{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"BARRY VAUGHAN","gend":0,"add":"90 BIG OAK DR APT B","city":"INDEPENDENCE","state":"VA","zip":"24348-9998","dob":"1963-04-08","age":"","mstatus":"","insh":"2158146*01","cliId":"","pno":"276\/233-4263","cno":"276\/233-4263","email":"","ename":"","eno":"","pphy":"RICHARDSON, HEATHER D NP","ppno":"276\/744-2224","pcpadd":"279 GLADEVIEW DR","pcpcity":"FRIES","pcpstate":"VA","pcpzip":24330,"pcpcounty":"","pcpid":"","pcpname":"","plan":"OHP","program":"MEDICAID","lob":"M4","region":"SOUTHWEST","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"667\/218-3826","pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["K92.2","D62.","D50.9","I50.23","I08.1","I48.91","I34.0","R93.1","I51.9","I48.0","I50.40","E66.9","Z68.32","I11.0","Z79.899","Z87.19","Z86.2","D50.0","I10.","I50.22","R60.0","G47.00","R94.31","NO DATA","R01.1","Z79.01","D64.9","I50.9","R06.09","I07.1","I42.9","J81.0","J90.","Z98.890","Q27.33","K57.51","K57.30","Z86.79","E88.81","E78.2","F17.210","E55.9","R06.02","R07.9","R19.5","I51.7","I42.8","Z20.9","Z76.89","K64.0","K21.9","Z72.0","Z68.33","Z79.82","Z90.49","Z88.8","R94.39","D50.8","I49.3","I47.2","E78.5"],"date":["2020-10-15","2020-10-15","2020-10-15","2020-10-15","2020-10-14","2022-06-23","2022-07-27","2020-10-14","2020-10-14","2022-10-11","2020-11-12","2020-11-12","2020-11-12","2020-11-12","2020-11-12","2020-11-12","2020-11-12","2022-10-11","2022-10-11","2022-10-11","2022-10-11","2022-10-11","2022-06-08","2022-07-27","2022-07-27","2022-07-27","2020-10-13","2020-10-06","2022-06-08","2020-10-06","2020-10-12","2020-10-15","2020-10-15","2020-10-14","2020-10-15","2020-10-14","2020-10-14","2022-06-08","2022-07-27","2022-06-08","2022-07-27","2022-06-08","2022-06-23","2022-06-23","2020-10-14","2021-08-25","2021-08-25","2022-09-02","2022-09-02","2020-10-13","2020-10-13","2020-10-13","2020-10-13","2020-10-13","2020-10-13","2020-10-13","2020-10-15","2021-04-02","2022-07-07","2022-07-07","2022-07-27"],"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":[["","00904759080","FEROSUL","TAB 325MG","30","Select","Select",""],["","68382080510","TRAZODONE","TAB 50MG","30","Select","Select",""],["","66689034599","CHLORTHALID","TAB 25MG","30","Select","Select",""],["","68180051703","LISINOPRIL","TAB 40MG","30","Select","Select",""],["","67877019810","AMLODIPINE","TAB 5MG","30","Select","Select",""],["","00003089421","ELIQUIS","TAB 5MG","60","Select","Select",""],["","16729022516","SPIRONOLACT","TAB 25MG","30","Select","Select",""],["","55111046805","METOPROL","TAB 100MG ER","60","Select","Select",""],["","31722059690","FENOFIBRATE","TAB 145MG","30","Select","Select",""],["","16729028517","ROSUVASTATIN","TAB 10MG","30","Select","Select",""],["","69315011710","FUROSEMIDE","TAB 40MG","30","Select","Select",""],["","65862064163","AZITHROMYCIN","TAB 250MG","6","Select","Select",""],["","63868036320","ASPIRIN","TAB 81MG EC","30","Select","Select",""],["","69230020201","ALLERGY","TAB 180MG","10","Select","Select",""],["","00603017932","FERROUS","TAB 325MG FC","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":""}]}]}