{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"ANGELA GILCHRIST","gend":1,"add":"4119 SAIL CT","city":"CHESAPEAKE","state":"VA","zip":"23321-9998","dob":"1966-07-30","age":"","mstatus":"","insh":"1159872*01","cliId":"","pno":7573050005,"cno":7573050005,"email":"","ename":"","eno":"","pphy":"SAAND, MARIAM R MD","ppno":7577381225,"pcpadd":"3537 AIRLINE BLVD STE 1","pcpcity":"PORTSMOUTH","pcpstate":"VA","pcpzip":"23701-9998","pcpcounty":"","pcpid":"","pcpname":"","plan":"OHP","program":"MEDICAID","lob":"M4","region":"TIDEWATER","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":7574881037,"pcpnpi":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["E11.9","L60.3","R06.00","R07.89","Z98.84","Z86.69","Z68.26","S80.02XA","I95.89","E86.1","E11.21","R06.09","R60.0","R80.1","E11.22","I10.","Z20.822","E66.01","E78.00","E78.5","G47.33","K21.9","N39.3","Z68.39","Z79.82","Z98.891","Z23.","L30.4","Z68.30","F41.9","E66.9","Z68.33","K91.2","Z86.39","L98.7","Z68.27","Z68.37","H04.123","E78.2","Z71.3","R07.9","E65.","R79.89","E55.9","Z68.36","Z88.1","Z88.5","Z88.0","H01.9","E66.3","R80.9","M19.90","M79.3","I77.810"],"date":["2021-11-10","2021-11-10","2022-09-07","2022-08-08","2023-03-03","2022-08-08","2022-09-07","2023-01-08","2023-01-08","2023-01-08","2023-03-03","2022-08-25","2021-05-20","2021-06-24","2021-06-24","2023-03-03","2021-02-06","2021-06-28","2021-06-28","2021-06-28","2022-10-28","2021-06-28","2021-06-28","2021-06-28","2021-06-28","2021-06-28","2021-11-09","2023-03-03","2021-11-09","2023-03-03","2021-11-08","2021-08-11","2023-02-06","2023-02-06","2023-02-06","2023-02-06","2021-06-28","2021-05-13","2023-03-03","2021-11-08","2022-09-07","2023-03-03","2023-03-03","2021-01-25","2021-05-20","2021-05-20","2021-05-20","2021-05-20","2021-05-20","2022-02-14","2021-06-03","2021-06-28","2022-12-09","2022-08-30"],"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":[["","13668013701","ESCITALOPRAM","TAB 20MG","90","Select","Select",""],["","65862057490","MONTELUKAST","TAB 10MG","30","Select","Select",""],["","45802065078","LORATADINE","10 MG","30","Select","Select",""],["","68382075905","METFORMIN","TAB 850MG","90","Select","Select",""],["","68180098103","LISINOPRIL","TAB 20MG","90","Select","Select",""],["","55111015810","OMEPRAZOLE","CAP 20MG","90","Select","Select",""],["","70377002811","ATORVASTATIN","TAB 20MG","90","Select","Select",""],["","71093014005","METHOCARBAM","TAB 500MG","45","Select","Select",""],["","59779061288","ALLERGY RELF","TAB 10MG","30","Select","Select",""],["","68382037001","NYSTATIN","POW 100000","15","Select","Select",""],["","00548560200","ENOXAPARIN","INJ 40\/0.4ML","3","Select","Select",""],["","68462015713","ONDANSETRON","TAB 4MG ODT","12","Select","Select",""],["","42858000101","OXYCODONE","TAB 5MG","18","Select","Select",""],["","80777027399","MODERNA VAC","INJ COVID-19","0","Select","Select",""],["","10702002501","PHENTERMINE","TAB 37.5MG","15","Select","Select",""],["","23155013525","DOXYCYC MONO","TAB 100MG","14","Select","Select",""],["","67877054360","CEFDINIR","CAP 300MG","20","Select","Select",""],["","49281042250","FLUZONE QUAD","INJ 2022-23","0","Select","Select",""],["","61269010534","BACITR ZINC","OIN 500UNIT","15","Select","Select",""],["","70377002811","ATORVASTATIN CALCIUM","20 MG","90","Select","Select",""],["","13668013701","ESCITALOPRAM OXALATE","20 MG","90","Select","Select",""],["","65862057490","MONTELUKAST SODIUM","10 MG","90","Select","Select",""],["","80681013700","CALCIUM","500-VIT D3 500 MG-10","90","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":""}]}]}