{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"BONNIE   L ROWE","gend":1,"add":"1116 RICHMOND HOLLOW RD PO BOX 411","city":"OAKWOOD","state":"VA","zip":"24631-9998","dob":"1942-04-25","age":"","mstatus":"","insh":"900041951*01","cliId":"","pno":"276\/498-0042","cno":"276\/963-5289","email":"","ename":"","eno":"","pphy":"KABARIA, RAMESH MD","ppno":"276\/498-4571","pcpadd":"13430 RIVER SIDE DR","pcpcity":"OAKWOOD","pcpstate":"VA","pcpzip":24631,"pcpcounty":"","pcpid":"","pcpname":"RAMESH KABARIA MD PC","plan":"OHP","program":"MEDICARE","lob":"DSNP","region":"SOUTHWEST","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":["M48.061","M51.16","M51.27","M54.9","R20.0","I70.0","I65.23","R53.1","F17.210","E11.51","I12.9","E66.09","Z68.24","I35.0","E78.5","I48.19","E11.22","N18.30","R01.1","K21.9","Z79.01","F17.219","Z13.6","E11.9","H54.3","I10.","I48.91","E11.69","R51.9","E11.65","H54.7","I70.90","F17.200","I73.9","R20.2","E11.39","I16.1","L03.90","H35.52","E11.43","E11.21","I25.10","Z86.73","Z79.899","E55.9","Z51.81","L03.115","Z03.818","I48.0","N18.4","R29.898","F17.218","Z71.6","R00.2","M10.9","I51.7"],"date":["2021-06-26","2021-06-26","2021-06-26","2021-06-26","2021-06-28","2021-07-27","2021-07-27","2021-06-26","2021-06-26","2021-06-26","2021-06-26","2021-06-26","2021-06-26","2021-06-26","2021-07-21","2021-06-26","2021-06-26","2021-06-26","2021-06-26","2021-06-26","2021-10-07","2021-07-27","2021-07-27","2021-10-07","2021-08-12","2021-10-07","2021-10-07","2021-06-26","2021-07-22","2021-07-22","2021-07-22","2021-06-28","2021-06-28","2021-06-28","2021-07-13","2021-07-13","2021-07-21","2021-04-30","2021-04-30","2021-04-30","2021-04-30","2021-07-21","2021-07-21","2021-07-21","2021-04-23","2021-04-23","2021-04-23","2021-04-30","2021-01-25","2021-01-25","2021-06-28","2021-06-28","2021-06-28","2021-10-07","2021-10-07","2021-06-26"],"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":[["","00597035509","PRADAXA                                                               ","75MG","180","Select","Select",""],["","00093506001","HYDROXYZINE HYDROCHLORIDE                                             ","10MG","90","Select","Select",""],["","31722070190","LOSARTAN POTASSIUM                                                    ","50MG","180","Select","Select",""],["","00172572860","FAMOTIDINE                                                            ","20MG","90","Select","Select",""],["","60505017009","PRAVASTATIN SODIUM                                                    ","40MG","90","Select","Select",""],["","43598091090","FENOFIBRATE                                                           ","160MG","90","Select","Select",""],["","16714089401","GLIPIZIDE ER                                                          ","2.5MG","270","Select","Select",""],["","80681017400","VITAMIN D3                                                            ","50000UNT","3","Select","Select",""],["","62175013643","OMEPRAZOLE                                                            ","40MG","30","Select","Select",""],["","16714085201","METOPROLOL SUCCINATE ER                                               ","25MG ER","180","Select","Select",""],["","00093031901","DILTIAZEM HCL                                                         ","60MG","180","Select","Select",""],["","58657067601","CIPROFLOXACIN HYDROCHLORIDE                                           ","500MG","20","Select","Select",""],["","57237009960","CEFDINIR                                                              ","300MG","20","Select","Select",""],["","68462018022","MUPIROCIN                                                             ","2%","44","Select","Select",""],["","42806054701","VITAMIN D                                                             ","1.25MG","12","Select","Select",""],["","50111032701","HYDRALAZINE HYDROCHLORIDE                                             ","25MG","90","Select","Select",""],["","43598044874","NICOTINE TRANSDERMAL SYSTEM                                           ","21MG\/24H","28","Select","Select",""],["","29300012810","HYDROCHLOROTHIAZIDE                                                   ","25MG","30","Select","Select",""],["","00003089421","ELIQUIS                                                               ","5MG","180","Select","Select",""],["","08617187104","                                                                      ","","100","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":""}]}]}