{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"CASSANDRA   L JETT PARKER","gend":1,"add":"3705 SINGING WOOD TRL","city":"VIRGINIA BEACH","state":"VA","zip":"23452-9998","dob":"1963-05-17","age":"","mstatus":"","insh":"20046824*01","cliId":"","pno":"757\/339-6736","cno":"","email":"","ename":"","eno":"","pphy":"SAN-MARINA, ANDREI MD","ppno":"757\/425-3610","pcpadd":"STE A 940 GENERAL BOOTH BLV","pcpcity":"VIRGINIA BEACH","pcpstate":"VA","pcpzip":23451,"pcpcounty":"","pcpid":"","pcpname":"PENINSULA INSTITUTE FOR COMMUNITY HEALTH","plan":"OHP","program":"MEDICAID","lob":"OHCC","region":"TIDEWATER","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"757\/425-3625","pcpnpi":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["M51.04","M54.5","M62.81","M47.14","I10.","M79.89","E78.5","H61.22","Z87.891","M25.776","M77.41","M20.22","M20.21","G57.61","R13.10","R19.4","K59.09","K92.1","R19.5","M17.12","Z13.828","Z12.11","Z12.39","M17.0","J44.9","M51.36","K04.7","Z48.89","M50.30","M51.34","R06.09","F17.210","Z23.","B35.1","K08.9","M25.562","L60.3","Z71.9","Z98.1","K21.9","E78.00","L30.9","G95.9","M51.84","M51.24","R26.89","Z47.89","F32.9","Z96.642","Z01.810","M51.37","J01.00","L72.3","G47.30","M48.04","E87.1","Z79.899","Z88.6","Z88.8","R06.89","G89.18","M47.24","M47.26","H25.13","NO DATA","H02.831","H02.834","H11.152","K62.5","K08.20","G54.9","Z13.31","Z68.38"],"date":["2021-03-18","2020-11-24","2020-11-24","2020-11-24","2022-11-07","2020-10-06","2022-11-07","2020-06-03","2022-06-13","2020-11-24","2020-11-24","2020-11-24","2020-11-24","2020-11-24","2022-04-29","2021-03-24","2022-04-29","2021-03-24","2021-11-01","2021-09-02","2021-06-03","2021-03-15","2022-11-07","2022-09-22","2022-11-07","2021-06-30","2021-09-17","2020-01-16","2021-06-30","2021-06-30","2022-06-13","2022-05-16","2022-11-07","2020-10-06","2020-10-06","2021-03-15","2020-10-23","2020-10-23","2021-03-18","2022-04-29","2021-03-18","2021-11-01","2019-07-09","2019-07-09","2019-07-09","2019-08-06","2019-08-06","2019-08-06","2019-08-06","2019-06-28","2019-10-15","2019-10-15","2019-10-15","2019-06-19","2019-07-09","2019-07-09","2019-07-09","2019-07-09","2019-07-09","2019-07-10","2019-07-10","2019-06-28","2019-06-28","2022-03-28","2022-03-28","2022-03-28","2022-03-28","2022-03-28","2022-04-29","2022-04-21","2022-11-07","2022-11-07","2022-11-07"],"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":[["","","AMLODIPINE"," AMLODIPINE ","30","Select","Select",""],["","","FUROSEMIDE","TAB 20MG","","Select","Select",""],["","","ATENOLOL"," ATENOLOL ","30","Select","Select",""],["","59310057922","PROAIR","AER ","8","Select","Select",""],["","","ALBUTEROL"," ALBUTEROL ","7","Select","Select",""],["","","ATORVASTATIN"," ATORVASTATIN ","30","Select","Select",""],["","49348098023","SM","TAB 81MG EC","30","Select","Select",""],["","","ASPIRIN"," ASPIRIN ","30","Select","Select",""],["","","POT  CHLORIDE","CAP 10MEQ ER","","Select","Select",""],["","00781261305","AMOXICILLIN","CAP 500MG","30","Select","Select",""],["","","FLUTIC\/SALME"," FLUTIC\/SALME ","60","Select","Select",""],["","00173069600","ADVAIR","AER 250\/50","60","Select","Select",""],["","55111064530","OMEPRAZOLE","CAP 40MG","30","Select","Select",""],["","64380076921","PEG-3350\/KCL","SOL \/SODIUM","4000","Select","Select",""],["","68645056354","IBUPROFEN","TAB 800MG","30","Select","Select",""],["","50228018010","GABAPENTIN","CAP 300MG","90","Select","Select",""],["","43598044828","NICOTINE","DIS 21MG\/24H","28","Select","Select",""],["","00085113204","PROVENTIL","AER HFA","7","Select","Select",""],["","59676058015","JANSSEN","INJ COVID-19","0","Select","Select",""],["","45802006335","TRIAMCINOLON","CRE 0.00025","30","Select","Select",""],["","31722094201","HYDROCO\/APAP","TAB 7.5-325","15","Select","Select",""],["","57237004101","PENICILLN","TAB 500MG","40","Select","Select",""],["","68645051054","HYDROCHLOROT","TAB 25MG","30","Select","Select",""],["","","CLINDAMYCIN","CAP 300MG","","Select","Select",""],["","","EAR","SOL 6.5% OT","","Select","Select",""],["","","CICLOPIROX","SOL 0.08","","Select","Select",""],["","","DICLOFENAC","TAB 75MG DR","","Select","Select",""],["","","METHYLPRED","TAB 4MG","","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":""}]}]}