{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"LEE   R TAYLOR","gend":0,"add":"1205 YEADON ROAD","city":"CHESAPEAKE","state":"VA","zip":"23324-9998","dob":"1957-06-21","age":"","mstatus":"","insh":"20036007*01","cliId":"","pno":"757\/237-3821","cno":"","email":"","ename":"","eno":"","pphy":"MUSSELMANI, ZATTAM MD","ppno":"757\/543-3557","pcpadd":"1422 POINDEXTER ST","pcpcity":"CHESAPEAKE","pcpstate":"VA","pcpzip":23324,"pcpcounty":"","pcpid":"","pcpname":"ZATTAM MUSSELMANI","plan":"OHP","program":"MEDICAID","lob":"OHCC","region":"TIDEWATER","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"757\/543-0053","pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["E11.9","E11.65","M16.12","M54.16","M51.37","M47.816","G89.4","Z79.891","M50.30","J06.9","M62.838","M54.2","M50.20","M48.02","M75.20","G56.31","I10.","NO DATA","Z46.81","Z79.4","I99.8","M25.511","E11.21","Z01.818","N17.9","I25.10","G56.21","M47.812","J45.909","Z87.891","Z86.73","Z68.29","G90.09","E78.5","Z01.810","I21.19","Z95.5","U07.1","M50.13","Z23.","M72.2","M25.512","Z96.41","N40.1","G89.18","R11.0","R05.9","S93.144A","M20.41","T14.90XA","R33.9","N13.30","R31.0","J96.01","I50.31","I25.5","I50.43","K56.7","E87.1","Z79.899","Z79.02","Z79.82","Z79.51","I25.2","Z90.49","E11.649","I11.0","N39.492","R06.00","R07.9","F32.9","R31.9","R74.8","N39.0","N40.0","Z13.31","N42.9","I25.82","M79.605","G20.","G25.81","I50.23","L93.2","I50.9"],"date":["2021-12-29","2021-12-29","2020-06-04","2021-12-22","2020-04-23","2021-12-22","2021-12-22","2021-09-28","2021-12-22","2021-06-09","2021-02-09","2020-11-12","2020-11-12","2020-12-15","2021-08-24","2021-08-02","2021-08-27","2020-08-05","2020-04-29","2021-09-16","2021-08-17","2021-08-02","2021-07-08","2021-07-08","2020-12-14","2021-08-27","2021-08-02","2020-11-30","2020-11-30","2020-11-30","2020-11-30","2020-11-30","2021-08-17","2021-08-27","2021-08-27","2021-08-27","2021-08-27","2021-11-10","2020-12-15","2021-10-21","2021-10-21","2021-12-06","2020-08-05","2020-09-10","2021-08-02","2021-11-10","2021-11-10","2020-09-14","2020-09-14","2021-09-30","2019-07-09","2019-03-25","2019-03-25","2019-03-25","2019-03-25","2019-03-25","2019-03-20","2019-03-20","2019-03-20","2019-03-20","2019-03-20","2019-03-20","2019-03-20","2019-03-20","2019-03-20","2019-03-20","2019-03-20","2019-03-20","2019-03-23","2019-04-16","2019-12-09","2019-03-24","2019-03-24","2019-05-03","2019-06-11","2019-06-11","2019-05-28","2019-05-28","2019-07-08","2019-07-08","2019-07-08","2019-03-25","2019-06-28","2019-03-24"],"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":[["","11822316910","RA","TAB 81MG EC","30","Select","Select",""],["","08470113001","UNIFINE","MIS 31GX8MM","100","Select","Select",""],["","65862019105","CYCLOBENZAPR","TAB 10MG","90","Select","Select",""],["","51672300805","LIDOCAINE","OIN 0.05","100","Select","Select",""],["","42858000401","OXYCODONE","TAB 20MG","90","Select","Select",""],["","00527143501","METAXALONE","TAB 800MG","30","Select","Select",""],["","00169750111","NOVOLOG","INJ 100\/ML","40","Select","Select",""],["","65862052890","VENLAFAXINE","CAP 75MG ER","30","Select","Select",""],["","70010077001","METHOCARBAM","TAB 750MG","90","Select","Select",""],["","55111019690","CLOPIDOGREL","TAB 75MG","30","Select","Select",""],["","43547035610","LISINOPRIL","TAB 40MG","30","Select","Select",""],["","31722071390","PANTOPRAZOLE","TAB 40MG","30","Select","Select",""],["","59011041010","OXYCONTIN","TAB 10MG CR","60","Select","Select",""],["","50111056001","TRAZODONE","TAB 50MG","60","Select","Select",""],["","65162046650","IBUPROFEN","TAB 800MG","90","Select","Select",""],["","59310057922","PROAIR","AER ","8","Select","Select",""],["","00193731221","CONTOUR","TES NEXT","100","Select","Select",""],["","68382009301","CARVEDILOL","TAB 6.25MG","180","Select","Select",""],["","68462025501","ROPINIROLE","TAB 1MG","120","Select","Select",""],["","00172392560","DIAZEPAM","TAB 2MG","40","Select","Select",""],["","68180063809","ATORVASTATIN","TAB 80MG","30","Select","Select",""],["","08290320109","BD  PEN NEEDL","MIS 31GX8MM","100","Select","Select",""],["","50383070016","FLUTICASONE","SPR 50MCG","16","Select","Select",""],["","67877056105","METFORMIN","TAB 500MG","60","Select","Select",""],["","66993001968","ALBUTEROL","AER HFA","18","Select","Select",""],["","29300039705","AMLODIPINE","TAB 5MG","90","Select","Select",""],["","00173068220","VENTOLIN","AER ","18","Select","Select",""],["","62332025118","AZITHROMYCIN","TAB 250MG","6","Select","Select",""],["","64380071206","BENZONATATE","CAP 100MG","42","Select","Select",""],["","72647033104","METHYLPRED","TAB 4MG","21","Select","Select",""],["","69547035302","NARCAN","SPR ","2","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":""}]}]}