{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"REBECCA  R WEBB","gend":1,"add":"412 CEDAR AVE APT A4","city":"FARMVILLE","state":"VA","zip":23901,"dob":"1967-10-03","age":"","mstatus":"","insh":"20037092*01","cliId":"","pno":"434\/607-7860","cno":"","email":"","ename":"","eno":"","pphy":"Abdel Shaheed, Samir","ppno":"434\/315-5340","pcpadd":"3925 Portsmouth Boulevard","pcpcity":"Chesapeake","pcpstate":"VA","pcpzip":23901,"pcpcounty":"","pcpid":"","pcpname":"CENTRA MEDICAL GROUP LLC","plan":"OHP","program":"Medicaid","lob":"OHCC","region":"CENTRAL","aligned":"","ano":"4343150344, 4343909215","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"434\/315-2859","pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["N39.3","F31.71","F31.31","G43.809","G35.","E78.5","F31.9","E03.9","I25.2","F17.210","Z88.0","Z88.2","G43.519","M48.02","Z20.828","S01.01XA","E66.9","E11.9","R51.9","K21.9","Z79.4","G56.00","Z68.33","Z72.0","J01.00","H66.002","R60.9","Z68.34","F17.200","S09.93XA","R13.10","R07.0","R51.","T78.40XA","E61.1","D72.829","M79.641","E11.69","R87.810","T78.49XA","Z91.09","M25.072","Z20.822","W18.30XA","G56.03","R12.","G47.33","Z87.19","R52.","W19.XXXA"],"date":["2021-05-15","2020-07-31","2022-09-02","2020-10-22","2022-07-26","2022-07-26","2022-07-26","2022-07-26","2020-09-28","2020-09-28","2020-09-28","2020-09-28","2020-09-10","2020-09-10","2021-10-19","2021-03-06","2021-03-06","2022-07-26","2022-06-04","2022-07-26","2020-10-22","2022-07-26","2020-10-22","2022-10-07","2021-12-07","2021-12-07","2019-08-13","2019-08-13","2019-11-20","2019-08-28","2022-10-07","2019-08-28","2019-08-28","2019-12-14","2019-09-05","2019-09-05","2019-04-13","2022-07-26","2022-07-26","2022-07-26","2022-07-26","2022-06-04","2022-06-04","2022-06-04","2022-08-11","2022-10-07","2022-10-07","2022-10-07","2022-06-04","2022-06-04"],"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":[["","00378623205","CITALOPRAM","TAB 20MG","45","Select","Select",""],["","","BUPROPN","TAB 300MG XL","","Select","Select",""],["","23155050110","HYDROXYZ","TAB 25MG","60","Select","Select",""],["","42806008660","BUSPIRONE","TAB 30MG","90","Select","Select",""],["","43547026910","ROPINIROLE","TAB 0.5MG","60","Select","Select",""],["","00378182377","LEVOTHYROXIN","TAB 137MCG","30","Select","Select",""],["","70377002811","ATORVASTATIN","TAB 20MG","30","Select","Select",""],["","70461032203","FLUCLVX","INJ 2022-23","0","Select","Select",""],["","70710113908","FLUCONAZOLE","TAB 150MG","1","Select","Select",""],["","13107003134","MIRTAZAPINE","TAB 15MG","30","Select","Select",""],["","59651000305","OMEPRAZOLE","CAP 40MG","30","Select","Select",""],["","59651021430","AZELASTINE","SPR 0.001","30","Select","Select",""],["","16571040250","CETIRIZINE","TAB 10MG","30","Select","Select",""],["","69097094312","GABAPENTIN","CAP 300MG","60","Select","Select",""],["","00832105410","BACLOFEN","TAB 10MG","120","Select","Select",""],["","","BANOPHEN","CAP 50MG","","Select","Select",""],["","67877024901","QUETIAPINE","TAB 50MG","30","Select","Select",""],["","70954001910","PRAZOSIN","CAP 1MG","30","Select","Select",""],["","","PANTOPRAZOLE","TAB 40MG","","Select","Select",""],["","43598075201","BUPROPION","TAB 150MG SR","60","Select","Select",""],["","68180016011","AZITHROMYCIN","TAB 250MG","6","Select","Select",""],["","68462010530","ONDANSETRON","TAB 4MG","9","Select","Select",""],["","","ALPRAZOLAM","TAB 0.5MG","","Select","Select",""],["","64764017130","DEXILANT","CAP 30MG DR","90","Select","Select",""],["","","METFORMIN","TAB 500MG","","Select","Select",""],["","","JARDIANCE","TAB 10MG","","Select","Select",""],["","00781572001","POT  CL MICRO","TAB 20MEQ ER","30","Select","Select",""],["","11534018701","BUT\/APAP\/CAF","CAP ","30","Select","Select",""],["","45802065087","LORATADINE","TAB 10MG","30","Select","Select",""],["","00378064110","PREDNISONE","TAB 10MG","28","Select","Select",""],["","49281041950","FLUZONE","INJ 2019-20","0","Select","Select",""],["","68382000801","LAMOTRIGINE","TAB 100MG","30","Select","Select",""],["","59779001922","ALLERGY","CAP 25MG","30","Select","Select",""],["","45802057178","FEXOFENADINE","TAB 180MG","30","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":""}]}]}