{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"BARBARA   J BOONE","gend":1,"add":"5600 CHARLEVOIX CT APT 330","city":"RICHMOND","state":"VA","zip":"23224-9998","dob":"1953-09-30","age":"","mstatus":"","insh":"20024111*01","cliId":"","pno":"804\/225-8260","cno":"","email":"","ename":"","eno":"","pphy":"DEBOER, SARAH E MD","ppno":"804\/780-0840","pcpadd":"719 N 25th St","pcpcity":"RICHMOND","pcpstate":"VA","pcpzip":23223,"pcpcounty":"","pcpid":"","pcpname":"VERNON J HARRIS EAST END COMMUNITY HEALTH CENTER","plan":"OHP","program":"MEDICAID","lob":"OHCC","region":"CENTRAL","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"804\/420-1140","pcpnpi":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["R20.2","H25.11","B20.","H26.9","I10.","M41.9","Z12.31","NO DATA","Z96.1","J44.1","Z20.822","R94.31","R05.1","H25.811","M77.51","J02.9","Z87.891","M20.42","M67.873","M21.41","M21.42","R10.9","Z79.899","N20.0","N39.0","N12.","M25.572","U07.1","R43.9","Z20.828","M76.821","Q66.50","Z03.818","J44.9","Z21.","R25.2","E78.5","R63.5","J98.9","H52.201","Z12.39","R89.9","M10.9","M41.25","Z13.828"],"date":["2020-12-29","2021-05-04","2022-04-22","2021-02-01","2021-08-27","2021-08-09","2021-02-01","2021-02-01","2021-05-14","2021-08-27","2021-08-27","2021-08-27","2022-09-23","2021-05-04","2021-11-18","2021-11-26","2021-11-26","2022-05-18","2022-05-18","2022-05-18","2022-05-18","2020-10-05","2020-10-05","2020-10-19","2020-11-13","2020-11-11","2020-12-29","2022-07-11","2021-08-27","2021-09-14","2022-04-22","2022-04-22","2020-03-23","2020-03-23","2020-03-23","2020-07-13","2021-08-09","2020-07-13","2021-08-27","2021-05-04","2021-08-09","2021-08-16","2022-01-25","2022-11-03","2022-11-03"],"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":[["","62175089146","ATORVASTATIN","TAB 20MG","30","Select","Select",""],["","68180016006","AZITHROMYCIN","TAB 250MG","6","Select","Select",""],["","68382012316","AMLODIPINE","TAB 10MG","30","Select","Select",""],["","00054327099","FLUTICASONE","SPR 50MCG","16","Select","Select",""],["","49702023113","TRIUMEQ","TAB ","30","Select","Select",""],["","00045048102","MOTRIN","TAB 200MG","270","Select","Select",""],["","00093317431","ALBUTEROL","AER HFA","8","Select","Select",""],["","45802065078","LORATADINE","TAB 10MG","30","Select","Select",""],["","00168084401","DICLOFENAC","GEL 0.03","100","Select","Select",""],["","60505083001","MOMETASONE","SPR 50MCG","17","Select","Select",""],["","68462030205","INDOMETHACIN","CAP 50MG","20","Select","Select",""],["","68134020116","NAPROXEN","SUS 125\/5ML","1000","Select","Select",""],["","45802014167","CICLOPIROX","SOL 0.08","7","Select","Select",""],["","00121077504","GG\/CODEINE","SOL 100-10\/5","118","Select","Select",""],["","57896094101","IBUPROFEN","TAB 200MG","90","Select","Select",""],["","42571016242","AMOX\/K","TAB 875-125","20","Select","Select",""],["","68382005101","MELOXICAM","TAB 15MG","30","Select","Select",""],["","59746000103","METHYLPRED","TAB 4MG","21","Select","Select",""],["","60758011910","PREDNISOLONE","SUS 1% OP","10","Select","Select",""],["","60505056000","OFLOXACIN","DRO 0.3% OP","5","Select","Select",""],["","00054001925","PREDNISONE","TAB 50MG","5","Select","Select",""],["","70436000203","POT  CHLORIDE","TAB 10MEQ ER","10","Select","Select",""],["","59310057922","PROAIR","AER ","8","Select","Select",""],["","00245531911","KLOR-CON","TAB 20MEQ ER","5","Select","Select",""],["","00603188016","LIDOCAINE","PAD 0.05","10","Select","Select",""],["","00093310905","AMOXICILLIN","CAP 500MG","30","Select","Select",""],["","78112001746","CHLORASEPTIC","LOZ MAX","15","Select","Select",""],["","55111078430","FEXOFENADINE","TAB 180MG","30","Select","Select",""],["","00904323352","CALCIUM\/D","TAB 600-400","60","Select","Select",""],["","70677004901","SM","TAB 600MG ER","20","Select","Select",""],["","59779076678","PAIN","TAB 325MG","20","Select","Select",""],["","51672415403","CALCIPOTRIEN","OIN 0.00005","240","Select","Select",""],["","60505317007","OMEGA-3-ACID","CAP 1GM","120","Select","Select",""],["","00225038080","AYR","SPR 0.0065","50","Select","Select",""],["","68180012202","CEPHALEXIN","CAP 500MG","20","Select","Select",""],["","68180071160","CEFDINIR","CAP 300MG","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":""}]}]}