{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"LATONYIA   C WILSON","gend":1,"add":"1587 BRIARFIELD RD APT 79","city":"HAMPTON","state":"VA","zip":"23666-9998","dob":"1981-07-18","age":"","mstatus":"","insh":"7985991*01","cliId":"","pno":"757\/329-6570","cno":"757\/338-2535","email":"","ename":"","eno":"","pphy":"WALKER, KEVA FNP","ppno":"757\/380-8709","pcpadd":"4714 MARSHALL AVE","pcpcity":"NEWPORT NEWS","pcpstate":"VA","pcpzip":23607,"pcpcounty":"","pcpid":"","pcpname":"PENINSULA INSTITUTE FOR COMMUNITY HEALTH","plan":"OHP","program":"MEDICAID","lob":"M4","region":"TIDEWATER","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"757\/952-1345","pcpnpi":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["K85.20","K75.9","D64.9","R10.9","R00.0","R11.10","R10.84","K29.00","B96.81","K44.9","D50.9","E87.2","F10.239","F10.10","D69.6","R74.01","K92.2","K29.50","K21.00","K92.0","K30.","R07.9","R00.2","K92.1","K20.80","I49.9","K21.9","R06.02","L02.412","L02.411","N39.0","R63.0","F41.9","E86.0","N30.01","R25.8","R03.0","K22.10","N17.9","E87.6","K29.70","NO DATA","K59.00","K76.0","K70.10","W18.30XA","R11.2","K76.89","N12.","Z72.0","L02.419","Z00.00","F41.8","M79.604","M79.605","M79.662","M79.661","R20.0","E83.42","K85.90","F12.90","H53.9","R07.89","R22.43","M54.9","R42.","R51.9","R20.2","R10.32","K46.9","I10.","F10.99","R10.13","B96.89","Z12.39"],"date":["2022-03-16","2021-07-13","2022-04-01","2022-04-01","2022-04-01","2021-07-17","2021-07-11","2021-07-17","2021-07-17","2021-07-17","2021-07-17","2021-07-17","2021-07-11","2022-03-16","2021-07-12","2021-07-12","2021-07-12","2021-07-15","2021-07-15","2021-07-15","2021-07-15","2020-01-23","2022-04-01","2021-07-16","2021-07-16","2021-07-12","2022-05-20","2022-04-15","2020-01-02","2020-01-02","2022-03-16","2022-04-15","2020-01-02","2021-07-11","2021-07-11","2020-12-24","2020-12-24","2021-07-11","2021-07-17","2022-04-01","2021-07-17","2022-04-01","2022-04-01","2021-07-12","2021-07-11","2021-07-17","2021-07-11","2021-07-12","2019-04-16","2019-02-22","2019-02-22","2019-11-22","2019-11-22","2022-04-01","2022-05-20","2022-04-01","2022-04-01","2022-08-19","2022-04-01","2022-04-01","2022-04-01","2022-04-01","2022-04-01","2022-04-01","2022-04-01","2022-04-01","2022-04-01","2022-08-19","2022-03-16","2022-03-16","2022-03-16","2022-04-01","2022-03-16","2022-03-16","2022-05-20"],"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":[["","","OMEPRAZOLE","CAP 40MG","","Select","Select",""],["","52817019610","TRAMADOL","TAB 100MG","20","Select","Select",""],["","11534016503","FOLIC","TAB 1MG","30","Select","Select",""],["","00093317431","ALBUTEROL","AER HFA","8","Select","Select",""],["","10702000350","PROMETHAZINE","TAB 25MG","12","Select","Select",""],["","68180012202","CEPHALEXIN","CAP 500MG","42","Select","Select",""],["","11917009215","FERROUS","TAB 325MG","30","Select","Select",""],["","","FEROSUL","TAB 325MG","","Select","Select",""],["","00406012301","HYDROCO\/APAP","TAB 5-325MG","6","Select","Select",""],["","57237003101","AMOXICILLIN","CAP 500MG","54","Select","Select",""],["","69315090510","LORAZEPAM","TAB 1MG","7","Select","Select",""],["","65862056099","PANTOPRAZOLE","TAB 40MG","60","Select","Select",""],["","00781196260","CLARITHROMYC","TAB 500MG","27","Select","Select",""],["","29300022701","METRONIDAZOL","TAB 500MG","4","Select","Select",""],["","00536354710","DAILY-VITE","TAB ","30","Select","Select",""],["","10006070011","VITAMIN","TAB 100MG","30","Select","Select",""],["","68382009705","PAROXETINE","TAB 10MG","30","Select","Select",""],["","65862042005","SMZ\/TMP","TAB 800-160","14","Select","Select",""],["","59310057922","PROAIR","AER ","8","Select","Select",""],["","00591544305","PREDNISONE","TAB 20MG","15","Select","Select",""],["","62332000131","FAMOTIDINE","TAB 20MG","60","Select","Select",""],["","00173068220","VENTOLIN","AER ","18","Select","Select",""],["","45802086866","POLYETH","POW 3350 NF","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":""}]}]}