{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"NAASIA MAHAMMAD","gend":1,"add":"300 MAJESTIC CT APT 101","city":"NEWPORT NEWS","state":"VA","zip":"23606-9998","dob":"1991-11-14","age":"","mstatus":"","insh":"3955206*01","cliId":"","pno":"757\/790-1480","cno":"","email":"","ename":"","eno":"","pphy":"TORRY, CHE DO","ppno":"757\/310-6413","pcpadd":"739 THIMBLE SHOALS BLVD SUITE 1008","pcpcity":"NEWPORT NEWS","pcpstate":"VA","pcpzip":23606,"pcpcounty":"","pcpid":"","pcpname":"INVICTUS HEALTH LLC","plan":"OHP","program":"MEDICAID","lob":"M4","region":"TIDEWATER","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"757\/310-6404","pcpnpi":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["V91.03","O42.113","Z3A.31","O99.53","J18.1","O99.03","D57.1","R07.81","J18.9","O99.519","D57.20","Z33.1","D57.00","Z80.0","Z80.3","N83.202","N91.2","R10.2","B35.4","O20.0","F32.0","V23.41","Z3A.33","O47.02","O99.019","O47.03","Z3A.34","O26.893","N89.8","Z3A.35","O42.013","Z3A.36","Z37.0","O42.913","Z37.2","O69.81X1","O99.02","O76.","O99.344","F32.9","R07.89","M54.9","R07.9","J32.3","V23.89","Z87.59","O46.8X2","Z36.86","N10.","Z36.89","A49.3","B96.89","R82.79","O21.0","O35.8XX0","Z82.79","O72.1","Q25.1","H54.7","G89.29","NO DATA","O99.340","Z79.899","Z87.891","Z83.3","Z20.822","O75.0","R10.84","R69.","Z74.01","Z87.01","O35.2XX0","O35.9XX0","Z3A.27","M54.32","M47.896","B37.3","J01.80","O21.9","Z3A.14","R11.2","E61.1","E83.51","M25.552","R52.","Z53.29","O23.591","R10.32","Z3A.01","O99.112","D72.829","Z3A.25","O30.003","Z3A.30","O60.14X0","O42.10","O60.13X0","P07.17","P07.34","P92.2","Z05.1","N91.1","R01.1","O26.90","M54.5","O99.013","R94.31","Z32.01","O60.03","Z3A.00","M25.551","R19.4","O28.3","R10.9"],"date":["2019-06-01","2019-06-01","2019-06-01","2019-06-04","2019-06-04","2021-11-07","2021-10-19","2019-06-07","2019-06-07","2019-06-07","2021-12-02","2021-08-19","2021-11-07","2021-05-25","2021-05-25","2021-03-09","2021-03-09","2021-03-16","2021-03-09","2021-03-09","2021-06-02","2021-10-11","2021-09-27","2021-09-27","2021-09-27","2021-10-07","2021-10-07","2021-10-11","2021-10-11","2021-10-11","2021-10-20","2021-10-20","2021-10-20","2021-10-19","2019-06-01","2019-05-27","2021-10-19","2019-05-27","2019-05-27","2019-05-27","2019-05-27","2021-09-09","2021-11-07","2020-08-23","2021-08-17","2021-08-17","2021-08-17","2021-08-17","2021-08-17","2021-08-17","2021-08-17","2021-08-17","2021-08-17","2021-08-17","2021-10-18","2021-10-18","2021-10-19","2021-10-19","2021-10-19","2021-10-19","2021-10-19","2021-10-19","2021-10-19","2021-11-07","2021-10-19","2021-10-19","2021-10-19","2021-10-19","2021-10-19","2021-10-19","2021-11-07","2019-05-01","2019-05-01","2019-05-01","2020-02-13","2020-02-13","2020-09-01","2020-09-01","2021-05-18","2021-05-18","2021-08-19","2021-09-09","2021-09-09","2020-02-25","2020-02-25","2021-03-07","2021-04-01","2021-04-01","2021-04-01","2021-08-01","2021-08-01","2021-08-01","2019-05-24","2021-09-08","2021-10-20","2019-05-27","2019-06-01","2019-06-11","2019-06-11","2019-06-11","2019-06-11","2020-12-07","2021-08-19","2021-09-28","2019-05-24","2019-05-24","2019-06-12","2021-03-02","2021-09-25","2021-09-28","2019-11-07","2021-02-23","2021-10-25","2021-02-23"],"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":[["","","ENOXAPARIN"," ENOXAPARIN ","3","Select","Select",""],["","","HYDROCO\/APAP"," HYDROCO\/APAP ","70","Select","Select",""],["","","OXYCOD\/APAP"," OXYCOD\/APAP ","45","Select","Select",""],["","","NALOXONE"," NALOXONE ","4","Select","Select",""],["","","AMOX\/K"," AMOX\/K ","14","Select","Select",""],["","","IBUPROFEN"," IBUPROFEN ","30","Select","Select",""],["","","PRENATAL"," PRENATAL ","30","Select","Select",""],["","","DOK"," DOK ","30","Select","Select",""],["","","FEROSUL"," FEROSUL ","30","Select","Select",""],["","","HYDROCOD\/IBU"," HYDROCOD\/IBU ","70","Select","Select",""],["","","CALCIUM"," CALCIUM ","60","Select","Select",""],["","","CEPHALEXIN"," CEPHALEXIN ","14","Select","Select",""],["","","PROMETHAZINE"," PROMETHAZINE ","12","Select","Select",""],["","","NARCAN"," NARCAN ","2","Select","Select",""],["","","AZITHROMYCIN"," AZITHROMYCIN ","2","Select","Select",""],["","","FLUCONAZOLE"," FLUCONAZOLE ","1","Select","Select",""],["","","ACETAMINOPHN","TAB 500MG","","Select","Select",""],["","","FOLIC","TAB 1MG","","Select","Select",""],["","","PAIN","TAB 500MG","","Select","Select",""],["","","NAPROXEN","TAB 500MG","","Select","Select",""],["","","KETOROLAC","TAB 10MG","","Select","Select",""],["","","BENZONATATE","CAP 100MG","","Select","Select",""],["","","PROAIR","AER ","","Select","Select",""],["","","ALBUTEROL","AER HFA","","Select","Select",""],["","","LORATADINE","TAB 10MG","","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":""}]}]}