{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"MICHAEL L WILSON","gend":0,"add":"4263 OLD WOLF CREEK RD LOT A12","city":"NARROWS","state":"VA","zip":"24124-9998","dob":"1976-09-11","age":"","mstatus":"","insh":"1542018*01","cliId":"","pno":5405997942,"cno":5405997942,"email":"","ename":"","eno":"","pphy":"LOUGH, ANDREA R DO","ppno":5409213636,"pcpadd":"1611 WENONAH AVE,","pcpcity":"PEARISBURG","pcpstate":"VA","pcpzip":"24134-9998","pcpcounty":"","pcpid":"","pcpname":"","plan":"OHP","program":"MEDICAID","lob":"M4","region":"ROANOKE ALLEGHANY","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":5409213796,"pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["R10.9","R11.2","K29.20","K22.719","F10.10","F19.10","E83.39","F17.210","K64.8","K29.50","K44.9","K22.70","Z86.010","Z20.822","R63.4","K86.89","R10.84","R00.1","F17.200","G89.29","K21.9","R10.13","F17.220","Z53.29","Z79.899","K80.50","Z68.26","R93.5","F41.8","M54.2","G44.321","R03.0","I49.9","E83.42","R79.89","R07.89","Z87.19","K92.0","F10.129","R63.8","R07.9","K29.70","M25.422","F12.288","F11.90","D72.829","F11.21","L03.114","F41.9","F32.9","R45.1","R10.816","G89.4","R94.31","R00.2","R03.1","R19.7","E87.6","F11.10","I10.","F12.10","Z87.891","K52.9","R11.0","R93.3","K76.9","G89.18","F12.20","F12.188","F11.20","NO DATA"],"date":["2023-09-08","2023-09-08","2021-07-10","2021-07-10","2021-09-01","2021-07-10","2021-07-10","2023-09-08","2021-08-03","2022-08-01","2022-08-08","2022-08-01","2021-08-03","2021-09-24","2022-08-01","2021-09-01","2023-09-08","2022-03-15","2021-09-20","2021-09-08","2023-09-08","2023-09-08","2021-09-27","2021-09-15","2023-09-08","2022-08-01","2022-08-01","2022-08-01","2021-04-28","2021-04-28","2021-04-28","2021-02-23","2022-03-14","2022-03-14","2022-03-14","2022-03-14","2022-03-28","2022-03-28","2021-05-12","2021-05-12","2022-03-14","2021-07-11","2021-09-20","2021-11-21","2021-11-21","2021-11-21","2022-07-27","2021-09-20","2021-09-24","2021-09-24","2021-09-24","2021-09-27","2021-09-27","2022-03-14","2021-08-17","2021-08-17","2022-03-15","2022-03-15","2022-03-15","2022-03-15","2022-03-15","2022-03-15","2021-07-09","2021-07-15","2021-08-03","2021-05-05","2021-09-08","2021-11-21","2021-11-21","2021-11-21","2023-03-17"],"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":[["","65862078430","ESOMEPRA MAG","CAP 40MG DR","60","Select","Select",""],["","68645055154","LISINOPRIL","TAB 5MG","30","Select","Select",""],["","51801001330","EFFER-K","TAB 10MEQ","6","Select","Select",""],["","68462015713","ONDANSETRON","TAB 4MG ODT","60","Select","Select",""],["","65862078430","ESOMEPRAZOLE MAGNESIUM","40 MG","60","Select","Select",""],["","68462015713","ONDANSETRON ODT","4 MG","60","Select","Select",""],["","65862078430","ESOMEPRA MAG CAP","40MG DR","180","Select","Select",""],["","51801001330","EFFER-K TAB","10MEQ","6","Select","Select",""],["","68645055154","LISINOPRIL TAB","5MG","30","Select","Select",""],["","68462015713","ONDANSETRON TAB","4MG ODT","60","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":""}]}]}