{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"AIMEE   L ORION","gend":1,"add":"660 COOPERSTOWN CT","city":"VIRGINIA BEACH","state":"VA","zip":"23451-9998","dob":"1979-02-15","age":"","mstatus":"","insh":"20056639*01","cliId":"","pno":"609\/832-2999","cno":"","email":"","ename":"","eno":"","pphy":"VANDERMEID, MARIA MD","ppno":"804\/968-5700","pcpadd":"5000 COX ROAD SUITE 100","pcpcity":"GLEN ALLEN","pcpstate":"VA","pcpzip":23060,"pcpcounty":"","pcpid":"","pcpname":"PATIENT FIRST RICHMOND MEDICAL GROUP PLLC","plan":"OHP","program":"MEDICAID","lob":"OHCC","region":"TIDEWATER","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"804\/968-5739","pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["J30.1","J30.89","J32.9","H10.45","I10.","N18.1","R31.29","M79.7","E78.5","K31.84","F64.9","E66.3","J30.81","J45.902","L20.84","E11.9","R94.4","R19.4","R19.7","K21.9","E55.9","E34.9","F17.200","E11.65","K59.00","Z86.010","R11.0","J45.998","K64.8","N18.3","E78.2","E11.8","E11.641","N18.2","M62.81","R53.81","M79.661","E78.00","Z72.0","L20.81","Z00.00","K62.5","M25.512","M25.511","M25.562","M25.561","M54.6","G89.29","I47.9","E66.9","R80.9","N30.00","N30.91","R31.0"],"date":["2021-09-16","2021-09-16","2021-09-16","2021-09-16","2022-01-28","2020-04-08","2022-01-28","2021-03-25","2020-06-16","2021-08-11","2021-11-22","2021-06-04","2021-09-16","2021-09-16","2021-09-16","2021-10-22","2021-03-05","2021-10-27","2022-01-03","2022-04-06","2020-06-23","2020-12-11","2020-12-11","2022-01-03","2021-01-06","2022-04-06","2020-06-11","2020-06-11","2020-06-11","2020-06-11","2020-06-23","2020-03-31","2020-06-23","2022-01-28","2020-11-05","2020-11-05","2019-09-03","2019-05-31","2019-12-27","2019-04-15","2019-04-02","2019-04-04","2019-08-01","2019-08-01","2019-08-01","2019-08-01","2019-08-01","2019-08-01","2019-09-30","2019-12-27","2022-01-28","2022-10-10","2022-05-28","2022-05-28"],"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":[["","31722070090","LOSARTAN","TAB 25MG","30","Select","Select",""],["","00006057561","JANUMET","TAB 50-500MG","60","Select","Select",""],["","","ONETOUCH","SOL ULT CONT","","Select","Select",""],["","","OMEPRAZOLE"," OMEPRAZOLE ","30","Select","Select",""],["","","VITAMIN"," VITAMIN ","8","Select","Select",""],["","","FAMOTIDINE"," FAMOTIDINE ","30","Select","Select",""],["","","FINASTERIDE","TAB 5MG","","Select","Select",""],["","","ESTRADIOL"," ESTRADIOL ","60","Select","Select",""],["","62175061846","PANTOPRAZOLE","TAB 20MG","30","Select","Select",""],["","67877021660","CEFUROXIME","TAB 500MG","14","Select","Select",""],["","65862042005","SMZ\/TMP","TAB 800-160","6","Select","Select",""],["","","LORATADINE","TAB 10MG","","Select","Select",""],["","50742061510","METOPROL","TAB 25MG ER","90","Select","Select",""],["","69452023320","PROGESTERONE","CAP 100MG","30","Select","Select",""],["","","LANTUS","INJ 100\/ML","","Select","Select",""],["","00054327099","FLUTICASONE","SPR 50MCG","16","Select","Select",""],["","","FENOFIBRATE","TAB 160MG","","Select","Select",""],["","50742063460","METFORMIN","TAB 1000MG","180","Select","Select",""],["","43598029490","PREGABALIN","CAP 100MG","90","Select","Select",""],["","","BD  PEN NEEDL","MIS 31GX5MM","","Select","Select",""],["","70377003012","ATORVASTATIN","TAB 80MG","90","Select","Select",""],["","","HYDROCO\/APAP","TAB 7.5-325","","Select","Select",""],["","65862057490","MONTELUKAST","TAB 10MG","30","Select","Select",""],["","00093310905","AMOXICILLIN","CAP 500MG","40","Select","Select",""],["","00115521116","COLESTIPOL","TAB 1GM","120","Select","Select",""],["","53746051501","SPIRONOLACT","TAB 100MG","60","Select","Select",""],["","59746011506","PROCHLORPER","TAB 10MG","90","Select","Select",""],["","","FLUCLVX","INJ 2019-20","","Select","Select",""],["","","CLINDAMYCIN","CAP 300MG","","Select","Select",""],["","","ACCU-CHEK","KIT GUIDE","","Select","Select",""],["","","POISE","PAD ULTRA","","Select","Select",""],["","00069046956","CHANTIX","TAB 1MG","60","Select","Select",""],["","","ONDANSETRON","TAB 4MG ODT","","Select","Select",""],["","","SOFTCLIX","MIS LANCETS","","Select","Select",""],["","","FREESTYLE    LIQ CONTROL","LIQ CONTROL","","Select","Select",""],["","","ALLERGY","TAB 10MG","","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":""}]}]}