{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"ODELL  L JOHNSON","gend":0,"add":"1802 MARSHALL AVE","city":"NEWPORT NEWS","state":"VA","zip":23607,"dob":"1968-09-05","age":"","mstatus":"","insh":"20030080*01","cliId":"","pno":"804\/210-6541","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"757\/380-8709","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":23607,"pcpcounty":"","pcpid":"","pcpname":"PENINSULA INSTITUTE FOR COMMUNITY HEALTH","plan":"OHP","program":"Medicaid","lob":"OHCC","region":"TIDEWATER","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"757\/952-1345","pcpnpi":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["F33.1","E11.9","I10.","E78.00","M25.512","N28.9","N52.9","Z12.11","M25.521","H10.31","K04.7","E66.01","Z68.39","F17.210","K02.9","NO DATA","F20.9","G56.01","M75.52","G56.21","G51.0","R29.810","R13.12","F80.9","E66.3","B02.9","B01.9","K08.89","E66.9","F17.200","F25.9","S83.242A","M17.12","M25.562","M25.462","R22.0","F20.0","G47.00","F32.1","Z12.5"],"date":["2020-08-04","2022-06-10","2022-06-10","2022-06-10","2020-03-05","2020-03-05","2020-03-05","2021-12-09","2020-03-05","2020-07-14","2020-07-14","2020-07-14","2020-07-14","2020-07-14","2020-07-28","2020-07-14","2022-11-19","2020-05-15","2020-03-24","2020-05-15","2020-08-10","2020-09-17","2020-09-17","2020-09-17","2021-12-09","2020-07-20","2020-07-20","2020-07-28","2020-07-28","2020-07-28","2020-08-13","2021-02-23","2021-01-28","2021-01-07","2021-01-28","2020-07-14","2019-10-24","2022-06-10","2022-06-10","2022-06-10"],"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":[["","","INSULIN","MIS 1ML\/31G","","Select","Select",""],["","46122012078","ESSENTL","TAB DAILY","30","Select","Select",""],["","68382080501","TRAZODONE","TAB 50MG","30","Select","Select",""],["","","ONETOUCH","MIS PLUS 33G","","Select","Select",""],["","","HUMULIN","INJ 70\/30","","Select","Select",""],["","","TRUE","TES GLUCOSE","","Select","Select",""],["","","ASPIRIN","TAB 81MG EC","","Select","Select",""],["","","LIDOCAINE","CRE 0.04","","Select","Select",""],["","","HYDROCHLOROT","TAB 12.5MG","","Select","Select",""],["","","LOSARTAN","TAB 50MG","","Select","Select",""],["","","GABAPENTIN","CAP 100MG","","Select","Select",""],["","00536354701","DAILY-VITE","TAB ","90","Select","Select",""],["","","ATORVASTATIN","TAB 20MG","","Select","Select",""],["","","SILDENAFIL","TAB 100MG","","Select","Select",""],["","","VITAMIN","CAP 50MCG","","Select","Select",""],["","69238115403","EZETIMIBE","TAB 10MG","30","Select","Select",""],["","","CONTOUR","KIT NEXT","","Select","Select",""],["","68382005101","MELOXICAM","TAB 15MG","30","Select","Select",""],["","","RA","PAD SWABS","","Select","Select",""],["","96295013836","MULTIVITAMIN","TAB ADULT","30","Select","Select",""],["","80681000300","THEREMS","TAB MULTIVIT","30","Select","Select",""],["","","ALCOHOL","PAD 6-70%","","Select","Select",""],["","13668009205","PRAMIPEXOLE","TAB 0.25MG","30","Select","Select",""],["","43386009019","GAVILYTE-G","SOL ","4000","Select","Select",""],["","","ACCU-CHEK","TES GUIDE","","Select","Select",""],["","","TRUETRACK","TES ","","Select","Select",""],["","","FREESTYLE    KIT INSULINX","KIT INSULINX","","Select","Select",""],["","","LOSARTAN\/HCT","TAB 50-12.5","","Select","Select",""],["","","ONE","KIT VERIO FL","","Select","Select",""],["","","BD","MIS 33G","","Select","Select",""],["","","ESCITALOPRAM","TAB 10MG","","Select","Select",""],["","","PRAVASTATIN","TAB 20MG","","Select","Select",""],["","","METFORMIN","TAB 1000MG","","Select","Select",""],["","","HYDROXYZ","TAB 25MG","","Select","Select",""],["","","ONE-DAILY","TAB MULT VIT","","Select","Select",""],["","","CLINDAMYCIN","CAP 150MG","","Select","Select",""],["","","SYSTANE","OIN ","","Select","Select",""],["","","PREDNISONE","TAB 10MG","","Select","Select",""],["","","TAB-A-VITE","TAB ","","Select","Select",""],["","","AKWA","OIN OP","","Select","Select",""],["","","CHLORHEX","SOL 0.0012","","Select","Select",""],["","","VALACYCLOVIR","TAB 1GM","","Select","Select",""],["","","POLYMYXIN","SOL TRIMETHP","","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":{"indx":[["","","",""],[""],[""],[""],[""],[""]],"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":""}]}]}