{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"AUBREY   C PARSONS","gend":0,"add":"2132 ARLINGTON AVE","city":"NORFOLK","state":"VA","zip":"23523-9998","dob":"1956-03-12","age":"","mstatus":"","insh":"20065515*01","cliId":"","pno":"757\/975-3391","cno":"757\/975-3391","email":"","ename":"","eno":"","pphy":"NEWBY-GOODMAN, MARCIA MD","ppno":"757\/942-8020","pcpadd":"930 MAJESTIC AVE STE 220","pcpcity":"NORFOLK","pcpstate":"VA","pcpzip":23504,"pcpcounty":"","pcpid":"","pcpname":"Primary Care Specialists","plan":"OHP","program":"MEDICAID","lob":"OHCC","region":"TIDEWATER","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"757\/942-8015","pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["R33.9","N32.0","N52.9","Z23.","B18.2","Z85.038","E11.9","I10.","K62.89","I71.9","K43.2","R32.","Z68.24","C18.9","R42.","L72.9","Z68.26","E78.2","R12.","E11.65","K74.0","F43.21","Z76.0","R35.1","N39.8","Z12.5","Z80.42","T14.8XXA","E78.5","N43.3","N39.44","H92.12","H90.A32","H90.41","K21.9","R22.32","N50.82","Z01.818","Z11.59","H72.92","Z12.11"],"date":["2022-09-13","2022-09-13","2021-09-13","2021-08-09","2020-12-10","2021-03-31","2022-01-11","2022-01-11","2021-10-12","2020-07-06","2020-10-05","2021-10-12","2020-10-05","2022-01-11","2022-01-11","2022-01-11","2022-01-11","2022-01-11","2021-10-12","2020-04-15","2020-04-15","2020-12-10","2020-06-22","2022-09-13","2022-09-13","2021-09-13","2021-09-13","2020-05-13","2020-05-13","2022-09-13","2020-12-14","2021-02-10","2021-03-26","2021-03-26","2022-01-11","2022-07-06","2022-09-13","2020-07-07","2020-07-07","2021-03-26","2021-03-31"],"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":[["","00172572960","FAMOTIDINE","TAB 40MG","30","Select","Select",""],["","68180051703","LISINOPRIL","TAB 40MG","30","Select","Select",""],["","50228014610","HYDROCHLOROT","CAP 12.5MG","30","Select","Select",""],["","60505258008","ATORVASTATIN","TAB 40MG","30","Select","Select",""],["","00378003210","METOPROL","TAB 50MG","30","Select","Select",""],["","23155010410","METFORMIN","TAB 1000MG","60","Select","Select",""],["","67877022305","GABAPENTIN","CAP 300MG","30","Select","Select",""],["","69097012815","AMLODIPINE","TAB 10MG","30","Select","Select",""],["","61442010310","DICLOFENAC","TAB 75MG DR","30","Select","Select",""],["","65862059805","TAMSULOSIN","CAP 0.4MG","90","Select","Select",""],["","45963067696","METOPROLOL","TAB 50MG ER","30","Select","Select",""],["","42195055014","CIPROFLOXACN","SOL 0.002","14","Select","Select",""],["","27241006903","SILDENAFIL","TAB 100MG","30","Select","Select",""],["","27241011203","TADALAFIL","TAB 5MG","90","Select","Select",""],["","53885027150","ONETOUCH","TES VERIO","100","Select","Select",""],["","65702071210","ACCU-CHEK","TES GUIDE","50","Select","Select",""],["","43386043201","OXYCODONE","TAB 5MG","20","Select","Select",""],["","58160082152","ENGERIX-B","INJ 20MCG\/ML","1","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":""}]}]}