{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"FELICIA   M MCLAIN","gend":1,"add":"1100 REBEL RUN CT","city":"VIRGINIA BEACH","state":"VA","zip":"23453-9998","dob":"1988-10-13","age":"","mstatus":"","insh":"3055833*01","cliId":"","pno":"757\/949-2574","cno":"","email":"","ename":"","eno":"","pphy":"ANYIWO, JOEL O MD","ppno":"757\/689-8430","pcpadd":"1925 GLENN MITCHELL DR STE 100","pcpcity":"VIRGINIA BEACH","pcpstate":"VA","pcpzip":23456,"pcpcounty":"","pcpid":"","pcpname":"Princess Anne Medical Associates","plan":"OHP","program":"MEDICAID","lob":"M4","region":"TIDEWATER","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"757\/689-8435","pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["R10.84","K52.9","R11.2","F33.1","F41.9","F12.20","F90.2","N12.","Z20.822","R51.9","R09.81","J34.89","F17.210","M54.9","M25.561","M00.9","M13.10","E87.6","Z72.51","A54.42","A54.89","F32.9","J10.1","M54.2","R50.9","Z00.00","Q60.0","L08.9","M19.90","M54.10","F17.200","M23.361","V58.89","Z48.02","N76.0","B96.89","N88.8","R10.31","R10.2","R91.1"],"date":["2019-03-23","2019-03-23","2019-03-23","2020-09-01","2020-09-01","2020-09-01","2019-11-01","2021-11-25","2021-11-23","2021-11-23","2021-11-23","2021-11-23","2021-11-25","2021-11-23","2019-08-21","2019-08-21","2019-08-21","2019-08-21","2019-08-21","2019-08-21","2019-08-21","2020-02-21","2020-03-02","2020-03-02","2021-11-23","2019-11-22","2019-08-16","2019-08-16","2019-08-16","2019-10-04","2019-04-11","2019-08-16","2019-09-03","2019-09-03","2021-04-08","2021-04-08","2021-04-08","2021-04-08","2021-04-08","2021-04-08"],"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":{"indx":[false,false],"comment":["",""],"score":["",""]}},{"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":[["","","HYDROCO\/APAP"," HYDROCO\/APAP ","10","Select","Select",""],["","","CEPHALEXIN"," CEPHALEXIN ","30","Select","Select",""],["","","ONDANSETRON"," ONDANSETRON ","10","Select","Select",""],["","","APAP\/CODEINE"," APAP\/CODEINE ","18","Select","Select",""],["","","NAPROXEN"," NAPROXEN ","20","Select","Select",""],["","","METHYLPRED"," METHYLPRED ","21","Select","Select",""],["","","METHOCARBAM"," METHOCARBAM ","20","Select","Select",""],["","","INDOMETHACIN"," INDOMETHACIN ","30","Select","Select",""],["","","SMZ\/TMP"," SMZ\/TMP ","28","Select","Select",""],["","","LORAZEPAM","TAB 0.5MG","","Select","Select",""],["","","MELATONIN","TAB 3MG","","Select","Select",""],["","","ESCITALOPRAM","TAB 10MG","","Select","Select",""],["","","BUSPIRONE","TAB 5MG","","Select","Select",""],["","","RA","TAB 3MG","","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":""}]}]}