{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"AARON   M PARSONS","gend":0,"add":"155 JENNINGS ST","city":"WEBER CITY","state":"VA","zip":"24290-9998","dob":"1982-03-22","age":"","mstatus":"","insh":"20033157*01","cliId":"","pno":"","cno":"","email":"","ename":"","eno":"","pphy":"ARNETTE, BRYAN THOMAS MD","ppno":"276\/386-9771","pcpadd":"1754 US HWY 23 N","pcpcity":"WEBER CITY","pcpstate":"VA","pcpzip":24290,"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\/386-9387","pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["I10.","F41.9","M62.830","E78.5","R80.9","Q60.5","F13.20","G47.00","R11.2","H40.053","H04.221","E78.1","F90.9","Z79.899","K21.9","R13.14","K22.2","R13.10","NO DATA","N26.1","Z23.","H10.10","F17.200","Z71.6","Z01.818","M89.8X1","M54.9","S92.902A","S91.209A","R79.89","H04.551","Z20.822","J34.2","M25.511","R06.02","S19.80XA","M54.2","E55.9","R07.81","J20.9","F33.2","F10.21","V62.84","F31.9","F17.210","F48.9","F31.89","F32.2","Z72.0","F33.3","F42.9","Z11.59","R50.9"],"date":["2022-11-07","2022-09-20","2022-09-20","2022-09-20","2020-07-30","2021-04-13","2022-09-20","2022-09-20","2020-11-19","2021-03-02","2021-07-15","2022-09-20","2022-03-24","2022-03-30","2022-06-27","2019-10-09","2019-10-25","2019-10-25","2022-03-24","2021-09-14","2020-09-30","2021-04-05","2022-03-06","2022-06-27","2021-07-11","2020-06-30","2020-06-30","2020-02-05","2020-03-03","2021-04-13","2021-05-11","2022-03-04","2021-07-15","2020-08-31","2020-08-31","2020-08-31","2020-08-31","2022-03-10","2019-04-12","2022-11-07","2022-06-22","2022-06-22","2022-03-04","2022-03-04","2022-03-04","2022-03-04","2022-03-24","2022-03-05","2022-03-05","2022-03-06","2022-03-06","2022-11-07","2022-11-07"],"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":[["","","HYDROXYZ"," HYDROXYZ ","90","Select","Select",""],["","","TEMAZEPAM"," TEMAZEPAM ","60","Select","Select",""],["","65862022701","LAMOTRIGINE","TAB 25MG","60","Select","Select",""],["","","TIZANIDINE"," TIZANIDINE ","60","Select","Select",""],["","","LISINOPRIL"," LISINOPRIL ","30","Select","Select",""],["","72205000499","ROSUVASTATIN","TAB 20MG","30","Select","Select",""],["","","PANTOPRAZOLE"," PANTOPRAZOLE ","30","Select","Select",""],["","","LORAZEPAM"," LORAZEPAM ","60","Select","Select",""],["","","ARTHRTS"," ARTHRTS ","90","Select","Select",""],["","68180031902","BUPROPN","TAB 150MG XL","30","Select","Select",""],["","68382011505","RISPERIDONE","TAB 2MG","30","Select","Select",""],["","00143980305","DOXYCYCL","CAP 100MG","20","Select","Select",""],["","00054050823","ICOSAPENT","CAP 1GM","120","Select","Select",""],["","","AZELASTINE","DRO 0.0005","","Select","Select",""],["","10702000310","PROMETHAZINE","TAB 25MG","45","Select","Select",""],["","57896026801","ACETAMINOPHE","TAB 650MG ER","100","Select","Select",""],["","52937000120","VASCEPA","CAP 1GM","120","Select","Select",""],["","00378306677","FENOFIBRATE","TAB 145MG","30","Select","Select",""],["","64380073706","VITAMIN","CAP 50000UNT","8","Select","Select",""],["","24208029510","TOBRA\/DEXAME","SUS 0.3-0.1%","10","Select","Select",""],["","00065064710","TOBRADEX","SUS 0.3-0.1%","10","Select","Select",""],["","13107005501","OXYCODONE","TAB 5MG","6","Select","Select",""],["","00378037201","CIMETIDINE","TAB 400MG","180","Select","Select",""],["","","CHANTIX","PAK 0.5& 1MG","","Select","Select",""],["","00536589688","NICOTINE","DIS 21MG\/24H","28","Select","Select",""],["","","HYDROCO\/APAP","TAB 5-325MG","","Select","Select",""],["","","TRIPLE","OIN ","","Select","Select",""],["","","OCUSOFT","PAD SCRUB","","Select","Select",""],["","","ESZOPICLONE","TAB 1MG","","Select","Select",""],["","65862018830","ONDANSETRON","TAB 8MG","30","Select","Select",""],["","","PREDNISOLONE","SUS 1% OP","","Select","Select",""],["","","MIRTAZAPINE","TAB 15MG","","Select","Select",""],["","","CYCLOBENZAPR","TAB 10MG","","Select","Select",""],["","","ZANAFLEX","CAP 6MG","","Select","Select",""],["","","BACLOFEN","TAB 10MG","","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":""}]}]}