",""],["","70377002711","ATORVASTATIN CALCIUM                                                  ","10MG","90","Select","Select",""],["","60505014101","GLIPIZIDE                                                             ","5MG","90","Select","Select",""],["","23155000201","HYDRALAZINE HYDROCHLORIDE                                             ","25MG","90","Select","Select",""],["","50742062001","NIFEDIPINE ER                                                         ","30MG ER","90","Select","Select",""],["","68382097001","CHLORTHALIDONE                                                        ","25MG","90","Select","Select",""],["","31604002576","MAGNESIUM                                                             ","400MG","30","Select","Select",""],["","14539067401","HYDROXYZINE PAMOATE                                                   ","25MG","20","Select","Select",""],["","13668000905","CITALOPRAM HYDROBROMIDE                                               ","10MG","90","Select","Select",""],["","00228202750","ALPRAZOLAM                                                            ","0.25MG","45","Select","Select",""],["","42806016105","HYDROXYZINE HCL                                                       ","50MG","20","Select","Select",""],["","00093083205","CLONAZEPAM                                                            ","0.5MG","30","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":""}]}]}