{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"SARAH   L MEADE","gend":1,"add":"25323 WHITERIDGE DR","city":"ABINGDON","state":"VA","zip":"24211-9998","dob":"1981-06-23","age":"","mstatus":"","insh":"2168307*01","cliId":"","pno":"276\/274-0671","cno":"276\/274-0671","email":"","ename":"","eno":"","pphy":"JOYCE, KAYLA J NP","ppno":"423\/930-8337","pcpadd":"743 ISLAND RD","pcpcity":"BRISTOL","pcpstate":"VA","pcpzip":24201,"pcpcounty":"","pcpid":"","pcpname":"","plan":"OHP","program":"MEDICAID","lob":"M4","region":"SOUTHWEST","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"276\/469-4249","pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["F10.239","R56.9","J01.01","R05.","J20.9","D69.6","E03.9","D75.89","F17.200","R74.0","F10.20","Z23.","E83.42","E87.6","F41.9","F41.0","R23.2","F32.9","S51.851A","W55.01XA","R21.","R00.0","F17.210","Z53.20"],"date":["2020-05-28","2020-06-29","2020-02-10","2020-02-10","2020-02-10","2020-05-27","2020-05-27","2020-05-27","2020-05-27","2020-05-27","2020-05-27","2021-03-25","2020-05-27","2020-05-27","2020-06-29","2020-06-29","2020-06-29","2020-06-29","2021-07-20","2021-07-20","2022-06-29","2022-06-29","2022-06-29","2022-06-29"],"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":[["","65862050320","AMOX\/K","TAB 875-125","20","Select","Select",""],["","24208041005","OFLOXACIN","DRO 0.3%OTIC","5","Select","Select",""],["","00378064110","PREDNISONE","TAB 10MG","20","Select","Select",""],["","59746000103","METHYLPRED","TAB 4MG","21","Select","Select",""],["","68645059459","FAMOTIDINE","TAB 20MG","10","Select","Select",""],["","49281042150","FLUZONE","INJ 2021-22","0","Select","Select",""],["","59267100001","PFIZER","INJ COVID-19","0","Select","Select",""],["","00574402435","ERYTHROMYCIN","OIN 5MG\/GM","4","Select","Select",""],["","31722070190","LOSARTAN","TAB 50MG","30","Select","Select",""],["","68645052054","ESCITALOPRAM","TAB 20MG","30","Select","Select",""],["","00603548321","PROPRANOLOL","TAB 20MG","90","Select","Select",""],["","67877021660","CEFUROXIME","TAB 500MG","20","Select","Select",""],["","53489011905","DOXYCYCL","CAP 100MG","20","Select","Select",""],["","00254100752","ALBUTEROL","AER HFA","7","Select","Select",""],["","67877057505","BENZONATATE","CAP 200MG","20","Select","Select",""],["","59310057922","PROAIR","AER ","8","Select","Select",""],["","00555015904","CHLORDIAZEP","CAP 25MG","5","Select","Select",""],["","96295012782","THERAPEUTIC","","130","Select","Select",""],["","00228212750","CLONIDINE","TAB 0.1MG","10","Select","Select",""],["","49781014414","NICOTINE","DIS 14MG\/24H","28","Select","Select",""],["","00536440901","VITAMIN","TAB 100MG","7","Select","Select",""],["","11534016503","FOLIC","TAB 1MG","7","Select","Select",""],["","70461042010","FLUCLVX","INJ 2020-21","0","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":""}]}]}