{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"HELEN L JENNINGS","gend":1,"add":"5101 KANAWHA TRL","city":"COVINGTON","state":"VA","zip":"24426-9998","dob":"1941-04-25","age":"","mstatus":"","insh":"900039826*01","cliId":"","pno":"540\/559-3077","cno":"","email":"","ename":"","eno":"","pphy":"HENDERSON, ROBERT J DO","ppno":"540\/862-6750","pcpadd":"SUITE 800 200 ARH LANE","pcpcity":"COVINGTON","pcpstate":"VA","pcpzip":24426,"pcpcounty":"","pcpid":"","pcpname":"PATRICIA W HENDERSON DO PC","plan":"OHP","program":"MEDICARE","lob":"DSNP","region":"ROANOKE ALLEGHANY","aligned":"Y","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"540\/862-3742","pcpnpi":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["E83.52","R94.4","R09.81","J01.00","J30.9","L97.511","E11.42","L97.521","B35.1","L84.","N63.15","C50.111","Z17.0","E53.8","I10.","M51.36","N28.9","N64.9","R92.8","C50.919","I51.9","E11.9","R30.0","E78.1","H25.13","H04.123","H02.831","C50.811","Z01.810","C50.311","N18.30","E11.621","Q66.71","Q66.72","R60.0","S80.812A","M21.172","M21.171","M77.42","M79.672","M79.662","Z12.31","N63.41","E87.5","D64.9","R82.79","L30.9","N63.10","J01.90","C44.721","M21.379","M20.41","M20.42","M77.41","Z20.822","H25.12","M48.061","R20.2","G89.29","C44.729","L57.0","Z85.828","M81.0","I12.9","E11.22","N18.31","D63.1","E78.2","N95.0","R30.9","H40.053","H25.812","M21.371","M21.372","K21.9","E78.00","C50.911","H02.834","M19.90","R31.29","F41.1"],"date":["2020-11-03","2020-11-03","2021-11-11","2021-01-19","2021-11-11","2021-10-26","2021-12-09","2021-10-26","2021-03-18","2021-03-18","2021-03-18","2021-09-07","2021-12-09","2021-12-09","2021-10-04","2020-10-13","2020-10-13","2021-03-18","2021-03-18","2021-08-10","2020-08-11","2021-10-04","2020-08-11","2021-10-04","2021-07-20","2021-07-20","2021-03-16","2021-03-25","2021-05-12","2021-12-09","2021-06-16","2021-10-26","2021-09-14","2021-10-05","2020-08-11","2021-02-11","2021-02-11","2021-02-11","2021-02-11","2021-02-11","2021-02-11","2021-03-11","2021-03-25","2021-06-17","2021-10-04","2021-10-04","2020-08-10","2021-03-25","2021-11-11","2020-09-22","2020-10-01","2020-10-01","2020-10-01","2020-10-01","2021-05-12","2021-09-01","2021-10-04","2020-09-11","2020-09-11","2020-09-22","2020-09-22","2020-09-22","2021-08-10","2021-08-10","2021-08-10","2021-08-10","2021-08-10","2021-08-10","2021-08-10","2021-09-16","2021-10-14","2021-11-04","2020-12-03","2020-12-03","2021-10-04","2021-05-12","2021-12-07","2021-07-20","2021-08-10","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":[["","53885024510","ONETOUCH ULTRA ","ULTRA","-100","Select","Select",""],["","45802006435","TRIAMCINOLONE ACETONIDE ","0.10%","45","Select","Select",""],["","51293081101","PHENAZOPYRIDINE HCL ","200MG","6","Select","Select",""],["","67877022310","GABAPENTIN ","300MG","90","Select","Select",""],["","00143992701","CIPROFLOXACIN HYDROCHLORIDE ","250MG","10","Select","Select",""],["","68645058259","METFORMIN HYDROCHLORIDE ","500MG","270","Select","Select",""],["","00228202950","ALPRAZOLAM ","0.5MG","90","Select","Select",""],["","00093101042","MUPIROCIN ","2%","22","Select","Select",""],["","00093005805","TRAMADOL HCL ","50MG","40","Select","Select",""],["","68645055354","LISINOPRIL ","20MG","30","Select","Select",""],["","68382005105","MELOXICAM ","15MG","30","Select","Select",""],["","49281012065","FLUZONE HIGH-DOSE PF 2020-2021 ","PF 20-21","1","Select","Select",""],["","68645051554","AMLODIPINE BESYLATE ","5MG","-30","Select","Select",""],["","55111015930","OMEPRAZOLE ","40MG","90","Select","Select",""],["","68180047903","SIMVASTATIN ","20MG","90","Select","Select",""],["","00054327099","FLUTICASONE PROPIONATE ","50MCG","48","Select","Select",""],["","67877021905","CEPHALEXIN ","500MG","14","Select","Select",""],["","65162083366","DICLOFENAC SODIUM ","1%","100","Select","Select",""],["","68645057054","CITALOPRAM ","20MG","90","Select","Select",""],["","31722059690","FENOFIBRATE ","145MG","90","Select","Select",""],["","29300022019","MONTELUKAST SODIUM ","10MG","90","Select","Select",""],["","00603533831","PREDNISONE ","10MG","48","Select","Select",""],["","67877021660","CEFUROXIME AXETIL ","500MG","20","Select","Select",""],["","00093762056","LETROZOLE ","2.5MG","84","Select","Select",""],["","43547040111","FUROSEMIDE ","20MG","30","Select","Select",""],["","00173071920","FLOVENT HFA ","110MCG","-36","Select","Select",""],["","00006483703","PNEUMOVAX 23 ","25\/0.5","0","Select","Select",""],["","59762033302","LATANOPROST ","0.01%","-5","Select","Select",""],["","65162068210","PHENAZOPYRIDINE HYDROCHLORIDE ","200MG","6","Select","Select",""],["","49281012165","FLUZONE HIGH-DOSE PF 2021-2022 ","2021-22","1","Select","Select",""],["","00143924920","AMOXICILLIN\/CLAVULANATE POTASSIUM ","875-125","20","Select","Select",""],["","00143962125","CYANOCOBALAMIN ","1000MCG","3","Select","Select",""],["","13668001001","CITALOPRAM HYDROBROMIDE ","20MG","90","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":""}]}]}