{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"MICHEAL P PRATER","gend":0,"add":"116 CASPIAN DR","city":"STEPHENS CITY","state":"VA","zip":"22655-9998","dob":"1976-09-08","age":"","mstatus":"","insh":"1211701*01","cliId":"","pno":5405144093,"cno":5405144093,"email":"","ename":"","eno":"","pphy":"DINGESS, JAMES NP","ppno":5406620306,"pcpadd":"190 CAMPUS BLVD SUITE 201,","pcpcity":"WINCHESTER","pcpstate":"VA","pcpzip":"22601-9998","pcpcounty":"","pcpid":"","pcpname":"","plan":"OHP","program":"MEDICAID","lob":"M4","region":"NORTHERN & WINCHESTER","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":8552642066,"pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["R10.11","R73.9","Z71.3","Z68.32","K02.9","K08.89","D84.1","I25.118","I42.9","Z01.818","E11.9","T78.3XXA","R06.02","R05.","R22.1","I10.","E78.2","I87.2","V58.89","I25.2","R06.09","B35.1","I50.20","I71.9","F17.200","R07.9","E11.65","E78.5","R11.0","Z86.79","Z91.199","Z53.29","U07.1","R55.","Z68.30","I20.8","Z72.0","R53.81","E11.42","M79.662","Z79.4","I70.212","R07.89","F17.210","Z01.811","I25.10","E78.00","G62.9","Z91.14","F41.9","R06.00","I20.0","Z74.3","J44.9","G47.33"],"date":["2021-03-08","2021-01-28","2021-03-08","2021-01-28","2021-02-21","2021-02-21","2021-09-28","2023-03-22","2021-12-15","2021-03-08","2021-03-08","2021-09-28","2023-03-20","2021-09-28","2021-09-28","2023-03-22","2023-03-22","2022-10-14","2022-10-14","2022-10-14","2023-05-16","2022-10-14","2022-10-14","2023-03-22","2023-03-20","2023-03-20","2023-03-20","2023-03-20","2023-03-20","2023-03-20","2023-03-20","2023-03-20","2022-07-17","2022-07-17","2022-07-17","2023-03-22","2023-03-22","2023-03-22","2023-03-22","2023-03-22","2023-03-22","2023-03-24","2021-03-26","2023-05-16","2021-03-25","2021-04-14","2021-04-14","2021-04-14","2022-07-07","2022-07-07","2023-05-16","2023-03-20","2023-03-20","2023-05-16","2023-05-18"],"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":[["","53489038601","MINOXIDIL","TAB 2.5MG","90","Select","Select",""],["","59762330403","NITROGLYCERN","SUB 0.4MG","25","Select","Select",""],["","70010006310","METFORMIN","TAB 500MG","360","Select","Select",""],["","23155002401","BUSPIRONE","TAB 10MG","60","Select","Select",""],["","00093227434","AMOX\/K CLAV","TAB 500-125","30","Select","Select",""],["","27241009990","DULOXETINE","CAP 60MG","30","Select","Select",""],["","00093317431","ALBUTEROL","AER HFA","8","Select","Select",""],["","72511076002","REPATHA SURE","INJ 140MG\/ML","2","Select","Select",""],["","65862014736","SUMATRIPTAN","TAB 50MG","9","Select","Select",""],["","16729018317","HYDROCHLOROT","TAB 25MG","90","Select","Select",""],["","59310057922","PROAIR HFA","AER ","8","Select","Select",""],["","00071041813","NITROSTAT","SUB 0.4MG","25","Select","Select",""],["","00904404073","ASPIRIN","81 MG","90","Select","Select",""],["","00904671740","CETIRIZINE","TAB 10MG","60","Select","Select",""],["","00228212810","CLONIDINE","TAB 0.2MG","180","Select","Select",""],["","52937000120","VASCEPA","CAP 1GM","360","Select","Select",""],["","00002879959","HUMALOG KWIK","INJ 100\/ML","15","Select","Select",""],["","00002822259","INSULIN LISP","INJ 100\/ML","15","Select","Select",""],["","08214089021","UNIFINE PNTP","MIS 31GX6MM","100","Select","Select",""],["","27808003501","HYDROCO\/APAP","TAB 5-325MG","16","Select","Select",""],["","67877032005","IBUPROFEN","TAB 600MG","40","Select","Select",""],["","60505014100","GLIPIZIDE","TAB 5MG","180","Select","Select",""],["","68382013814","TOPIRAMATE","TAB 25MG","60","Select","Select",""],["","62332011331","METOPROL TAR","TAB 50MG","180","Select","Select",""],["","50742063460","METFORMIN ER","TAB 1000MG","60","Select","Select",""],["","60505464303","PRASUGREL","TAB 10MG","90","Select","Select",""],["","69097066434","ICATIBANT","INJ 30MG\/3ML","3","Select","Select",""],["","54092070202","FIRAZYR","INJ 30MG\/3ML","3","Select","Select",""],["","16729000316","GLIMEPIRIDE","TAB 4MG","90","Select","Select",""],["","00597015230","JARDIANCE","10 MG","30","Select","Select",""],["","00781261305","AMOXICILLIN","CAP 500MG","15","Select","Select",""],["","00054050823","ICOSAPENT","CAP 1GM","120","Select","Select",""],["","00536110788","NICOTINE TD","DIS 14MG\/24H","28","Select","Select",""],["","47783010101","KALBITOR","INJ 10MG\/ML","3","Select","Select",""],["","60505317007","OMEGA-3-ACID","CAP 1GM","90","Select","Select",""],["","43598037201","COLCHICINE","TAB 0.6MG","60","Select","Select",""],["","70436005922","BUPROPION","TAB 150MG SR","60","Select","Select",""],["","43598071901","CHLORTHALID","TAB 25MG","90","Select","Select",""],["","00069108530","PAXLOVID","TAB 300-100","30","Select","Select",""],["","23155051901","ISOSORB MONO","TAB 30MG ER","30","Select","Select",""],["","00069034530","PAXLOVID (EUA)","300-100 MG","30","Select","Select",""],["","23155017801","ISOSORBIDE MONONITRATE ER","60 MG","30","Select","Select",""],["","59762330403","NITROGLYCERIN","0.4 MG","25","Select","Select",""],["","00002143380","TRULICITY","0.75MG\/0.5","2","Select","Select",""],["","68462015713","ONDANSETRON ODT","4 MG","30","Select","Select",""],["","00832532411","POTASSIUM CHLORIDE","10 MEQ","30","Select","Select",""],["","69315011610","FUROSEMIDE","20 MG","30","Select","Select",""],["","62332011331","METOPROLOL TARTRATE","50 MG","180","Select","Select",""],["","00069108530","PAXLOVID TAB","300-100","30","Select","Select",""],["","13668010510","ISOSORB MONO TAB","60MG ER","30","Select","Select",""],["","62332011331","METOPROL TAR TAB","50MG","180","Select","Select",""],["","59762330403","NITROGLYCERN SUB","0.4MG","25","Select","Select",""],["","00597015230","JARDIANCE TAB","10MG","30","Select","Select",""],["","00904404073","ASPIRIN CHW","81MG","30","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":""}]}]}