{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"KATHY   M WARREN","gend":1,"add":"106 KENINGSTON CT APT A","city":"WINDSOR","state":"VA","zip":"23487-9998","dob":"1965-10-23","age":"","mstatus":"","insh":"20037375*01","cliId":"","pno":"757\/635-0849","cno":"","email":"","ename":"","eno":"","pphy":"SHAH, MEGHANA R MD","ppno":"757\/673-5890","pcpadd":"5818 HARBOUR VIEW BLVD STE 250","pcpcity":"SUFFOLK","pcpstate":"VA","pcpzip":"23435","pcpcounty":"","pcpid":"","pcpname":"HARBOUR VIEW FAMILY PRACTICE","plan":"OHP","program":"MEDICAID","lob":"OHCC","region":"TIDEWATER","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"757\/484-7052","pcpnpi":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["I10.","B37.2","I44.7","E66.01","E78.00","E11.9","Z79.4","Z68.42","R10.9","K43.9","E11.43","E78.2","E55.9","E66.9","Z23.","J18.9","R11.2","Z20.822","Z01.419","Z90.710","R42.","R10.32","L60.3","M20.41","M20.42","H25.12","H04.123","B35.1","H04.222","Z87.19","Z98.890","Z88.0","K59.00","E11.21","D50.8","Z12.31","J02.9","M79.675","M79.674","Z04.1","Z96.653","Z83.3","Z82.49","Z82.61","Z83.49","E11.69","Z79.899","NO DATA","V89.2XXA","D53.9","R10.10","R00.0"],"date":["2021-12-22","2021-03-31","2021-11-06","2021-11-02","2021-11-02","2021-11-15","2021-12-22","2021-11-02","2021-09-29","2021-01-20","2021-12-22","2021-12-22","2021-12-22","2021-12-22","2021-04-26","2021-11-06","2021-11-06","2021-11-06","2021-02-15","2021-02-15","2020-08-28","2021-10-20","2021-11-15","2021-02-23","2021-02-23","2021-11-01","2020-08-25","2020-10-16","2021-02-23","2021-10-20","2021-10-20","2021-11-06","2021-11-02","2021-11-02","2021-11-02","2021-11-02","2021-11-02","2021-11-15","2021-11-15","2021-01-14","2021-01-14","2021-01-14","2021-01-14","2021-01-14","2021-01-14","2020-08-05","2020-08-05","2020-08-05","2021-01-14","2021-08-09","2021-11-06","2021-11-06"],"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":[["","00088221905","LANTUS","INJ 100\/ML","15","Select","Select",""],["","53746051101","SPIRONOLACT","TAB 25MG","90","Select","Select",""],["","70377000315","SIMVASTATIN","TAB 20MG","90","Select","Select",""],["","53885027210","ONETOUCH","TES VERIO","100","Select","Select",""],["","68180072003","AMLODIPINE","TAB 5MG","90","Select","Select",""],["","00904679480","ASPIRIN","CHW 81MG","90","Select","Select",""],["","65162074510","PROMETHAZINE","TAB 12.5MG","12","Select","Select",""],["","53489011905","DOXYCYCL","CAP 100MG","28","Select","Select",""],["","64380071207","BENZONATATE","CAP 100MG","20","Select","Select",""],["","71093014005","METHOCARBAM","TAB 500MG","20","Select","Select",""],["","67877056310","METFORMIN","TAB 1000MG","180","Select","Select",""],["","51672404801","CLOTRIM\/BETA","CRE DIPROP","15","Select","Select",""],["","68180098103","LISINOPRIL","TAB 20MG","180","Select","Select",""],["","50428305623","MILK","SUS 400\/5ML","355","Select","Select",""],["","00006027731","JANUVIA","TAB 100MG","90","Select","Select",""],["","45802048678","DOCUSATE","CAP 100MG","60","Select","Select",""],["","00093317431","ALBUTEROL","AER HFA","8","Select","Select",""],["","65162019050","NAPROXEN","TAB 500MG","20","Select","Select",""],["","51672128902","NYSTATIN","CRE 100000","30","Select","Select",""],["","59310057922","PROAIR","AER ","8","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":""}]}]}