{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"LACONNA   R LUNDY","gend":1,"add":"59 MELTONS RUN APT G","city":"GALAX","state":"VA","zip":"24333-9998","dob":"1970-07-06","age":"","mstatus":"","insh":"20060570*01","cliId":"","pno":"276\/235-5638","cno":"276\/235-5638","email":"","ename":"","eno":"","pphy":"GARVEY, JANET H NP","ppno":"276\/236-8166","pcpadd":"606 E STUART DRIVE","pcpcity":"GALAX","pcpstate":"VA","pcpzip":24333,"pcpcounty":"","pcpid":"","pcpname":"","plan":"OHP","program":"MEDICAID","lob":"OHCC","region":"SOUTHWEST","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"276\/236-5247","pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["J01.90","R05.","M67.873","Z20.9","G40.909","R53.83","R09.81","G40.309","R22.0","R51.9","J06.9","R53.0","J40.","F32.9","F41.9","H66.93","J02.9","B34.9","R05.9","R09.89","G47.34","D12.6","Z86.16","Z79.899"],"date":["2020-11-11","2021-04-12","2021-04-06","2022-09-06","2022-09-14","2021-04-12","2022-09-14","2021-04-23","2020-10-16","2020-10-16","2021-09-12","2021-05-14","2021-05-24","2021-06-22","2020-08-19","2021-09-12","2022-08-27","2022-09-06","2022-09-14","2022-09-14","2022-09-14","2022-09-14","2022-09-14","2022-09-14"],"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":[["","49100040009","CULTURELLE","CAP ","60","Select","Select",""],["","00143993905","AMOXICILLIN","CAP 500MG","21","Select","Select",""],["","65862037401","ESCITALOPRAM","TAB 10MG","90","Select","Select",""],["","13668001001","CITALOPRAM","TAB 20MG","30","Select","Select",""],["","00121077504","GG\/CODEINE","SOL 100-10\/5","200","Select","Select",""],["","27808008601","HYD","SUS 10-8\/5ML","70","Select","Select",""],["","66685100100","AMOX\/K","TAB 875-125","20","Select","Select",""],["","62332004060","LAMOTRIGINE","TAB 200MG","60","Select","Select",""],["","68180011302","LEVETIRACETA","TAB 500MG","180","Select","Select",""],["","23155013525","DOXYCYC","TAB 100MG","20","Select","Select",""],["","13668033005","TRAZODONE","TAB 50MG","180","Select","Select",""],["","00054327099","FLUTICASONE","SPR 50MCG","16","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":""}]}]}