{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"TANIKA   L DRAWHORN","gend":1,"add":"1151 HILLOCK XING","city":"VIRGINIA BEACH","state":"VA","zip":"23455-9998","dob":"1978-03-07","age":"","mstatus":"","insh":"1982072*01","cliId":"","pno":"757\/339-2480","cno":"","email":"","ename":"","eno":"","pphy":"RILES JR, NATHAN L MD","ppno":"757\/424-4442","pcpadd":"6632 INDIAN RIVER RD","pcpcity":"VIRGINIA BEACH","pcpstate":"VA","pcpzip":23464,"pcpcounty":"","pcpid":"","pcpname":"Nowcare Medical Associates","plan":"OHP","program":"MEDICAID","lob":"M4","region":"TIDEWATER","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"757\/623-4765","pcpnpi":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["M22.42","M25.562","R26.89","F43.23","Z01.419","Z12.39","V58.89","F41.1","F90.2","F31.81","F25.0","F43.10","N89.8","F33.1","U07.1","Z88.0","NO DATA","F90.9","M72.2","G89.29","D57.3","M79.671","S16.1XXA","S39.012A","F41.8","R51.","F32.1","F43.22","S13.4XXA","M54.5","L70.0","L27.1","J02.9","V89.2XXA","E66.9","Z68.38","H10.413","F90.0","F31.32","M43.6","L81.0","R25.2","S33.5XXA","I10.","R10.32","R06.2","F31.12","M54.2","L81.9"],"date":["2020-06-23","2022-05-22","2020-06-05","2021-08-11","2021-08-05","2021-08-05","2020-09-07","2022-06-03","2022-02-23","2021-08-11","2022-02-23","2022-02-23","2021-08-05","2022-03-04","2020-11-13","2022-05-22","2020-11-13","2022-03-04","2022-05-22","2022-05-22","2022-05-22","2022-05-22","2020-07-28","2020-07-28","2020-07-16","2020-07-28","2021-05-19","2021-05-19","2020-09-11","2020-09-11","2021-10-27","2020-10-14","2021-07-09","2020-07-16","2021-10-12","2021-10-12","2022-03-04","2022-06-03","2022-06-03","2021-02-17","2021-10-27","2020-07-11","2020-07-11","2021-10-28","2021-10-28","2021-10-28","2020-04-16","2021-02-17","2022-11-08"],"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":[["","64380080707","IBUPROFEN","TAB 800MG","90","Select","Select",""],["","00555097302","AMPHET\/DEXTR","TAB 20MG","60","Select","Select",""],["","68462013801","OXCARBAZEPIN","TAB 300MG","75","Select","Select",""],["","69097084905","ESCITALOPRAM","TAB 20MG","30","Select","Select",""],["","68180031909","BUPROPN","TAB 150MG XL","30","Select","Select",""],["","65862018601","CLINDAMYCIN","CAP 300MG","21","Select","Select",""],["","60505082901","FLUTICASONE","SPR 50MCG","16","Select","Select",""],["","69315090405","LORAZEPAM","TAB 0.5MG","60","Select","Select",""],["","00378875006","DICLOFENAC","GEL 0.01","100","Select","Select",""],["","00781808926","AZITHROMYCIN","TAB 250MG","6","Select","Select",""],["","11917004918","ACETAMIN","TAB 500MG","21","Select","Select",""],["","00378427577","VALACYCLOVIR","TAB 500MG","30","Select","Select",""],["","68462079965","NYSTAT\/TRIAM","OIN ","60","Select","Select",""],["","50111033402","METRONIDAZOL","TAB 500MG","14","Select","Select",""],["","69367024201","NABUMETONE","TAB 750MG","60","Select","Select",""],["","00187516220","RETIN-A","CRE 0.0005","20","Select","Select",""],["","52817033200","CYCLOBENZAPR","TAB 10MG","15","Select","Select",""],["","68462019005","NAPROXEN","TAB 500MG","30","Select","Select",""],["","45802065087","LORATADINE","TAB 10MG","30","Select","Select",""],["","42806040021","METHYLPRED","TAB 4MG","21","Select","Select",""],["","65862090901","CELECOXIB","CAP 200MG","30","Select","Select",""],["","69452015120","VITAMIN","CAP 50000UNT","4","Select","Select",""],["","29300012510","MELOXICAM","TAB 15MG","30","Select","Select",""],["","00143129201","METHOCARBAM","TAB 750MG","15","Select","Select",""],["","00054418425","DEXAMETHASON","TAB 4MG","10","Select","Select",""],["","51672128402","TRIAMCINOLON","OIN 0.001","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":["",""],"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":""}]}]}