{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"KENNITH   J TAYLOR","gend":0,"add":"246 OAK ST APT D32","city":"CRAIGSVILLE","state":"VA","zip":"24430-9998","dob":"1966-07-15","age":"","mstatus":"","insh":"20035999*01","cliId":"","pno":"540\/416-3550","cno":"","email":"","ename":"","eno":"","pphy":"TRAN, GEORGE MD","ppno":"540\/245-7806","pcpadd":"3881 CHURCHVILLE AVE","pcpcity":"CHURCHVILLE","pcpstate":"VA","pcpzip":24421,"pcpcounty":"","pcpid":"","pcpname":"AUGUSTA MEDICAL GROUP","plan":"OHP","program":"MEDICAID","lob":"OHCC","region":"CHARLOTTESVILLE WESTERN","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"540\/213-9264","pcpnpi":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["M54.2","Z98.1","S14.129S","M54.42","G89.29","NO DATA","S06.0X9A","K21.9","M54.16","R53.1","V58.89","M54.12","V49.9XXA","F17.210","M25.562","S19.9XXA","K08.89","I10.","S82.032A","S86.812A","R63.4","Z12.11","Z12.5","Z86.73","R10.13","V89.2XXA","M54.5","I63.9","Z28.21","Z01.818","S82.042A","S82.145A","S82.102B","D75.89","S82.092A","S09.90XA","G45.9","G81.94","R42.","M79.605","H53.8","W20.8XXA","S82.142A","I25.10","I67.9","D17.30","J00.","G81.90","S82.002A"],"date":["2021-09-28","2021-09-28","2021-09-28","2021-09-28","2021-09-28","2021-05-03","2021-05-03","2021-05-03","2021-06-24","2021-06-24","2020-08-07","2021-02-05","2020-08-07","2021-02-05","2021-02-05","2020-07-26","2020-07-26","2020-08-28","2020-03-10","2020-03-10","2020-02-11","2020-02-11","2020-02-11","2020-06-09","2020-06-09","2021-04-24","2021-05-13","2019-10-08","2019-11-12","2019-11-20","2019-11-20","2019-11-20","2019-12-10","2019-12-10","2019-11-15","2019-11-15","2019-10-04","2019-10-04","2019-11-15","2019-11-15","2019-11-15","2019-11-15","2019-11-20","2019-04-16","2019-04-16","2019-04-16","2019-04-16","2019-10-14","2019-11-20"],"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":[["","","DICLOFENAC","GEL 0.01","","Select","Select",""],["","16729021816","CLOPIDOGREL","TAB 75MG","30","Select","Select",""],["","00378668977","PANTOPRAZOLE","TAB 40MG","30","Select","Select",""],["","69097094312","GABAPENTIN","CAP 300MG","180","Select","Select",""],["","72205001390","PREGABALIN","CAP 75MG","180","Select","Select",""],["","68180072003","AMLODIPINE","TAB 5MG","30","Select","Select",""],["","","METHOCARBAM","TAB 500MG","","Select","Select",""],["","55111015930","OMEPRAZOLE","CAP 40MG","30","Select","Select",""],["","00406012305","HYDROCO\/APAP","TAB 5-325MG","40","Select","Select",""],["","00378395005","ATORVASTATIN","TAB 10MG","30","Select","Select",""],["","","TRAMADOL","TAB 50MG","","Select","Select",""],["","","VOLTAREN","GEL 0.01","","Select","Select",""],["","63304069301","CLINDAMYCIN","CAP 300MG","21","Select","Select",""],["","52817033200","CYCLOBENZAPR","TAB 10MG","60","Select","Select",""],["","","PREDNISONE","TAB 10MG","","Select","Select",""],["","","DIAZEPAM","TAB 5MG","","Select","Select",""],["","","IBUPROFEN","TAB 600MG","","Select","Select",""],["","00406051205","OXYCOD\/APAP","TAB 5-325MG","60","Select","Select",""],["","29300012510","MELOXICAM","TAB 15MG","30","Select","Select",""],["","65862001905","CEPHALEXIN","CAP 500MG","30","Select","Select",""],["","59746012106","MECLIZINE","TAB 25MG","20","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":""}]}]}