{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"KATHERINE   E BOYER","gend":1,"add":"924 MAXIMUS SQ APT 204","city":"VIRGINIA BEACH","state":"VA","zip":"23451-9998","dob":"1970-01-28","age":"","mstatus":"","insh":"1731383*01","cliId":"","pno":"757\/275-5022","cno":"757\/275-5022","email":"","ename":"","eno":"","pphy":"JUER, ROBERT MD","ppno":"757\/305-1797","pcpadd":"828 HEALTHY WAY STE 220","pcpcity":"VIRGINIA BEACH","pcpstate":"VA","pcpzip":23462,"pcpcounty":"","pcpid":"","pcpname":"BON SECOURS MEDICAL ASSOCIATES","plan":"OHP","program":"MEDICAID","lob":"OHCC","region":"TIDEWATER","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"757\/309-4715","pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["N95.1","F33.1","F41.1","G47.00","F90.0","Z20.828","R53.83","R19.7","NO DATA","F33.0","F90.2","M70.841","S13.9XXA","I10.","Z23.","F32.9","Z68.29","F98.8","K21.9","M54.2","M54.9","F17.200","M65.9","Z20.822","J06.9","Z00.00","Z12.11","Z12.39","J98.01","J20.9","R05.9","U07.1","N39.0","R53.81","R42.","F17.210","R30.9","Z20.2","N89.8","J40.","R11.0","R73.09","M65.4","N64.59","Z87.440","Z01.419","Z03.818","Z76.89","M20.11","M20.12","M79.671","J10.1","Z72.0","K52.9","B34.9"],"date":["2020-11-19","2021-11-24","2022-10-17","2021-11-24","2021-11-24","2022-06-08","2022-08-18","2021-08-06","2021-08-06","2022-10-17","2022-10-17","2022-07-15","2021-05-05","2022-04-18","2021-08-11","2022-04-18","2021-08-11","2021-08-11","2021-08-11","2021-08-11","2021-08-11","2022-04-18","2021-08-11","2021-09-16","2021-09-16","2021-11-15","2021-11-15","2021-11-15","2022-09-28","2022-02-28","2022-02-28","2021-03-24","2022-06-08","2021-11-24","2021-11-24","2021-11-24","2022-02-23","2022-02-23","2022-02-23","2020-03-12","2022-04-18","2022-04-18","2022-08-18","2022-08-18","2022-08-18","2022-09-22","2021-12-23","2021-10-11","2021-12-14","2021-12-14","2021-12-14","2020-03-06","2020-03-06","2021-07-28","2021-12-23"],"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":[]},{"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":[["","47781017901","AMPHET\/DEXTR","TAB 20MG","60","Select","Select",""],["","50111043302","TRAZODONE","TAB 50MG","30","Select","Select",""],["","62332002431","FLUOXETINE","CAP 40MG","30","Select","Select",""],["","59310057922","PROAIR","AER ","8","Select","Select",""],["","13668021730","ARIPIPRAZOLE","TAB 5MG","30","Select","Select",""],["","50111078751","AZITHROMYCIN","TAB 250MG","6","Select","Select",""],["","00781286810","OMEPRAZOLE","CAP 20MG","90","Select","Select",""],["","00046087221","PREMARIN","CRE 0.625MG","30","Select","Select",""],["","00378064205","PREDNISONE","TAB 20MG","5","Select","Select",""],["","47781030301","NITROFURANTN","CAP 100MG","10","Select","Select",""],["","68180059306","DESVENLAFAX","TAB 100MG ER","30","Select","Select",""],["","68462010530","ONDANSETRON","TAB 4MG","21","Select","Select",""],["","31722070090","LOSARTAN","TAB 25MG","90","Select","Select",""],["","68462019005","NAPROXEN","TAB 500MG","20","Select","Select",""],["","68180012101","CEPHALEXIN","CAP 250MG","28","Select","Select",""],["","51672128901","NYSTATIN","CRE 100000","15","Select","Select",""],["","66993001968","ALBUTEROL","AER HFA","18","Select","Select",""],["","65862050320","AMOX\/K","TAB 875-125","14","Select","Select",""],["","73796045801","COMP","MIS COMP\/NEB","1","Select","Select",""],["","47335075649","IPRATROPIUM\/","SOL ALBUTER","90","Select","Select",""],["","00555088602","ESTRADIOL","TAB 1MG","30","Select","Select",""],["","17478076610","PROGESTERONE","CAP 100MG","60","Select","Select",""],["","00115174801","METAXALONE","TAB 800MG","15","Select","Select",""],["","55111068405","IBU","TAB 800MG","90","Select","Select",""],["","68645056259","IBUPROFEN","TAB 600MG","20","Select","Select",""],["","59267100002","PFIZER","INJ COVID-19","0","Select","Select",""],["","13107008305","LORAZEPAM","TAB 0.5MG","14","Select","Select",""],["","14539067401","HYDROXYZ","CAP 25MG","120","Select","Select",""],["","16729018201","HYDROCHLOROT","TAB 12.5MG","90","Select","Select",""],["","54092039101","ADDERALL","CAP 30MG","30","Select","Select",""],["","00173068220","VENTOLIN","AER ","18","Select","Select",""],["","49035030882","PAIN","TAB 500MG","40","Select","Select",""],["","42806071401","BENZONATATE","CAP 100MG","20","Select","Select",""],["","68382004101","PROMETHAZINE","TAB 25MG","20","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":["",""],"sub":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"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":""}]}]}