{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"PAMELA   A BROWN","gend":1,"add":"96 CASEY CREEK LN","city":"GALAX","state":"VA","zip":"24333-9998","dob":"1964-04-03","age":"","mstatus":"","insh":"20064993*01","cliId":"","pno":"276\/233-3653","cno":"276\/233-3653","email":"","ename":"","eno":"","pphy":"MENEZES JR, ROBERT CHARLES MD","ppno":"276\/728-4311","pcpadd":"702 PINE STREET","pcpcity":"HILLSVILLE","pcpstate":"VA","pcpzip":24343,"pcpcounty":"","pcpid":"","pcpname":"","plan":"OHP","program":"MEDICAID","lob":"OHCC","region":"SOUTHWEST","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"276\/728-0901","pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["R60.0","R07.9","R06.02","R00.2","NO DATA","M75.41","M54.12","M75.51","Z86.010","K63.5","Z95.810","Z01.810","K21.9","I10.","I47.2","S43.81XA","J44.9","J96.10","I49.9","E78.00","Z68.26","Z23.","Z72.0","R25.1","D75.1","E03.9","Z12.11","K21.0","D12.4","D12.3","D12.2","D12.5","K57.30","K64.8","K44.9","I20.9","E78.2","D64.9","F17.210","G47.30","I49.3","R00.1","R55.","M79.7","F41.9","I47.1","Z20.822","Z01.812","J01.90","M25.511","M25.611","M62.81","I25.10","I42.9","T78.49XA","M75.101","Z20.828","M25.512","R07.89","Z01.419","R51.9","E07.9","M19.90","Z87.442","Z82.49","Z83.71","Z82.3","Z80.0","R94.31","I34.1","I34.0","J45.909","M79.606","Z01.818","I45.9","E66.3","Z11.59","J02.0","F17.200","M54.16","M79.672","R07.2","R06.09","E78.5","Z95.2","R09.89","Z76.89","G47.33"],"date":["2020-09-10","2021-08-18","2020-11-06","2021-03-26","2021-08-04","2021-02-16","2020-09-18","2020-12-01","2022-04-20","2022-01-24","2022-07-13","2020-07-27","2022-01-24","2022-10-25","2022-09-13","2021-02-16","2022-10-25","2022-08-29","2022-10-25","2022-10-25","2022-10-25","2022-10-25","2022-10-25","2022-10-25","2022-10-25","2022-10-25","2022-01-24","2020-07-27","2020-07-27","2022-01-24","2022-01-24","2022-01-24","2020-08-07","2020-07-27","2020-08-07","2020-07-27","2020-07-27","2020-07-27","2022-09-13","2020-07-27","2020-09-24","2021-01-21","2021-08-31","2022-01-24","2022-07-25","2022-01-05","2022-01-19","2022-01-19","2020-08-31","2020-10-05","2020-10-05","2020-10-05","2020-10-15","2020-10-15","2022-07-25","2021-02-24","2021-01-20","2021-02-16","2021-03-26","2021-11-03","2022-01-24","2022-01-24","2022-01-24","2022-01-24","2022-01-24","2022-01-24","2022-01-24","2022-01-24","2022-01-19","2021-02-19","2021-02-19","2021-02-19","2020-08-19","2022-01-19","2022-01-19","2022-07-25","2020-08-04","2020-11-11","2020-11-11","2022-06-15","2022-06-15","2020-03-04","2020-03-04","2020-03-04","2020-03-04","2020-08-19","2021-02-11","2021-02-25"],"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":[["","00597007541","SPIRIVA","CAP HANDIHLR","30","Select","Select",""],["","50228018005","GABAPENTIN","CAP 300MG","60","Select","Select",""],["","16729011917","MONTELUKAST","TAB 10MG","30","Select","Select",""],["","47781065410","LEVOTHYROXIN","TAB 112MCG","30","Select","Select",""],["","00378668910","PANTOPRAZOLE","TAB 40MG","30","Select","Select",""],["","60432026415","FLUTICASONE","SPR 50MCG","16","Select","Select",""],["","50742061510","METOPROL","TAB 25MG ER","60","Select","Select",""],["","60505016909","PRAVASTATIN","TAB 20MG","30","Select","Select",""],["","64380078408","PREDNISONE","TAB 10MG","30","Select","Select",""],["","65862086001","FAMOTIDINE","TAB 40MG","30","Select","Select",""],["","68382009805","PAROXETINE","TAB 20MG","90","Select","Select",""],["","69584068410","PRIMIDONE","TAB 50MG","90","Select","Select",""],["","65862001501","AMOXICILLIN","TAB 875MG","20","Select","Select",""],["","65862019399","FLUOXETINE","CAP 20MG","30","Select","Select",""],["","27808003501","HYDROCO\/APAP","TAB 5-325MG","12","Select","Select",""],["","72606000801","PREGABALIN","CAP 150MG","60","Select","Select",""],["","60258017101","MAG","TAB 400MG","90","Select","Select",""],["","42571016242","AMOX\/K","TAB 875-125","20","Select","Select",""],["","51224002218","AZITHROMYCIN","TAB 250MG","6","Select","Select",""],["","21922000909","DICLOFENAC","GEL 0.01","200","Select","Select",""],["","13668015590","ESOMEPRA","CAP 40MG DR","30","Select","Select",""],["","65862020299","LOSARTAN","TAB 50MG","90","Select","Select",""],["","23155017801","ISOSORB","TAB 60MG ER","30","Select","Select",""],["","00085113204","PROVENTIL","AER HFA","7","Select","Select",""],["","00254100752","ALBUTEROL","AER HFA","7","Select","Select",""],["","00085128801","NASONEX","SPR 50MCG\/AC","17","Select","Select",""],["","60505083001","MOMETASONE","SPR 50MCG","17","Select","Select",""],["","00093083205","CLONAZEPAM","TAB 0.5MG","30","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":""}]}]}