{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"CASEY   E STEWART","gend":0,"add":"332 RED ASH DR","city":"RICHMOND","state":"VA","zip":"23225-9998","dob":"1967-01-05","age":"","mstatus":"","insh":"2206565*01","cliId":"","pno":"804\/934-8875","cno":"804\/934-8875","email":"","ename":"","eno":"","pphy":"LANDES, LORI H MD","ppno":"804\/230-7777","pcpadd":"4730 N SOUTHSIDE PLAZA","pcpcity":"RICHMOND","pcpstate":"VA","pcpzip":23224,"pcpcounty":"","pcpid":"","pcpname":"","plan":"OHP","program":"MEDICAID","lob":"OHCC","region":"CENTRAL","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"804\/628-3919","pcpnpi":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["Z86.19","K74.60","F10.10","M25.512","M47.22","M25.511","R20.0","M47.812","M75.122","Z47.89","M75.102","M51.36","K64.8","K57.30","Z23.","Z01.818","Z11.59","G95.9","M48.02","I10.","E78.2","N52.9","F10.20","Z72.0","J45.20","F51.01","G89.29","M54.9","B18.2","F17.210","M75.02","F10.99","E78.5","M50.022","M50.023","M75.22","S43.432A","M54.40","M54.16","M79.604","NO DATA","G89.18","Z48.89","Z98.1","Z79.899","I45.9","Z20.828","Z20.822","R20.2","Z12.11","G95.89","M75.21","M24.812"],"date":["2021-12-29","2021-05-19","2021-05-19","2022-10-18","2020-11-23","2020-12-02","2020-12-02","2020-12-28","2021-06-18","2021-11-29","2021-09-29","2020-03-11","2020-07-01","2020-07-01","2022-10-18","2020-06-29","2021-01-25","2021-01-25","2021-01-27","2022-10-18","2022-10-18","2022-10-18","2022-10-18","2022-10-18","2022-10-18","2022-10-18","2022-10-18","2020-09-03","2020-07-16","2020-09-03","2020-09-03","2020-11-18","2020-09-03","2021-01-08","2021-01-08","2021-06-18","2021-06-18","2021-12-29","2020-07-22","2020-07-22","2020-12-28","2021-06-18","2021-03-05","2021-06-08","2021-05-19","2021-06-04","2021-06-16","2021-06-16","2020-04-01","2020-07-01","2021-06-08","2021-06-18","2021-06-18"],"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":[["","00378395205","ATORVASTATIN","TAB 40MG","90","Select","Select",""],["","16729018317","HYDROCHLOROT","TAB 25MG","90","Select","Select",""],["","00228255111","DICLOFENAC","TAB 75MG DR","60","Select","Select",""],["","68462012701","GABAPENTIN","TAB 800MG","360","Select","Select",""],["","59310057922","PROAIR","AER ","8","Select","Select",""],["","49884094499","VARENICLINE","TAB 0.5& 1MG","53","Select","Select",""],["","51991001406","MELATONIN","TAB 3MG","30","Select","Select",""],["","66993001968","ALBUTEROL","AER HFA","18","Select","Select",""],["","59746000103","METHYLPRED","TAB 4MG","21","Select","Select",""],["","50111043302","TRAZODONE","TAB 50MG","90","Select","Select",""],["","53746020301","OXYCOD\/APAP","TAB 5-325MG","42","Select","Select",""],["","00536106210","STOOL","CAP 100MG","60","Select","Select",""],["","00603221232","AMITRIPTYLIN","TAB 10MG","90","Select","Select",""],["","70010077005","METHOCARBAM","TAB 750MG","60","Select","Select",""],["","60219175303","SILDENAFIL","TAB 100MG","30","Select","Select",""],["","65862001705","AMOXICILLIN","CAP 500MG","21","Select","Select",""],["","65162062711","TRAMADOL","TAB 50MG","8","Select","Select",""],["","00406055201","OXYCODONE","TAB 5MG","42","Select","Select",""],["","00406048410","APAP\/CODEINE","TAB 300-30MG","16","Select","Select",""],["","65162074510","PROMETHAZINE","TAB 12.5MG","20","Select","Select",""],["","63481068447","VOLTAREN","GEL 0.01","100","Select","Select",""],["","50111078766","AZITHROMYCIN","TAB 250MG","6","Select","Select",""],["","10572010001","PEG-3350","SOL ELECTROL","4000","Select","Select",""],["","00904674880","BISACODYL","TAB 5MG EC","4","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":""}]}]}