{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"DESMOND   L BOWMAN","gend":1,"add":"PO BOX 692","city":"NEWBERN","state":"VA","zip":"24126-9998","dob":"1963-09-21","age":"","mstatus":"","insh":"20050357*01","cliId":"","pno":"540\/230-0195","cno":"540\/230-0195","email":"","ename":"","eno":"","pphy":"STEWART, KNOTRESHA F MD","ppno":"540\/835-0500","pcpadd":"28 TOWN CENTER DRIVE","pcpcity":"DUBLIN","pcpstate":"VA","pcpzip":24084,"pcpcounty":"","pcpid":"","pcpname":"","plan":"OHP","program":"MEDICAID","lob":"OHCC","region":"ROANOKE\/ ALLEGHANY","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"540\/307-5070","pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["G47.33","R09.02","I21.19","R47.01","F03.90","Z86.73","I10.","M54.5","J43.9","E78.5","Z12.39","Z12.11","R21.","E11.9","E55.9","D52.9","R30.0","R09.89","R29.818","R41.3","NO DATA","M19.90","E03.9","E11.40","B19.20","F32.9","I51.9","F17.210","M79.602","M79.89","I63.9","I67.9","G45.9","I35.8","I51.7","F02.80","R47.1","Z23.","R41.0","E53.8","G93.40","D51.9","F41.9","J44.9","Z99.81","M25.512","M25.522","J06.9","J01.90","D23.9","L28.0","L28.1","Z71.89","R23.8","G47.36","F41.8","I67.82"],"date":["2022-08-01","2022-08-01","2020-05-04","2020-05-06","2020-05-08","2020-05-06","2022-07-14","2021-09-21","2022-07-14","2022-07-14","2022-07-14","2022-07-14","2021-12-28","2022-07-14","2022-07-14","2022-07-14","2021-09-22","2022-07-14","2020-05-05","2022-07-14","2022-07-14","2020-06-18","2020-06-18","2020-06-18","2020-06-18","2020-06-18","2020-06-18","2020-04-16","2020-10-20","2020-10-20","2020-12-01","2022-07-14","2020-05-04","2020-05-05","2020-05-05","2020-05-05","2020-05-04","2020-10-08","2021-07-01","2021-07-01","2020-05-08","2020-05-08","2020-05-08","2020-05-08","2020-05-08","2020-11-04","2020-11-04","2021-03-16","2021-03-16","2021-06-18","2021-06-18","2021-06-18","2021-06-18","2022-07-14","2020-01-21","2020-05-05","2022-01-23"],"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":[]},{"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":[["","53746016960","MEMANTINE","TAB HCL 10MG","30","Select","Select",""],["","59746033790","LOSARTAN\/HCT","TAB 50-12.5","30","Select","Select",""],["","69618004610","ASPIRIN","TAB 81MG EC","90","Select","Select",""],["","43547027511","DONEPEZIL","TAB 5MG","30","Select","Select",""],["","57237001930","DULOXETINE","CAP 60MG","30","Select","Select",""],["","70069000510","CYANOCOBALAM","INJ 1000MCG","2","Select","Select",""],["","08290309581","3ML","MIS 25GX1\"","6","Select","Select",""],["","68180047803","SIMVASTATIN","TAB 10MG","90","Select","Select",""],["","08317701102","RELION","MIS MONITOR","1","Select","Select",""],["","53885027210","ONETOUCH","TES VERIO","100","Select","Select",""],["","64380073706","VITAMIN","CAP 50000UNT","4","Select","Select",""],["","56151146001","TRUE","TES GLUCOSE","100","Select","Select",""],["","72305005030","EUTHYROX","TAB 50MCG","90","Select","Select",""],["","53885004401","ONE","KIT VERIO FL","1","Select","Select",""],["","51663000501","OPTIMAL-D","CAP 50000UNT","10","Select","Select",""],["","05388000927","D3","CAP 5000UNIT","30","Select","Select",""],["","58160082311","SHINGRIX","INJ 50\/0.5ML","1","Select","Select",""],["","49100040051","CULTR","CAP STRENGTH","30","Select","Select",""],["","50111078751","AZITHROMYCIN","TAB 250MG","6","Select","Select",""],["","47781064390","LEVOTHYROXIN","TAB 50MCG","90","Select","Select",""],["","68180044501","QUETIAPINE","TAB 25MG","30","Select","Select",""],["","68645058259","METFORMIN","TAB 500MG","180","Select","Select",""],["","00143924920","AMOX\/K","TAB 875-125","14","Select","Select",""],["","00054472825","PREDNISONE","TAB 5MG","5","Select","Select",""],["","42806071401","BENZONATATE","CAP 100MG","30","Select","Select",""],["","00168035550","HALOBETASOL","CRE 0.0005","50","Select","Select",""],["","68645051654","AMLODIPINE","TAB 10MG","90","Select","Select",""],["","00591354005","BUPROPION","TAB 100MG SR","60","Select","Select",""],["","60505025303","CLOPIDOGREL","TAB 75MG","21","Select","Select",""],["","72205000390","ROSUVASTATIN","TAB 10MG","30","Select","Select",""],["","81131057368","Q-SORB","CAP 100MG","90","Select","Select",""],["","60505258009","ATORVASTATIN","TAB 40MG","30","Select","Select",""],["","62332014231","CELECOXIB","CAP 200MG","30","Select","Select",""],["","69315012710","FOLIC","TAB 1000MCG","90","Select","Select",""],["","68645057290","GLIMEPIRIDE","TAB 2MG","60","Select","Select",""],["","56151014401","TRUPLUS","MIS 30G","100","Select","Select",""],["","65702010110","ACCU-CHEK","KIT AVIVA PL","1","Select","Select",""],["","00173088710","TRELEGY","AER ELLIPTA","180","Select","Select",""],["","00310460012","BEVESPI","AER 9-4.8MCG","11","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":""}]}]}