{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"CHASSITY   H MCCRACKEN","gend":1,"add":"11 DIANES WAY","city":"BRISTOL","state":"VA","zip":"24201-9998","dob":"1973-07-23","age":"","mstatus":"","insh":"20031790*01","cliId":"","pno":"276\/291-8754","cno":"","email":"","ename":"","eno":"","pphy":"DAWSON, MARY H MD","ppno":"276\/628-1186","pcpadd":"613 CAMPUS DR STE 200","pcpcity":"ABINGDON","pcpstate":"VA","pcpzip":24210,"pcpcounty":"","pcpid":"","pcpname":"ABINGDON PHYSICIAN PARTNERS","plan":"OHP","program":"MEDICAID","lob":"OHCC","region":"SOUTHWEST","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"276\/628-8507","pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["F11.20","F33.2","M79.7","R11.0","Z79.899","G43.719","R13.19","K22.2","NO DATA","R07.9","R10.9","A41.9","J12.9","J96.01","D64.9","R74.01","K76.0","F41.1","I10.","F32.9","G47.33","R00.0","E87.1","R10.12","R06.00","M79.89","R91.8","M79.662","F33.3","Z68.41","K29.70","R13.10","F19.929","Z91.19","R11.10","F40.10","U07.1","R10.32","J16.8","N39.0","F17.210","M71.22","M79.605","J18.9","F41.9","G89.29","K44.9","I08.1","R51.9","K25.9","G47.30","M54.5","R79.89","Z01.818","R14.0","E87.2","Z20.822","I48.0","K25.7","E78.5","F43.10","R11.2","M79.602","R10.84","R06.02","R61.","R06.2","M54.2","R22.42","Z72.0","Z11.59","K22.8","J38.2","J15.9","R05.","Z48.02","K21.9","R93.89","R09.02","S01.81XA","J85.1","R09.1","J40.","S01.01XA","S16.1XXA","S29.9XXA","Z20.828","R53.1","F17.200"],"date":["2021-12-21","2020-10-21","2021-05-27","2021-08-18","2021-09-06","2021-02-25","2021-04-12","2021-07-15","2021-11-14","2021-11-16","2021-11-13","2021-11-18","2021-11-18","2021-12-18","2021-11-16","2021-11-18","2021-11-18","2021-11-18","2021-11-18","2021-11-18","2021-11-18","2021-12-15","2021-11-18","2021-08-18","2020-12-07","2020-12-07","2020-12-07","2020-12-07","2021-02-25","2021-02-25","2021-07-15","2021-07-15","2020-05-27","2020-06-17","2020-05-27","2021-05-27","2021-12-15","2020-05-04","2020-05-04","2020-05-04","2021-12-15","2020-06-17","2020-05-21","2021-12-18","2021-11-14","2021-11-14","2021-11-14","2021-11-15","2021-12-15","2021-04-12","2020-02-26","2020-02-26","2021-11-13","2021-08-18","2021-08-18","2021-11-13","2021-11-13","2021-11-13","2021-11-13","2021-11-13","2021-11-13","2021-10-08","2021-09-06","2021-10-08","2021-12-15","2021-11-13","2021-11-13","2021-11-18","2020-12-07","2020-12-07","2020-12-07","2021-07-15","2021-07-15","2019-04-08","2019-04-24","2019-12-04","2019-11-11","2019-04-24","2021-12-15","2019-11-07","2019-08-16","2019-10-30","2019-11-08","2019-11-08","2019-11-08","2019-11-08","2021-10-08","2021-10-08","2019-01-24"],"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":[["","64980041309","PREGABALIN","CAP 100MG","90","Select","Select",""],["","00527169501","BUT\/APAP\/CAF","TAB ","20","Select","Select",""],["","12496120803","SUBOXONE","MIS 8-2MG","56","Select","Select",""],["","43547035611","LISINOPRIL","TAB 40MG","30","Select","Select",""],["","68645057054","CITALOPRAM","TAB 20MG","30","Select","Select",""],["","66993068130","OLANZAPINE","TAB 5MG","30","Select","Select",""],["","","VALPROIC","CAP 250MG","","Select","Select",""],["","00093220401","METOCLOPRAM","TAB 5MG","40","Select","Select",""],["","43598058230","BUPREN\/NALOX","MIS 8-2MG","56","Select","Select",""],["","68462039710","OMEPRAZOLE","CAP 40MG","60","Select","Select",""],["","00228277811","PROPRANOLOL","CAP 60MG ER","30","Select","Select",""],["","69315090410","LORAZEPAM","TAB 0.5MG","30","Select","Select",""],["","57237007630","ONDANSETRON","TAB 8MG","10","Select","Select",""],["","70000036601","LIDOCAINE","PAD 0.04","5","Select","Select",""],["","51580000810","RESET-O","MIS IOS\/ANDR","1","Select","Select",""],["","00904679480","ASPIRIN","CHW 81MG","30","Select","Select",""],["","43598020614","AMOX\/K","TAB 500-125","60","Select","Select",""],["","","LEVOFLOXACIN","TAB 750MG","","Select","Select",""],["","","CEFUROXIME","TAB 500MG","","Select","Select",""],["","","HYDROXYZ","TAB 10MG","","Select","Select",""],["","","ARIPIPRAZOLE","TAB 5MG","","Select","Select",""],["","62175061743","PANTOPRAZOLE","TAB 40MG","30","Select","Select",""],["","00093221005","SUCRALFATE","TAB 1GM","120","Select","Select",""],["","","CIPROFLOXACN","TAB 500MG","","Select","Select",""],["","00143980305","DOXYCYCL","CAP 100MG","20","Select","Select",""],["","","PHENAZOPYRID","TAB 200MG","","Select","Select",""],["","00603158654","PROMETHAZINE","SOL DM","118","Select","Select",""],["","","FAMOTIDINE","TAB 40MG","","Select","Select",""],["","60505257909","ATORVASTATIN","TAB 20MG","30","Select","Select",""],["","00071101468","LYRICA","CAP 75MG","90","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":""}]}]}