{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"JAMES   T KING","gend":0,"add":"2218 GRAFTON ST","city":"CLIFTON FORGE","state":"VA","zip":"24422-9998","dob":"1979-10-29","age":"","mstatus":"","insh":"20052105*01","cliId":"","pno":"757\/761-7733","cno":"757\/761-7733","email":"","ename":"","eno":"","pphy":"HENDERSON, ROBERT J DO","ppno":"540\/862-6750","pcpadd":"SUITE 800 200 ARH LANE","pcpcity":"COVINGTON","pcpstate":"VA","pcpzip":24426,"pcpcounty":"","pcpid":"","pcpname":"","plan":"OHP","program":"MEDICAID","lob":"OHCC","region":"","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"540\/862-3742","pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["R07.9","F33.0","G43.009","I10.","E78.5","F41.9","F42.9","Z79.82","Z79.899","R51.9","K52.9","G44.89","R42.","H53.8","E86.0","R55.","E83.42","Z88.8","F33.2","T68.XXXA","I21.4","NO DATA","R00.0","Z23.","R19.7","F32.9","R50.9","R07.89","R53.83","L55.0","R11.0","S90.32XA","M77.32","R09.81","I25.5","R79.89","E78.1","J01.90","G56.03","R20.0","R20.2","E66.9","R73.09","B35.4","Z68.35","R10.9","T22.111A","R09.02","R06.89","R94.31","J06.9","Z86.73","Z86.59"],"date":["2022-05-31","2021-01-22","2021-09-26","2022-06-30","2022-05-29","2021-12-09","2021-09-26","2022-06-30","2022-06-30","2022-05-29","2021-12-08","2022-03-23","2022-03-23","2022-03-23","2022-05-29","2022-05-29","2022-05-29","2022-05-29","2020-03-27","2020-05-26","2020-05-27","2022-01-04","2020-05-27","2020-11-04","2022-09-21","2021-12-09","2021-12-09","2022-03-23","2022-05-29","2022-06-30","2022-06-30","2022-10-14","2022-10-14","2020-03-19","2020-05-27","2020-05-27","2020-05-27","2020-10-13","2022-10-01","2022-10-01","2022-10-17","2020-02-10","2021-11-30","2021-11-30","2021-11-30","2022-01-04","2020-04-02","2020-11-03","2020-11-03","2020-11-11","2020-01-02","2022-03-23","2022-03-23"],"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":[["","00378247401","DICLOFEN","TAB 50MG","20","Select","Select",""],["","65862019105","CYCLOBENZAPR","TAB 10MG","20","Select","Select",""],["","65862018830","ONDANSETRON","TAB 8MG","15","Select","Select",""],["","00378003210","METOPROL","TAB 50MG","60","Select","Select",""],["","70377003012","ATORVASTATIN","TAB 80MG","30","Select","Select",""],["","00527169505","BUT\/APAP\/CAF","TAB ","12","Select","Select",""],["","68462026430","ROSUVASTATIN","TAB 40MG","30","Select","Select",""],["","00185067401","HYDROXYZ","CAP 25MG","45","Select","Select",""],["","65862014836","SUMATRIPTAN","TAB 100MG","10","Select","Select",""],["","68462029817","CLOTRIM\/BETA","CRE DIPROP","15","Select","Select",""],["","59676058015","JANSSEN","INJ COVID-19","0","Select","Select",""],["","69238126601","OSELTAMIVIR","CAP 75MG","10","Select","Select",""],["","59746000103","METHYLPRED","TAB 4MG","21","Select","Select",""],["","00093100301","BUSPIRONE","TAB 15MG","60","Select","Select",""],["","68180035205","SERTRALINE","TAB 50MG","30","Select","Select",""],["","67877012405","SILVER","CRE 0.01","50","Select","Select",""],["","64380071206","BENZONATATE","CAP 100MG","40","Select","Select",""],["","66685100100","AMOX\/K","TAB 875-125","20","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":""}]}]}