{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"CHARLOTTE NEWMAN","gend":1,"add":"7217 BRAY ROAD","city":"HAYES","state":"VA","zip":"23072-9998","dob":"1990-08-29","age":"","mstatus":"","insh":"1966299*01","cliId":"","pno":"757\/707-6744","cno":"","email":"","ename":"","eno":"","pphy":"JOHNSON, KIMBERLY A FNP","ppno":"757\/736-3725","pcpadd":"100 ENTERPRISE DR","pcpcity":"YORKTOWN","pcpstate":"VA","pcpzip":23692,"pcpcounty":"","pcpid":"","pcpname":"SMG - Sentara Family & Internal Medicine Physicians - Yorktown","plan":"OHP","program":"MEDICAID","lob":"M4","region":"TIDEWATER","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"757\/431-7782","pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["K76.0","E66.9","Z71.82","Z71.3","L68.0","N92.6","I10.","E03.9","E55.9","R20.9","K59.09","E63.8","N89.8","T19.2XXA","F33.2","F41.1","I63.9","R47.01","F33.42","F33.1","Z62.819","R68.89","Z86.73","M79.89","S14.141A","G95.11","R06.00","R60.9","S93.402A","J06.9","J02.9","L03.213","Z79.899","H01.009","L02.213","M43.6","Z30.49","T78.40XA","K12.0","E78.1","E78.5","J30.89","R60.0","E66.01","R35.0","Z68.35","F33.0"],"date":["2020-09-01","2021-04-23","2020-09-01","2021-05-25","2020-09-01","2020-09-01","2022-09-28","2022-09-28","2022-09-28","2021-01-13","2021-05-25","2021-05-25","2021-09-08","2021-09-08","2021-09-08","2022-06-29","2020-08-03","2020-08-06","2021-10-06","2021-11-03","2021-11-03","2021-01-12","2021-01-12","2021-01-12","2021-01-12","2021-01-12","2021-06-28","2021-06-28","2019-08-26","2019-09-22","2019-09-22","2019-04-02","2019-03-18","2019-03-18","2019-03-18","2019-04-08","2019-02-12","2019-01-07","2019-06-22","2019-04-10","2022-09-28","2022-09-28","2022-09-28","2022-09-28","2022-09-28","2022-09-28","2022-06-29"],"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":{"indx":[false,false],"comment":["",""],"score":["",""]}},{"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":[["","","AMLODIPINE","TAB 10MG","","Select","Select",""],["","16571040250","CETIRIZINE","TAB 10MG","60","Select","Select",""],["","31722000490","VENLAFAXINE","CAP 150MG ER","30","Select","Select",""],["","","ASPIRIN","TAB 81MG EC","","Select","Select",""],["","","HYDRALAZINE","TAB 25MG","","Select","Select",""],["","","EUTHYROX","TAB 25MCG","","Select","Select",""],["","","SPIRONOLACT","TAB 25MG","","Select","Select",""],["","","METOPROL","TAB 100MG","","Select","Select",""],["","","ATORVASTATIN","TAB 40MG","","Select","Select",""],["","00781518392","LEVOTHYROXIN","TAB 88MCG","30","Select","Select",""],["","62332041510","OSELTAMIVIR","CAP 75MG","10","Select","Select",""],["","11877001140","BINAXNOW","KIT HOME TES","2","Select","Select",""],["","42806054701","VITAMIN","CAP 1.25MG","12","Select","Select",""],["","49035045895","ALLERGY","TAB 10MG","60","Select","Select",""],["","50111033402","METRONIDAZOL","TAB 500MG","14","Select","Select",""],["","49348098023","SM","TAB 81MG EC","30","Select","Select",""],["","16714008210","HYDROXYZ","TAB 25MG","90","Select","Select",""],["","00378064110","PREDNISONE","TAB 10MG","10","Select","Select",""],["","","VANIQA","CRE 0.139","","Select","Select",""],["","","LISINOPRIL","TAB 10MG","","Select","Select",""],["","00555902658","JUNEL","TAB 44581","28","Select","Select",""],["","49502010202","EPINEPHRINE","INJ 0.3MG","2","Select","Select",""],["","47781055401","LABETALOL","TAB 300MG","120","Select","Select",""],["","68645051054","HYDROCHLOROT","TAB 25MG","30","Select","Select",""],["","68645051890","CYCLOBENZAPR","TAB 10MG","10","Select","Select",""],["","31722054301","INDOMETHACIN","CAP 50MG","15","Select","Select",""],["","31722059590","FENOFIBRATE","TAB 48MG","30","Select","Select",""],["","63304069301","CLINDAMYCIN","CAP 300MG","30","Select","Select",""],["","50383077504","LIDOCAINE","SOL 2% VISC","100","Select","Select",""],["","50111078751","AZITHROMYCIN","TAB 250MG","6","Select","Select",""],["","69452014430","BENZONATATE","CAP 200MG","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":""}]}]}