{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"KENNETH BROWN","gend":0,"add":"802 WOODLAND DR","city":"SOUTH HILL","state":"VA","zip":"23970-9998","dob":"1962-03-30","age":"","mstatus":"","insh":"20067216*01","cliId":"","pno":"434\/262-6949","cno":"434\/262-6949","email":"","ename":"","eno":"","pphy":"POWERS, LINDA P MD","ppno":"434\/584-2025","pcpadd":"514 W ATLANTIC ST","pcpcity":"SOUTH HILL","pcpstate":"VA","pcpzip":23970,"pcpcounty":"","pcpid":"","pcpname":"","plan":"OHP","program":"MEDICAID","lob":"OHCC","region":"CENTRAL","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"434\/447-2240","pcpnpi":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["E10.8","E83.110","E16.2","E03.8","Z00.01","E11.40","M81.0","E23.0","K50.90","Z68.1","NO DATA","F33.0","Z79.4","E11.3393","H47.233","M79.81","M20.40","L85.1","B35.1","C44.311","Z23.","L57.0","L40.9","L82.1","D18.00","Z85.828","R19.7","K29.50","K52.9","E83.119","L40.50","E46.","E11.9","Z79.899","E11.65","L08.9","L89.892","L89.893","K62.89","K64.8","K31.89","E78.5","Z87.891","H40.023","H52.4","E78.00","E11.21","Z68.20","M86.8X7","L89.90","M79.671","L89.91","R13.10","Z11.59","M25.551","S50.311A","W01.0XXA","K63.5"],"date":["2020-09-25","2020-09-14","2020-09-25","2020-09-14","2022-09-20","2022-09-20","2022-09-20","2022-09-20","2022-09-20","2021-03-08","2022-09-20","2021-03-08","2022-09-20","2022-09-20","2022-03-16","2021-01-20","2021-07-16","2021-07-16","2021-07-16","2021-02-24","2022-09-20","2021-05-18","2021-05-18","2021-05-18","2021-05-18","2021-05-18","2021-07-14","2021-12-13","2021-12-13","2020-09-25","2020-11-10","2020-11-10","2021-12-13","2020-11-10","2021-08-17","2021-06-18","2021-01-20","2021-07-16","2021-12-13","2021-12-13","2021-12-13","2021-12-13","2022-09-09","2022-09-19","2022-09-19","2022-09-20","2022-09-20","2022-09-20","2021-08-02","2021-08-02","2021-08-17","2021-08-17","2021-10-04","2020-07-17","2022-09-09","2022-09-09","2022-09-09","2020-07-20"],"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":[["","68645055054","LISINOPRIL","TAB 2.5MG","90","Select","Select",""],["","57894005427","STELARA","INJ 5MG\/ML","78","Select","Select",""],["","00378180510","LEVOTHYROXIN","TAB 75MCG","90","Select","Select",""],["","68180094111","TESTOSTERONE","GEL 0.0162","150","Select","Select",""],["","00088221905","LANTUS","INJ 100\/ML","30","Select","Select",""],["","61314012605","KETOROLAC","SOL 0.005","5","Select","Select",""],["","72205000390","ROSUVASTATIN","TAB 10MG","31","Select","Select",""],["","65862032904","ALENDRONATE","TAB 70MG","12","Select","Select",""],["","67877021905","CEPHALEXIN","CAP 500MG","15","Select","Select",""],["","45802005535","TRIAMCINOLON","OIN 0.001","60","Select","Select",""],["","70710112307","DOXYCYC","TAB 100MG","10","Select","Select",""],["","65162027250","SMZ\/TMP","TAB 800-160","20","Select","Select",""],["","42806031250","DOXYCYCL","TAB 100MG","28","Select","Select",""],["","00093101042","MUPIROCIN","OIN 0.02","22","Select","Select",""],["","53885027210","ONETOUCH","TES VERIO","100","Select","Select",""],["","50111078751","AZITHROMYCIN","TAB 250MG","6","Select","Select",""],["","59746017509","PREDNISONE","TAB 20MG","9","Select","Select",""],["","52268001201","SUPREP","SOL PREP KIT","354","Select","Select",""],["","00074055402","HUMIRA","INJ 40\/0.4ML","4","Select","Select",""],["","00054007928","BALSALAZIDE","CAP 750MG","180","Select","Select",""],["","50111033301","METRONIDAZOL","TAB 250MG","21","Select","Select",""],["","00002879959","HUMALOG","INJ 100\/ML","15","Select","Select",""],["","08317782001","RELION","MIS MONITOR","1","Select","Select",""],["","08290320550","BD  PEN NEEDL","MIS 32GX5\/32","100","Select","Select",""],["","65162077810","BUDESONIDE","CAP 3MG DR","168","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":""}]}]}