{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"PATRICIA SCOVEL","gend":1,"add":"5100 RUGBY RD","city":"VIRGINIA BEACH","state":"VA","zip":"23464-9998","dob":"1952-11-24","age":"","mstatus":"","insh":"20042731*01","cliId":"","pno":"757\/965-8524","cno":"","email":"","ename":"","eno":"","pphy":"NGUYEN, VAN T MD","ppno":"757\/548-0076","pcpadd":"725 VOLVO PKWY","pcpcity":"CHESAPEAKE","pcpstate":"VA","pcpzip":23320,"pcpcounty":"","pcpid":"","pcpname":"Nowcare Volvo","plan":"OHP","program":"MEDICAID","lob":"OHCC","region":"TIDEWATER","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"757\/548-1652","pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["F25.9","E11.65","I10.","E78.2","S42.001A","N39.46","F20.9","M54.5","E11.40","E03.9","E16.2","E55.9","NO DATA","F71.","F51.01","R93.89","S42.034A","Z23.","B35.6","E11.41","R21.","M25.571","E11.49","L30.4","L02.92","B37.2","Z79.84","H60.92","H01.009","R19.7","N39.0","R39.9","B35.9","R11.2","K21.9","E11.9","K29.70","K31.89","Z12.11","K29.50","Z82.49","Z83.3","Z91.040","Z88.8","Z78.0","H69.81","H61.21"],"date":["2022-07-07","2020-02-20","2022-05-31","2020-08-03","2021-07-08","2022-02-14","2022-05-31","2021-09-10","2022-05-05","2022-05-31","2022-05-05","2022-05-05","2022-05-31","2022-07-07","2022-07-07","2021-07-20","2021-06-30","2020-01-10","2020-02-27","2020-08-03","2019-02-26","2019-06-15","2019-10-11","2019-03-20","2019-03-20","2019-03-20","2019-10-11","2019-11-08","2019-08-18","2019-11-25","2019-11-25","2022-04-01","2022-04-01","2022-10-13","2022-10-13","2022-05-31","2022-05-31","2022-05-31","2022-02-07","2022-05-31","2022-05-31","2022-05-31","2022-05-31","2022-05-31","2022-05-31","2022-09-11","2022-09-11"],"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":[["","","PIOGLITAZONE","TAB 15MG","","Select","Select",""],["","","OLANZAPINE"," OLANZAPINE ","30","Select","Select",""],["","","GABAPENTIN"," GABAPENTIN ","90","Select","Select",""],["","","JANUVIA"," JANUVIA ","90","Select","Select",""],["","","SIMVASTATIN"," SIMVASTATIN ","30","Select","Select",""],["","68462039610","OMEPRAZOLE","CAP 20MG","30","Select","Select",""],["","","TRAZODONE"," TRAZODONE ","60","Select","Select",""],["","","LEVOTHYROXIN"," LEVOTHYROXIN ","30","Select","Select",""],["","","LOSARTAN"," LOSARTAN ","30","Select","Select",""],["","","SERTRALINE"," SERTRALINE ","30","Select","Select",""],["","","GLIMEPIRIDE"," GLIMEPIRIDE ","30","Select","Select",""],["","82607066026","FLOWFLEX","KIT TEST","1","Select","Select",""],["","","ONDANSETRON"," ONDANSETRON ","30","Select","Select",""],["","","NYSTATIN","OIN 100000","","Select","Select",""],["","00172572960","FAMOTIDINE","TAB 40MG","180","Select","Select",""],["","68462031417","NYSTAT\/TRIAM","CRE ","15","Select","Select",""],["","69315090510","LORAZEPAM","TAB 1MG","12","Select","Select",""],["","00115164501","NITROFUR","CAP 100MG","14","Select","Select",""],["","","FLUCONAZOLE"," FLUCONAZOLE ","1","Select","Select",""],["","","TRIAMCINOLON","OIN 0.001","","Select","Select",""],["","60432026415","FLUTICASONE","SPR 50MCG","16","Select","Select",""],["","56176000805","POGO","TES CARTRIDG","100","Select","Select",""],["","42037010478","DEBROX","SOL 6.5% OT","15","Select","Select",""],["","53885024510","ONETOUCH","TES ULTRA","100","Select","Select",""],["","42806016001","HYDROXYZ","TAB 25MG","60","Select","Select",""],["","00832712311","DIVALPROEX","TAB 250MG DR","30","Select","Select",""],["","50111078710","AZITHROMYCIN","TAB 250MG","6","Select","Select",""],["","11822000178","RA","CAP 100MG","30","Select","Select",""],["","59676058015","JANSSEN","INJ COVID-19","0","Select","Select",""],["","41100080676","MIRALAX","POW 3350 NF","30","Select","Select",""],["","31722099601","HYDROCO\/APAP","TAB 5-325MG","12","Select","Select",""],["","59267100003","PFIZER","INJ COVID-19","0","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":""}]}]}