{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"RODNEY ELLIOTT","gend":0,"add":"507 CARDINAL CT","city":"SOUTH BOSTON","state":"VA","zip":"24592-9998","dob":"1966-03-09","age":"","mstatus":"","insh":"20051135*01","cliId":"","pno":"434\/446-0560","cno":"434\/446-0560","email":"","ename":"","eno":"","pphy":"KING, BRODERICK MD","ppno":"434\/575-1336","pcpadd":"1627 SEYMOUR DR SUITE B","pcpcity":"SOUTH BOSTON","pcpstate":"VA","pcpzip":24592,"pcpcounty":"","pcpid":"","pcpname":"","plan":"OHP","program":"MEDICAID","lob":"OHCC","region":"WESTERN\/ CHARLOTTESVILLE","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"434\/575-1349","pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["F31.32","F41.1","F41.0","E11.9","E11.29","I13.10","N18.1","N28.1","R80.1","G47.33","R80.9","I10.","E11.22","E78.5","E11.69","Z12.11","D12.8","R13.19","K44.9","K29.50","NO DATA","K21.9","I12.9","N18.2","E78.1","I87.2","E55.9","F31.9","E66.01","Z68.41","E78.2","R79.89","D64.9","Z23.","K22.2","Z79.4","Z86.010","U07.1","R09.81","J02.9","R05.9","R09.89","R52.","J34.89","R68.83","I25.10","E11.42","Z88.6","J11.1","E11.65","H25.13","M67.431","R22.31","E66.09","Z68.39","N18.3","I70.213","K31.89","D12.6","H52.4","N39.0","E11.41","Z01.812","Z20.822"],"date":["2022-11-29","2022-11-29","2022-11-29","2020-12-31","2021-05-25","2021-05-25","2022-09-14","2021-05-25","2022-09-14","2022-08-04","2022-01-19","2022-09-14","2022-09-14","2022-01-19","2022-01-19","2022-01-31","2022-01-31","2022-01-31","2022-01-31","2022-01-31","2022-09-14","2022-02-07","2022-08-27","2022-08-27","2022-01-31","2022-01-31","2022-01-31","2022-01-31","2022-01-31","2022-01-31","2020-05-01","2020-05-01","2020-05-01","2021-03-31","2022-01-10","2022-08-27","2022-01-10","2022-08-27","2022-08-27","2022-08-27","2022-08-27","2022-08-27","2022-08-27","2022-08-27","2022-08-27","2022-08-27","2022-08-27","2022-08-27","2020-03-11","2022-05-11","2022-05-11","2022-07-26","2020-03-09","2020-05-14","2020-05-14","2020-07-31","2021-04-15","2022-02-07","2022-02-07","2020-11-20","2020-03-18","2021-09-14","2022-01-27","2022-01-27"],"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":[["","00006011254","JANUVIA","TAB 50MG","30","Select","Select",""],["","16729013416","ALLOPURINOL","TAB 100MG","60","Select","Select",""],["","40985022713","MAGNESIUM","TAB 250MG","90","Select","Select",""],["","00378623205","CITALOPRAM","TAB 20MG","30","Select","Select",""],["","60505258008","ATORVASTATIN","TAB 40MG","90","Select","Select",""],["","98302000198","COMFORT","MIS 31GX8MM","100","Select","Select",""],["","21922000909","DICLOFENAC","GEL 0.01","100","Select","Select",""],["","60505082901","FLUTICASONE","SPR 50MCG","16","Select","Select",""],["","59651026905","GLIPIZIDE","TAB 5MG","60","Select","Select",""],["","68180098201","LISINOPRIL","TAB 30MG","30","Select","Select",""],["","54629794101","VITAMIN","TAB 5000UNIT","90","Select","Select",""],["","00088221905","LANTUS","INJ 100\/ML","15","Select","Select",""],["","40985022872","FISH","CAP 1000MG","60","Select","Select",""],["","53885024450","ONETOUCH","TES ULTRA","50","Select","Select",""],["","00781223410","OMEPRAZOLE","CAP 40MG","30","Select","Select",""],["","50419054101","KERENDIA","TAB 20MG","30","Select","Select",""],["","69097012715","AMLODIPINE","TAB 5MG","30","Select","Select",""],["","57237017105","ROSUVASTATIN","TAB 40MG","90","Select","Select",""],["","00310621030","FARXIGA","TAB 10MG","30","Select","Select",""],["","50458014030","INVOKANA","TAB 100MG","30","Select","Select",""],["","49502019675","SEMGLEE","INJ 100U\/ML","15","Select","Select",""],["","42571025101","CLINDAMYCIN","CAP 150MG","40","Select","Select",""],["","57237003105","AMOXICILLIN","CAP 500MG","21","Select","Select",""],["","62332053990","FENOFIBRATE","TAB 160MG","30","Select","Select",""],["","00093720210","PRAVASTATIN","TAB 40MG","30","Select","Select",""],["","00904053080","TAB-A-VITE","TAB ","30","Select","Select",""],["","69230030001","ALLERGY","TAB 180MG","30","Select","Select",""],["","33342025866","OSELTAMIVIR","CAP 75MG","10","Select","Select",""],["","00406048410","APAP\/CODEINE","TAB 300-30MG","8","Select","Select",""],["","67877021660","CEFUROXIME","TAB 500MG","20","Select","Select",""],["","00024576105","SOLIQUA","INJ 100\/33","15","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":{"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":""}]}]}