{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"MARY   E MCALISTER","gend":1,"add":"147 CONLEY HILL RD APT 3","city":"JONESVILLE","state":"VA","zip":"24263-9998","dob":"1983-12-15","age":"","mstatus":"","insh":"20024585*01","cliId":"","pno":"276\/639-8929","cno":"276\/701-3347","email":"","ename":"","eno":"","pphy":"WINEGAR, J BRYSTON MD","ppno":"276\/431-2648","pcpadd":"121 ADVANCED TECHNOLOGY DR","pcpcity":"DUFFIELD","pcpstate":"VA","pcpzip":24244,"pcpcounty":"","pcpid":"","pcpname":"HOLSTON MEDICAL GROUP PC","plan":"OHP","program":"MEDICAID","lob":"OHCC","region":"SOUTHWEST","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"276\/431-2082","pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["F33.1","F41.1","K02.9","K08.89","Z88.5","Z88.1","F17.210","I10.","Z79.899","K04.7","E11.42","M79.7","J45.998","E66.01","Z68.42","E11.9","M10.9","G25.81","G62.9","M51.36","S62.308A","S62.647A","F41.0","N91.2","F33.8","E11.40","R07.9","M94.0","F41.9","Z00.8","Z13.9","Z13.89","F17.200","F32.9","R35.0","M54.16","R39.9","E78.5","M54.5","S02.5XXA","E78.00","K21.9","J44.9","E66.9","R30.0","R31.9","R68.84","H11.32","S20.212A","X58.XXXA","H01.021","H01.022","H01.024","H01.025","J45.909","J41.0","M79.645","R06.02","J06.9","B96.89","F13.20","T42.4X5A","R73.9","Z72.0","H10.022","Z79.84","R51.","E61.1","J42.","R10.9","S63.616A","W23.1XXA","R07.89","S46.911A","M54.9","N39.0","S39.011A","S29.011A","J45.901","F17.211","Z79.51","G89.29","R22.0","J20.9","M25.551","M25.552","M79.671","M79.672","F12.90","I45.10","Z53.21","Z91.14","S90.935A","W01.0XXA","P28.5","P29.30","P60.","P90.","P91.60","Q21.1","P24.01","P22.0","P70.1","P84.","P04.81","S99.922A","M79.675","NO DATA","Z00.00","O45.93","D62.","O76.","Z37.0","Z3A.38","O34.211","O99.284","O99.345","K66.0","O16.4","O99.02","R55.","M19.90"],"date":["2020-11-25","2020-11-25","2022-06-19","2022-10-30","2020-08-25","2020-08-25","2022-10-30","2022-11-16","2022-10-30","2022-10-30","2020-01-15","2020-01-15","2020-01-15","2022-02-17","2020-01-15","2022-10-30","2022-06-27","2021-02-23","2022-05-16","2022-06-27","2021-03-16","2021-04-01","2021-05-24","2021-08-04","2021-10-21","2022-11-16","2020-04-23","2020-04-23","2022-11-16","2020-05-12","2020-05-12","2020-05-12","2020-08-09","2020-05-12","2020-09-21","2022-05-16","2020-11-20","2022-11-16","2021-01-24","2020-06-14","2022-10-30","2022-10-30","2022-10-30","2022-08-08","2020-05-17","2020-05-17","2020-05-21","2020-08-06","2020-07-28","2020-07-28","2021-02-25","2021-02-25","2021-02-25","2021-02-25","2022-11-16","2020-07-24","2021-04-07","2021-05-28","2020-03-08","2020-03-08","2020-04-14","2020-04-14","2020-07-21","2020-08-06","2020-08-06","2022-10-30","2020-08-09","2020-10-13","2021-05-28","2021-01-27","2019-08-25","2019-08-25","2019-11-15","2019-09-25","2019-04-06","2019-04-28","2019-01-06","2019-01-24","2019-02-21","2019-02-21","2019-07-19","2019-11-28","2022-06-19","2019-11-28","2022-06-27","2022-06-27","2022-06-27","2022-06-27","2022-02-17","2022-02-17","2022-03-26","2022-05-16","2022-07-03","2022-07-03","2022-02-18","2022-02-18","2022-02-18","2022-02-18","2022-02-18","2022-02-18","2022-02-18","2022-02-18","2022-02-18","2022-02-18","2022-02-18","2022-07-03","2022-07-03","2022-11-16","2022-08-08","2022-02-17","2022-02-17","2022-02-17","2022-02-17","2022-02-17","2022-02-17","2022-02-17","2022-02-17","2022-02-17","2022-02-17","2022-02-17","2022-02-17","2022-11-16"],"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":[["","16729021616","SERTRALINE","TAB 50MG","30","Select","Select",""],["","16714020030","ONDANSETRON","TAB 4MG ODT","48","Select","Select",""],["","00378718705","METFORMIN","TAB 1000MG","60","Select","Select",""],["","00173068220","VENTOLIN","AER ","18","Select","Select",""],["","69097081512","GABAPENTIN","CAP 400MG","60","Select","Select",""],["","62175013643","OMEPRAZOLE","CAP 40MG","30","Select","Select",""],["","69618004410","DOCUSATE","CAP 100MG","10","Select","Select",""],["","","OXYCOD\/APAP","TAB 5-325MG","","Select","Select",""],["","00121074740","SUCRALFATE","SUS 1GM\/10ML","1200","Select","Select",""],["","","FERROUS","TAB 325MG","","Select","Select",""],["","","CEPHALEXIN","CAP 500MG","","Select","Select",""],["","64380080707","IBUPROFEN","TAB 800MG","30","Select","Select",""],["","","FEROSUL","TAB 325MG","","Select","Select",""],["","68180098103","LISINOPRIL","TAB 20MG","90","Select","Select",""],["","63304069301","CLINDAMYCIN","CAP 300MG","30","Select","Select",""],["","65702073110","ACCU-CHECK","KIT GUIDE ME","1","Select","Select",""],["","99073070914","FREESTYLE    KIT FREEDOM","KIT FREEDOM","1","Select","Select",""],["","56151147002","TRUE","KIT METER","1","Select","Select",""],["","","GLIPIZIDE","TAB 10MG","","Select","Select",""],["","00193731150","CONTOUR","TES NEXT","50","Select","Select",""],["","","SYMBICORT","AER 160-4.5","","Select","Select",""],["","","BUDES\/FORMOT","AER 160-4.5","","Select","Select",""],["","67877057210","ESOMEPRA","CAP 40MG DR","30","Select","Select",""],["","","ROSUVASTATIN","TAB 10MG","","Select","Select",""],["","29300012510","MELOXICAM","TAB 15MG","30","Select","Select",""],["","","AMOX\/K","TAB 875-125","","Select","Select",""],["","00054050823","ICOSAPENT","CAP 1GM","120","Select","Select",""],["","16714068303","SIMVASTATIN","TAB 20MG","30","Select","Select",""],["","00904615760","VITAMIN","TAB 2000UNIT","30","Select","Select",""],["","53885024510","ONETOUCH","TES ULTRA BL","100","Select","Select",""],["","40985027087","MELATONIN","TAB 5MG","30","Select","Select",""],["","52937000120","VASCEPA","CAP 1GM","120","Select","Select",""],["","21922000909","DICLOFENAC","GEL 0.01","100","Select","Select",""],["","","ALBUTEROL","AER HFA","","Select","Select",""],["","00121077508","GG\/CODEINE","SOL 100-10\/5","500","Select","Select",""],["","58657050016","CODEINE\/GG","SOL 10-100\/5","473","Select","Select",""],["","59310057922","PROAIR","AER ","8","Select","Select",""],["","","JANUMET","TAB 50-1000","","Select","Select",""],["","52817033050","CYCLOBENZAPR","TAB 5MG","21","Select","Select",""],["","00115180401","HYDROXYZ","CAP 50MG","60","Select","Select",""],["","00406012301","HYDROCO\/APAP","TAB 5-325MG","6","Select","Select",""],["","57896070310","IRON","TAB 325MG","90","Select","Select",""],["","43547040650","CLONAZEPAM","TAB 0.5MG","30","Select","Select",""],["","70010077005","METHOCARBAM","TAB 750MG","90","Select","Select",""],["","65702040710","ACCU-CHEK","TES AVIVA PL","50","Select","Select",""],["","00228202996","ALPRAZOLAM","TAB 0.5MG","2","Select","Select",""],["","00363041414","ASPIRIN","TAB 81MG EC","90","Select","Select",""],["","65862001501","AMOXICILLIN","TAB 875MG","20","Select","Select",""],["","57237004101","PENICILLN","TAB 500MG","2","Select","Select",""],["","45802065078","LORATADINE","TAB 10MG","30","Select","Select",""],["","","ERYTHROMYCIN","OIN 5MG\/GM","","Select","Select",""],["","00054327099","FLUTICASONE","SPR 50MCG","16","Select","Select",""],["","","CHLORHEX","SOL 0.0012","","Select","Select",""],["","69315090405","LORAZEPAM","TAB 0.5MG","30","Select","Select",""],["","","FLUOXETINE","CAP 20MG","","Select","Select",""],["","65862042001","SMZ\/TMP","TAB 800-160","10","Select","Select",""],["","","NAPROXEN","TAB 500MG","","Select","Select",""],["","65862037501","ESCITALOPRAM","TAB 20MG","30","Select","Select",""],["","11822365230","RA","CAP 1000MG","90","Select","Select",""],["","00781518192","LEVOTHYROXIN","TAB 50MCG","90","Select","Select",""],["","68462013801","OXCARBAZEPIN","TAB 300MG","30","Select","Select",""],["","00006011231","JANUVIA","TAB 50MG","30","Select","Select",""],["","55111068305","IBU","TAB 600MG","90","Select","Select",""],["","68462025301","ROPINIROLE","TAB 0.25MG","15","Select","Select",""],["","16714087401","ATORVASTATIN","TAB 10MG","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":{"indx":[["","","",""],[""],[""],[""],[""],[""]],"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":""}]}]}