{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"ELIZABETH   B BRIGHT","gend":1,"add":"129 REIGEL ROAD","city":"EMPORIA","state":"VA","zip":"23847-9998","dob":"1977-02-10","age":"","mstatus":"","insh":"20036411*01","cliId":"","pno":"434\/262-8831","cno":"","email":"","ename":"","eno":"","pphy":"ANDERSON, MICHAEL S MD","ppno":"434\/634-6101","pcpadd":"6 DOCTORS DRIVE","pcpcity":"EMPORIA","pcpstate":"VA","pcpzip":23847,"pcpcounty":"","pcpid":"","pcpname":"EMPORIA MEDICAL ASSOCIATES PC","plan":"OHP","program":"MEDICAID","lob":"OHCC","region":"CENTRAL","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"434\/634-7107","pcpnpi":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["I47.1","I10.","E83.42","F10.10","L25.8","F17.200","Z79.899","J45.909","L85.3","K85.20","K22.2","D50.9","F10.229","E87.6","K29.70","K86.1","Z20.822","NO DATA","Z87.891","K85.90","R07.9","F33.2","F10.99","R42.","Z13.6","R07.89","L30.9","K21.9","F17.210","Z71.6","R10.10","R00.2","F33.0","L25.9","I77.1","R43.0","R00.0","E86.0","K29.71","K31.9","F33.1","R10.30","F32.1","B37.3","R30.9","Z72.0","B34.9","R05.","R10.2","R35.0","R10.13","R11.2","A64.","T74.21XA","K62.5"],"date":["2020-11-30","2022-07-04","2021-11-17","2021-11-18","2021-01-08","2022-07-04","2021-02-26","2022-07-04","2021-01-08","2021-11-15","2021-11-12","2021-11-12","2021-11-12","2021-11-17","2021-11-18","2021-11-18","2021-11-12","2021-11-16","2021-11-12","2021-11-15","2020-11-25","2021-12-01","2021-12-01","2021-02-17","2020-12-15","2021-02-26","2021-01-14","2022-07-04","2021-01-14","2021-01-14","2020-11-30","2021-02-01","2021-02-01","2021-02-26","2021-02-17","2021-02-17","2021-11-12","2021-11-12","2021-11-16","2021-11-16","2019-08-18","2019-01-22","2019-11-24","2019-05-09","2019-05-09","2019-05-09","2019-01-09","2019-01-09","2019-01-20","2019-01-20","2019-03-23","2019-03-23","2019-01-20","2022-07-04","2022-07-30"],"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":[["","65862085901","FAMOTIDINE","TAB 20MG","60","Select","Select",""],["","","MAG","TAB 400MG","","Select","Select",""],["","","FOLIC","TAB 1000MCG","","Select","Select",""],["","","FERROUS","TAB 325MG EC","","Select","Select",""],["","","VITAMIN","TAB 100MG","","Select","Select",""],["","67877025130","TRIAMCINOLON","CRE 0.001","30","Select","Select",""],["","65162019050","NAPROXEN","TAB 500MG","30","Select","Select",""],["","","METOPROL","TAB 25MG","","Select","Select",""],["","00591544310","PREDNISONE","TAB 20MG","10","Select","Select",""],["","55111015810","OMEPRAZOLE","CAP 20MG","30","Select","Select",""],["","62175061743","PANTOPRAZOLE","TAB 40MG","30","Select","Select",""],["","65162046550","IBUPROFEN","TAB 600MG","30","Select","Select",""],["","45802065078","LORATADINE","TAB 10MG","30","Select","Select",""],["","60432060416","PROMETHAZINE","SYP DM","180","Select","Select",""],["","70710113908","FLUCONAZOLE","TAB 150MG","1","Select","Select",""],["","65862042005","SMZ\/TMP","TAB 800-160","10","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":""}]}]}