{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"PENNY   L NZZEEK","gend":1,"add":"980 TOSHES ROAD","city":"CHATHAM","state":"VA","zip":"24531-9998","dob":"1951-04-22","age":"","mstatus":"","insh":"20031932*01","cliId":"","pno":"434\/432-8602","cno":"","email":"","ename":"","eno":"","pphy":"ARROYO, DEIRDRE F NP","ppno":"434\/791-4122","pcpadd":"705 MAIN STREET","pcpcity":"DANVILLE","pcpstate":"VA","pcpzip":24541,"pcpcounty":"","pcpid":"","pcpname":"PIEDMONT ACCESS TO HEALTH SERVICES INC","plan":"OHP","program":"MEDICAID","lob":"OHCC","region":"CHARLOTTESVILLE WESTERN","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"434\/791-4126","pcpnpi":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["H40.1132","H40.033","R47.01","I65.22","D32.9","R93.89","I69.351","I10.","E11.9","Z79.84","F17.210","R29.898","I63.9","I67.9","I47.1","R82.81","I63.232","E11.65","R65.10","E87.1","G81.91","Z20.822","D64.89","Q21.1","D72.829","I44.4","Z91.14","R47.1","R29.810","E04.1","H40.032","R91.8","Z09.","V54.19","E78.5","Z72.0","I48.91","Z85.3","S22.41XA","NO DATA","I69.322","I69.398","I69.320","R26.89","D32.0","N32.81","Z79.82","H25.13","H40.031","C50.919","H11.153","H40.013","Z91.81","Z79.02","I69.359"],"date":["2020-02-28","2020-07-01","2021-11-01","2022-02-01","2022-02-02","2021-11-06","2022-02-02","2022-02-02","2022-02-02","2022-02-02","2022-02-02","2021-11-01","2022-02-01","2021-11-15","2022-02-02","2021-11-15","2021-10-31","2021-10-31","2021-11-07","2021-11-07","2021-10-31","2021-11-08","2021-10-31","2021-11-08","2021-10-31","2021-10-31","2021-11-06","2021-10-31","2021-10-31","2021-10-31","2020-08-13","2021-01-08","2022-02-01","2020-11-13","2021-11-06","2022-02-01","2021-12-03","2021-11-01","2020-11-03","2021-11-08","2022-02-02","2021-11-08","2021-11-08","2021-11-08","2021-11-08","2022-02-02","2022-02-02","2020-07-01","2020-07-02","2019-01-23","2019-10-15","2019-10-15","2022-02-02","2022-02-02","2022-02-01"],"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":[["","50111064801","FLUOXETINE","CAP 20MG","30","Select","Select",""],["","","ONETOUCH","TES ULTRA","","Select","Select",""],["","00193654621","BAYER","MIS LANCETS","200","Select","Select",""],["","65862035790","CLOPIDOGREL","TAB 75MG","30","Select","Select",""],["","00378395177","ATORVASTATIN","TAB 20MG","30","Select","Select",""],["","68180072103","AMLODIPINE","TAB 10MG","90","Select","Select",""],["","57664047758","METOPROL","TAB 50MG","60","Select","Select",""],["","10702020110","OXYBUTYNIN","TAB 5MG","30","Select","Select",""],["","00536114941","ASPIRIN","TAB 81MG EC","30","Select","Select",""],["","","SPECTRAVITE","TAB ULT WMN","","Select","Select",""],["","00193731221","CONTOUR","TES NEXT","200","Select","Select",""],["","80681002000","MULTIVITAMIN","TAB ","30","Select","Select",""],["","68382075810","METFORMIN","TAB 500MG","90","Select","Select",""],["","13668013601","ESCITALOPRAM","TAB 10MG","30","Select","Select",""],["","50428016183","CVS","CAP 2000UNIT","90","Select","Select",""],["","23155000810","HYDROCHLOROT","TAB 25MG","30","Select","Select",""],["","65162075410","BENAZEPRIL","TAB 40MG","30","Select","Select",""],["","","SPECTR","TAB HLTH SEN","","Select","Select",""],["","","DORZOL\/TIMOL","SOL 22.3-6.8","","Select","Select",""],["","","PREDNISOLONE","SUS 1% OP","","Select","Select",""],["","57664049983","MIRTAZAPINE","TAB 15MG","30","Select","Select",""],["","00023320503","LUMIGAN","SOL 0.0001","2","Select","Select",""],["","16729003415","LETROZOLE","TAB 2.5MG","30","Select","Select",""],["","00766165460","OS-CAL","TAB 500-200","180","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":""}]}]}