{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"ROBIN   L JONES","gend":1,"add":"220 KEMPER RD APT 11","city":"DANVILLE","state":"VA","zip":"24541-9998","dob":"1975-06-12","age":"","mstatus":"","insh":"20030335*01","cliId":"","pno":"434\/429-4747","cno":"","email":"","ename":"","eno":"","pphy":"STANFIELD, AMY L NP","ppno":"434\/835-0295","pcpadd":"2767 FRANKLIN TURNPIKE","pcpcity":"DANVILLE","pcpstate":"VA","pcpzip":24540,"pcpcounty":"","pcpid":"","pcpname":"DANVILLE PHYSICIAN PRACTICES LLC","plan":"OHP","program":"MEDICAID","lob":"OHCC","region":"CHARLOTTESVILLE WESTERN","aligned":"","ano":"4347090028, 4342506895","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"434\/835-0105","pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["R30.0","L29.8","B37.9","E11.9","N30.00","N39.0","N32.81","Z01.419","Z88.8","Z87.891","R31.9","N76.0","Z20.2","R68.84","S30.0XXA","V49.49XA","N89.8","R32.","R10.84","R52.","M54.5","R11.2","R19.7","NO DATA","M25.551","R10.31","K02.9","K04.7","N83.202","N20.2","D72.829","B37.3","R50.9","M25.512","N94.9","R13.10","R10.9","F51.04","K08.89","R10.30","R10.2","N73.9","E66.3","Z72.0","Z71.9","G44.209","K08.9","Z00.00","E78.5","J44.9","F17.200","F31.9","F41.9","K05.01","R09.81","N20.0","N77.1","R15.9","R42.","E87.6","E87.1","B37.49","N92.0","R35.0","Z87.440","Z87.442","E13.65","R07.89","Z20.822","N93.9","F17.210","Z79.899","F10.10","I10.","R73.9","M54.9","N39.41","R39.15","R35.1","N30.20","K05.6","B96.89","B95.2","L29.2","R07.9","K76.0","Z32.02","Z28.310","R30.9","G89.18","Z98.818","R53.81","R51.9","Z48.814","Z12.39","G47.00","Z72.51","E11.65","B34.9","R03.0","J20.9"],"date":["2022-10-31","2020-06-01","2022-07-16","2022-11-06","2020-11-12","2022-10-25","2022-10-18","2021-02-17","2022-11-06","2020-02-13","2022-11-06","2022-08-10","2020-04-25","2021-07-03","2021-11-02","2021-11-02","2022-03-10","2021-11-19","2021-12-26","2021-12-26","2020-01-25","2020-03-15","2020-05-31","2022-10-25","2021-11-07","2021-11-26","2022-02-09","2022-04-09","2021-12-26","2021-11-20","2021-11-20","2022-08-13","2022-10-02","2020-05-31","2021-06-09","2020-10-09","2022-10-01","2021-06-09","2022-10-01","2021-12-26","2021-12-26","2021-12-26","2020-06-22","2020-06-22","2020-06-22","2020-11-02","2020-11-02","2022-09-07","2022-11-16","2022-10-01","2021-06-09","2022-10-19","2021-06-09","2021-06-15","2021-11-09","2022-05-02","2022-03-10","2021-03-16","2022-09-11","2019-10-29","2019-10-29","2019-12-15","2019-04-23","2022-11-06","2019-04-18","2019-04-18","2022-09-09","2022-10-02","2022-11-16","2022-10-02","2022-10-02","2022-11-21","2022-10-19","2022-09-07","2022-10-01","2022-10-01","2022-10-18","2022-10-18","2022-10-18","2022-10-18","2022-05-02","2022-09-06","2022-08-13","2022-08-13","2022-10-02","2022-04-09","2022-04-09","2022-04-09","2022-04-09","2022-09-03","2022-09-03","2022-09-03","2022-09-03","2022-09-03","2022-09-07","2022-09-07","2022-09-07","2022-10-01","2022-11-16","2022-11-16","2022-09-03"],"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":{"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":[["","55111012305","ATORVASTATIN","TAB 40MG","90","Select","Select",""],["","60505265401","TRAZODONE","TAB 100MG","30","Select","Select",""],["","68462019005","NAPROXEN","TAB 500MG","14","Select","Select",""],["","65862001705","AMOXICILLIN","CAP 500MG","30","Select","Select",""],["","68462012705","GABAPENTIN","TAB 800MG","90","Select","Select",""],["","67877024760","QUETIAPINE","TAB 300MG","90","Select","Select",""],["","00169406012","VICTOZA","INJ 18MG\/3ML","15","Select","Select",""],["","29300011416","LAMOTRIGINE","TAB 200MG","180","Select","Select",""],["","60505014202","GLIPIZIDE","TAB 10MG","90","Select","Select",""],["","59148003713","REXULTI","TAB 1MG","30","Select","Select",""],["","60846050101","PYRIDIUM","TAB 100MG","6","Select","Select",""],["","59762500901","CLINDAMYCIN","CRE 2% VAG","40","Select","Select",""],["","00045049660","TYLENOL","TAB 325MG","50","Select","Select",""],["","65862050320","AMOX\/K","TAB 875-125","14","Select","Select",""],["","00536132706","ACETAMINOPHE","TAB 325MG","50","Select","Select",""],["","50111033402","METRONIDAZOL","TAB 500MG","14","Select","Select",""],["","08290320119","BD  PEN NEEDL","MIS 31GX5MM","100","Select","Select",""],["","53885024510","ONETOUCH","TES ULTRA","100","Select","Select",""],["","65862042005","SMZ\/TMP","TAB 800-160","14","Select","Select",""],["","00185012201","NITROFURANTN","CAP 100MG","14","Select","Select",""],["","55111014512","FLUCONAZOLE","TAB 150MG","2","Select","Select",""],["","51293061201","PHENAZOPYRID","TAB 200MG","6","Select","Select",""],["","65862007701","CIPROFLOXACN","TAB 500MG","14","Select","Select",""],["","57237001401","TAMSULOSIN","CAP 0.4MG","14","Select","Select",""],["","46581083006","SALONPAS","PAD 0.04","30","Select","Select",""],["","68180012202","CEPHALEXIN","CAP 500MG","10","Select","Select",""],["","52817033200","CYCLOBENZAPR","TAB 10MG","21","Select","Select",""],["","64380080807","IBUPROFEN","TAB 600MG","15","Select","Select",""],["","57896086905","PROBIOTIC","CAP 250MG","60","Select","Select",""],["","00469260230","MYRBETRIQ","TAB 50MG","30","Select","Select",""],["","00093354143","ESTRADIOL","CRE 0.0001","42","Select","Select",""],["","57237004105","PENICILLN","TAB 500MG","28","Select","Select",""],["","00116200116","CHLORHEX","SOL 0.0012","473","Select","Select",""],["","00472037915","CLOTRIM\/BETA","CRE DIPROP","15","Select","Select",""],["","65162067684","AZELASTINE","SPR 0.001","30","Select","Select",""],["","16571020210","DICLOFENAC","TAB 50MG DR","14","Select","Select",""],["","00143980305","DOXYCYCL","CAP 100MG","14","Select","Select",""],["","00069024230","TOVIAZ","TAB 4MG","30","Select","Select",""],["","00006027731","JANUVIA","TAB 100MG","30","Select","Select",""],["","00597015330","JARDIANCE","TAB 25MG","30","Select","Select",""],["","00193731221","CONTOUR","TES NEXT","100","Select","Select",""],["","99073070914","FREESTYLE    KIT FREEDOM","KIT FREEDOM","1","Select","Select",""],["","99073012101","FREESTYLE    TES","TES ","100","Select","Select",""],["","65702071210","ACCU-CHEK","TES GUIDE","100","Select","Select",""],["","99073070827","FREESTYLE    TES LITE","TES LITE","100","Select","Select",""],["","99073013001","FREESTYLE    MIS LANCETS","MIS LANCETS","100","Select","Select",""],["","00002143380","TRULICITY","INJ 0.75\/0.5","2","Select","Select",""],["","51672206200","3","CRE 0.02","21","Select","Select",""],["","04142000024","FLORASTOR","CAP 250MG","60","Select","Select",""],["","00310653004","BYDUREON","INJ 2MG","4","Select","Select",""],["","67877021620","CEFUROXIME","TAB 500MG","14","Select","Select",""],["","61958070101","TRUVADA","TAB 200-300","30","Select","Select",""],["","00006022761","ISENTRESS","TAB 400MG","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":""}]}]}