{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"MARLANA   L O'CONNOR","gend":1,"add":"14125 BLUE RIDGE TRL","city":"WINDSOR","state":"VA","zip":"23487-9998","dob":"1993-08-26","age":"","mstatus":"","insh":"4387961*01","cliId":"","pno":"757\/642-8203","cno":"","email":"","ename":"","eno":"","pphy":"LI, WENHONG MD","ppno":"757\/689-8430","pcpadd":"SUITE 100 1925 GLENN MITCHELL DR","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":["F11.20","F41.1","K29.00","R79.89","Z11.59","R10.13","R10.11","K76.0","R16.0","R94.5","K21.9","F42.2","F33.9","B34.9","S83.92XA","M79.671","N61.0","G47.33","NO DATA","E66.8","H92.01","R10.84","R52.","R50.9","K52.9","K31.89","K83.8","Z68.39","K29.70","J06.9","Z20.822","Z20.828","R55.","R00.2","G89.29","R74.0","D50.8","N39.0","M54.5","R00.0","G47.00","F32.9","S93.412A","M84.372A","M24.275","M25.572","W18.49XA","R53.83","D64.9","Z00.00","E66.9","Z86.39","R30.0","F50.89","Z23.","T45.4X5S","V58.89"],"date":["2021-12-27","2021-10-27","2020-07-28","2020-07-28","2020-07-30","2020-09-01","2020-08-03","2020-08-03","2020-08-03","2020-08-03","2020-09-01","2021-10-27","2021-10-27","2021-10-07","2020-01-26","2020-01-26","2020-01-26","2020-06-22","2020-03-06","2020-03-06","2020-04-30","2020-03-15","2020-03-15","2020-07-30","2020-07-30","2020-09-01","2020-04-20","2020-04-20","2020-09-01","2021-12-09","2021-12-09","2020-07-30","2020-07-31","2020-07-31","2020-07-31","2020-07-31","2019-07-01","2019-07-17","2019-06-03","2019-07-17","2019-10-21","2019-10-21","2019-02-06","2019-02-06","2019-02-06","2019-02-28","2019-02-06","2019-09-23","2019-05-14","2019-05-14","2019-05-14","2019-05-14","2019-05-14","2019-05-14","2019-05-15","2019-06-20","2019-02-28"],"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":[["","","VIIBRYD","TAB 20MG","","Select","Select",""],["","","BUSPIRONE","TAB 10MG","","Select","Select",""],["","75834002001","VITAMIN","CAP 50000UNT","4","Select","Select",""],["","00574110404","BROM\/PSE\/DM","SYP ","120","Select","Select",""],["","50111064801","FLUOXETINE","CAP 20MG","30","Select","Select",""],["","68382003416","VENLAFAXINE","CAP 37.5 ER","30","Select","Select",""],["","","HYDROCO\/APAP","TAB 5-325MG","","Select","Select",""],["","","PREDNISONE","TAB 10MG","","Select","Select",""],["","","AMOX\/K","TAB 875-125","","Select","Select",""],["","65862039010","ONDANSETRON","TAB 4MG ODT","40","Select","Select",""],["","65862001905","CEPHALEXIN","CAP 500MG","40","Select","Select",""],["","","MUPIROCIN","OIN 0.02","","Select","Select",""],["","55111012701","CIPROFLOXACN","TAB 500MG","14","Select","Select",""],["","","DICYCLOMINE","TAB 20MG","","Select","Select",""],["","","SUCRALFATE","SUS 1GM\/10ML","","Select","Select",""],["","","FAMOTIDINE","TAB 20MG","","Select","Select",""],["","47781030301","NITROFURANTN","CAP 100MG","10","Select","Select",""],["","64764073030","TRINTELLIX","TAB 10MG","30","Select","Select",""],["","68382091634","METHYLPRED","TAB 4MG","21","Select","Select",""],["","49884093547","DICLOFENAC","GEL 0.01","100","Select","Select",""],["","63481068447","VOLTAREN","GEL 0.01","100","Select","Select",""],["","57237001401","TAMSULOSIN","CAP 0.4MG","14","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":""}]}]}