{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"ROBERT   L NEWMAN","gend":0,"add":"2533 SHULL ROAD","city":"ROANOKE","state":"VA","zip":"24012-9998","dob":"1958-10-19","age":"","mstatus":"","insh":"20052743*01","cliId":"","pno":"540\/494-5478","cno":"540\/494-5478","email":"","ename":"","eno":"","pphy":"SUNDARAM, VISHALAKSHI K MD","ppno":"540\/265-4210","pcpadd":"4910 VALLEY VIEW BLVD NW FL3","pcpcity":"ROANOKE","pcpstate":"VA","pcpzip":24012,"pcpcounty":"","pcpid":"","pcpname":"","plan":"OHP","program":"MEDICAID","lob":"OHCC","region":"ROANOKE\/ ALLEGHANY","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"540\/265-4219","pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["M62.81","Z47.33","M17.12","G47.00","Z86.73","I69.320","J30.89","M25.362","R03.0","F32.9","E78.2","D49.2","M16.12","Z12.11","K64.9","K63.5","T15.01XA","F17.200","Z23.","NO DATA","H40.053","J34.89","W57.XXXA","H35.3131","H43.393","H25.813","H52.4","I10.","T15.02XA","R41.841","H93.13","R09.82","J32.9","I63.9","R47.01","F17.210","L57.0","Z77.090","H90.3","F32.1","Z96.642","M19.90","F19.10","F10.10","H00.15","Z71.6","Z12.2","R21.","H02.826","D12.3","D12.2","D12.5","K62.1","D12.4","K64.8"],"date":["2020-08-14","2020-08-27","2022-10-06","2020-08-27","2020-10-15","2021-07-01","2021-06-14","2022-10-06","2020-06-16","2020-06-16","2020-06-16","2020-07-21","2022-07-28","2021-01-12","2021-01-12","2021-01-12","2022-09-02","2022-09-02","2022-09-02","2021-05-07","2020-07-29","2022-09-14","2022-07-28","2022-07-29","2022-07-29","2022-07-29","2022-07-29","2022-07-29","2022-09-03","2021-07-01","2022-09-14","2022-09-14","2022-09-14","2022-09-14","2022-09-14","2022-09-14","2020-08-27","2020-08-27","2020-10-15","2020-10-15","2020-10-15","2020-08-04","2020-06-02","2020-06-02","2020-06-02","2020-07-30","2020-07-30","2020-07-30","2020-07-02","2021-01-12","2021-01-12","2021-01-12","2021-01-12","2021-01-12","2021-01-12"],"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":[["","00904585692","CALCIUM","TAB 600MG","30","Select","Select",""],["","54629006702","DAILY","TAB ","30","Select","Select",""],["","43292055540","VITAMIN","TAB COMPLEX","30","Select","Select",""],["","00574402435","ERYTHROMYCIN","OIN 5MG\/GM","4","Select","Select",""],["","80681013800","CALCIUM\/D3","TAB 600MG","30","Select","Select",""],["","24208039915","IPRATROPIUM","SPR 0.0006","45","Select","Select",""],["","00832141003","MOXIFLOXACIN","SOL HCL 0.5%","3","Select","Select",""],["","00761081212","CALCIUM\/D","TAB 600MG","30","Select","Select",""],["","65162019050","NAPROXEN","TAB 500MG","60","Select","Select",""],["","68645052254","SERTRALINE","TAB 50MG","30","Select","Select",""],["","00093505898","ATORVASTATIN","TAB 40MG","90","Select","Select",""],["","68382005105","MELOXICAM","TAB 15MG","15","Select","Select",""],["","43598044828","NICOTINE","DIS 21MG\/24H","30","Select","Select",""],["","45802006436","TRIAMCINOLON","CRE 0.001","15","Select","Select",""],["","49035019502","EQ","DIS 14MG\/24H","28","Select","Select",""],["","00406012301","HYDROCO\/APAP","TAB 5-325MG","28","Select","Select",""],["","42858000101","OXYCODONE","TAB 5MG","28","Select","Select",""],["","72205001390","PREGABALIN","CAP 75MG","1","Select","Select",""],["","62332014231","CELECOXIB","CAP 200MG","60","Select","Select",""],["","49035056317","ASPIRIN","TAB 81MG EC","90","Select","Select",""],["","43386031208","GAVILAX","POW ","476","Select","Select",""],["","49035032712","GENTLE","TAB 5MG EC","4","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":""}]}]}