{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"JOEL   A NEFF","gend":0,"add":"170 DODSON ROAD","city":"MOUNT JACKSON","state":"VA","zip":"22842-9998","dob":"1990-05-03","age":"","mstatus":"","insh":"2323229*01","cliId":"","pno":"540\/481-3755","cno":"540\/481-3755","email":"","ename":"","eno":"","pphy":"DRESSLER, WILLIAM C MD","ppno":"540\/465-3751","pcpadd":"33674 OLD VALLEY PIKE","pcpcity":"STRASBURG","pcpstate":"VA","pcpzip":22657,"pcpcounty":"","pcpid":"","pcpname":"","plan":"OHP","program":"MEDICAID","lob":"M4","region":"","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"540\/465-5008","pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["C78.6","NO DATA","E87.6","D72.829","Z20.828","J45.909","Z72.0","Z85.038","Z90.49","R10.9","Z48.815","C18.4","Z43.2","F10.10","F17.210","C18.2","Z51.11","Z51.12","T82.868A","K66.0","Z93.2","Z87.891","Z92.21","Z87.09","Z51.5","C18.9","Z71.89","C80.0","G89.3","R52.","N50.811","R10.84","R11.11","C78.5","D68.59","F17.211","R19.7","Z98.0","K92.2","Z53.8","R07.89","R07.9","G89.18","K94.19","K80.20","N13.5","K92.0","R11.0","N17.9","R11.2","Z20.822","F17.200","Z79.899","Z01.810","Z01.818","D12.5","D12.8","K51.40","K62.1","R10.33","C80.1","K56.609","K63.89","Z45.2","Z08.","Z85.030","Z93.4"],"date":["2022-08-18","2021-03-04","2020-11-16","2020-11-18","2020-12-14","2021-01-07","2020-11-16","2022-05-04","2022-06-14","2022-09-02","2021-01-07","2022-06-14","2022-07-02","2021-01-07","2021-01-07","2022-08-18","2021-09-17","2021-09-17","2021-09-17","2022-08-18","2022-06-14","2022-06-14","2022-06-14","2022-06-14","2022-09-02","2022-09-02","2022-09-02","2022-09-02","2022-09-02","2022-08-29","2020-11-09","2020-12-14","2020-12-14","2020-12-14","2020-12-14","2021-10-08","2021-11-01","2022-05-04","2022-05-04","2022-05-04","2022-05-20","2022-05-20","2022-08-18","2022-08-18","2022-08-18","2022-08-18","2020-12-14","2020-12-14","2021-11-01","2021-11-01","2021-11-01","2020-11-15","2022-06-07","2022-06-07","2022-08-11","2020-10-16","2020-10-16","2020-10-16","2020-10-16","2020-11-15","2020-11-15","2021-07-02","2022-05-04","2020-12-21","2022-05-04","2022-05-04","2022-08-25"],"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":[["","00406055201","OXYCODONE","TAB 5MG","28","Select","Select",""],["","65862085901","FAMOTIDINE","TAB 20MG","28","Select","Select",""],["","68001036500","METRONIDAZOL","TAB 500MG","6","Select","Select",""],["","00093117701","NEOMYCIN","TAB 500MG","6","Select","Select",""],["","68462010630","ONDANSETRON","TAB 8MG","10","Select","Select",""],["","00378041510","DIPHEN\/ATROP","TAB 2.5MG","60","Select","Select",""],["","65162052110","PROMETHAZINE","TAB 25MG","60","Select","Select",""],["","71288041083","ENOXAPARIN","INJ 40\/0.4ML","6","Select","Select",""],["","69547035302","NARCAN","SPR ","2","Select","Select",""],["","00093031105","LOPERAMIDE","CAP 2MG","120","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":""}]}]}