{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"LOTORIA BUGG","gend":1,"add":"3447 WALMSLEY BLVD APT A","city":"RICHMOND","state":"VA","zip":"23224-9998","dob":"1987-09-24","age":"","mstatus":"","insh":"1875838*01","cliId":"","pno":8047795390,"cno":8047795390,"email":"","ename":"","eno":"","pphy":"LANNI, SUSAN M MD","ppno":8048284409,"pcpadd":"401 N 11TH ST,","pcpcity":"RICHMOND","pcpstate":"VA","pcpzip":"23298-9998","pcpcounty":"","pcpid":"","pcpname":"","plan":"OHP","program":"MEDICAID","lob":"M4","region":"CENTRAL","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":8048286084,"pcpnpi":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["O11.4","Z37.0","D62.","O72.1","Z3A.33","O99.02","O69.81X0","O10.92","Z20.822","Z83.3","Z82.49","Z30.2","V91.03","O11.3","P07.18","P07.30","Q41.1","E80.6","R19.5","I50.23","I11.0","I50.21","D50.9","N91.2","Z76.89","Z68.35","Z11.4","I10.","F17.200","Z34.90","V23.89","Z79.82","P07.36","I49.3","R94.31","O60.00","R03.0","O11.9","D50.8","Z33.1","V23.7","O32.9XX0","O14.14","Z37.2","Z79.899","R11.14","R19.7","R07.9","Q11.3","O60.14X0","L02.211","L02.91","R07.1","R06.02","R00.0","Z23.","Z3A.29","I72.2","V23.5","O13.3","O99.013","Z3A.32","Z87.42","Q41.9","I25.5","I51.7","I50.9","J45.901","J96.90","R06.2","O26.893","R10.30","O10.013","Z3A.30","I50.43","O90.3","I08.0","I87.8","I28.8","I82.612","O10.02","O32.1XX1","Z86.001","Z53.29","I70.1","E87.6"],"date":["2022-07-15","2022-07-15","2021-08-13","2021-08-15","2022-07-15","2022-07-14","2021-08-15","2021-08-13","2023-03-08","2021-08-13","2021-08-13","2022-07-15","2022-07-15","2022-07-15","2022-09-04","2022-09-04","2022-07-18","2022-08-19","2022-08-19","2023-05-16","2023-05-16","2022-10-28","2022-10-28","2021-03-05","2021-03-05","2021-03-05","2021-03-05","2021-10-25","2021-10-25","2021-08-13","2021-08-13","2022-10-25","2022-07-29","2023-03-08","2023-03-08","2021-07-20","2021-07-20","2022-07-07","2022-07-07","2022-07-07","2022-07-08","2022-07-14","2022-07-14","2022-07-15","2022-07-14","2022-09-13","2022-09-12","2023-05-16","2021-08-13","2022-07-15","2021-10-25","2021-10-25","2022-10-24","2023-05-16","2022-11-02","2022-06-27","2021-07-15","2021-08-15","2022-07-05","2022-07-05","2022-07-05","2022-07-08","2022-07-05","2022-07-18","2022-10-26","2022-11-02","2023-03-08","2023-03-08","2023-03-08","2023-03-08","2021-07-20","2021-07-20","2022-07-08","2021-07-20","2022-10-25","2022-10-25","2022-10-26","2022-10-26","2022-10-26","2022-11-02","2021-08-15","2022-07-08","2022-07-08","2022-07-08","2022-10-27","2023-05-16"],"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":[["","65162063609","PANTOPRAZOLE","TAB 20MG","30","Select","Select",""],["","65162019010","NAPROXEN","TAB 500MG","30","Select","Select",""],["","50742026101","NIFEDIPINE","TAB 60MG ER","30","Select","Select",""],["","00904531360","PRENATAL","TAB 27-0.8MG","90","Select","Select",""],["","00904759080","FEROSUL","TAB 325MG","30","Select","Select",""],["","38703000161","BLOOD PRESS","MIS WRIST CF","1","Select","Select",""],["","00904699860","DOCUSATE SOD","CAP 100MG","20","Select","Select",""],["","71247012601","LABETALOL","TAB 100MG","1","Select","Select",""],["","57896010201","ACETAMINOPHE","TAB 325MG","30","Select","Select",""],["","00087040501","POLY-VI-SOL","SOL IRON","50","Select","Select",""],["","68462011944","FLUCONAZOLE","TAB 150MG","1","Select","Select",""],["","65162083366","DICLOFENAC","GEL 0.01","100","Select","Select",""],["","65162027210","SMZ\/TMP DS","TAB 800-160","14","Select","Select",""],["","17478007035","ERYTHROMYCIN","OIN 5MG\/GM","4","Select","Select",""],["","65162046510","IBUPROFEN","TAB 600MG","7","Select","Select",""],["","00406055201","OXYCODONE","TAB 5MG","15","Select","Select",""],["","58204000404","MVW COMPLETE","DRO PEDIATRI","30","Select","Select",""],["","00054429931","FUROSEMIDE","40 MG","30","Select","Select",""],["","0","COMPOUND"," ","120","Select","Select",""],["","00078069620","ENTRESTO","TAB 97-103MG","60","Select","Select",""],["","00597015230","JARDIANCE","10 MG","30","Select","Select",""],["","16729029310","EPLERENONE","25 MG","30","Select","Select",""],["","16714085301","METOPROL SUC","TAB 50MG ER","30","Select","Select",""],["","00245010801","FERROUS SULF","TAB 325MG EC","15","Select","Select",""],["","59746017506","PREDNISONE","20 MG","10","Select","Select",""],["","17478007035","ERYTHROMYCIN OIN","5MG\/GM","4","Select","Select",""],["","65162046510","IBUPROFEN TAB","600MG","7","Select","Select",""],["","57896010201","ACETAMINOPHE TAB","325MG","30","Select","Select",""],["","71247012601","LABETALOL TAB","100MG","1","Select","Select",""],["","00054429731","FUROSEMIDE TAB","20MG","30","Select","Select",""],["","00406055201","OXYCODONE TAB","5MG","15","Select","Select",""],["","50742026201","NIFEDIPINE TAB","90MG ER","30","Select","Select",""],["","58204000404","MVW COMPLETE DRO PEDIATRI","","30","Select","Select",""],["","16714085201","METOPROL SUC TAB","25MG ER","30","Select","Select",""],["","00078065920","ENTRESTO TAB","24-26MG","60","Select","Select",""],["","66993034385","EPLERENONE TAB","25MG","30","Select","Select",""],["","65162083366","DICLOFENAC GEL","1%","100","Select","Select",""],["","00245010801","FERROUS SULF TAB","325MG EC","15","Select","Select",""],["","00597015230","JARDIANCE TAB","10MG","30","Select","Select",""],["","29300039805","AMLODIPINE BESYLATE","10 MG","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":""}]}]}