{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"BRYAN   L GREEN","gend":0,"add":"7147 TULL ST","city":"NEW CHURCH","state":"VA","zip":"23415-9998","dob":"1964-11-30","age":"","mstatus":"","insh":"1887790*01","cliId":"","pno":7578947440,"cno":7578947440,"email":"","ename":"","eno":"","pphy":"HOSHINO, DAVID MD","ppno":7578245676,"pcpadd":"5219 LANKFORD HWY","pcpcity":"NEW CHURCH","pcpstate":"VA","pcpzip":"23415-9998","pcpcounty":"","pcpid":"","pcpname":"","plan":"OHP","program":"MEDICAID","lob":"M4","region":"TIDEWATER","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":7578245872,"pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["M54.5","R74.01","Z12.5","I10.","F32.9","J45.20","K22.70","E78.2","NO DATA","G47.33","D17.0","N52.9","R22.9","F33.2","F34.1","R07.89","U07.1","J02.9","R68.83","Z71.3","Z20.5","I65.23","M54.16","Z20.828","R50.9","K58.0","Z78.9","K22.8","K31.89","J45.41","G47.30","R00.0","Z20.822","Z79.899","R06.02","E78.5","R94.31","I34.0","I51.7","I34.8","I44.60","I35.8","G44.229","F41.8","G62.9","I44.4","R07.81","Z23.","E66.3","R68.89","F32.2","M79.89","R22.0","M54.41","G89.29"],"date":["2021-06-01","2022-02-22","2022-02-22","2023-03-07","2023-03-07","2023-03-07","2023-03-07","2022-02-22","2023-03-07","2022-11-07","2022-02-22","2022-02-22","2022-05-09","2023-03-07","2023-02-20","2022-09-26","2022-02-02","2022-02-02","2022-02-02","2023-03-07","2022-07-12","2022-07-26","2023-01-24","2021-01-07","2021-01-07","2023-03-07","2021-01-29","2021-08-24","2021-08-24","2021-12-30","2021-12-30","2021-12-30","2021-12-30","2021-12-30","2022-09-26","2022-09-26","2022-09-26","2021-09-09","2022-09-26","2022-09-26","2022-09-26","2022-09-26","2022-11-28","2022-11-28","2023-03-07","2022-09-21","2022-11-07","2022-11-07","2023-02-27","2021-09-09","2021-11-08","2022-04-18","2022-04-18","2022-09-21","2022-09-21"],"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":[["","00527293537","PREDNISONE","TAB 50MG","4","Select","Select",""],["","68462016305","CARVEDILOL","6.25 MG","180","Select","Select",""],["","68462039710","OMEPRAZOLE","40 MG","180","Select","Select",""],["","00173068220","VENTOLIN HFA","AER ","54","Select","Select",""],["","68382003410","VENLAFAXINE","CAP 37.5 ER","30","Select","Select",""],["","66993001968","ALBUTEROL","AER HFA","54","Select","Select",""],["","59310057922","PROAIR HFA","AER ","17","Select","Select",""],["","51672400202","NORTRIPTYLIN","CAP 25MG","60","Select","Select",""],["","67877019810","AMLODIPINE","TAB 5MG","30","Select","Select",""],["","23155069310","ALLOPURINOL","100 MG","180","Select","Select",""],["","16729011917","MONTELUKAST","TAB 10MG","90","Select","Select",""],["","00597010061","SPIRIVA","SPR 2.5MCG","12","Select","Select",""],["","59746033990","LOSARTAN\/HCT","TAB 100-25","90","Select","Select",""],["","00186037220","SYMBICORT","AER 80-4.5","31","Select","Select",""],["","72205002505","ATORVASTATIN","TAB 80MG","90","Select","Select",""],["","50228018010","GABAPENTIN","300 MG","90","Select","Select",""],["","52817033200","CYCLOBENZAPR","TAB 10MG","90","Select","Select",""],["","62542030117","HYD POL\/CPM","SUS 10-8\/5ML","30","Select","Select",""],["","00487020160","IPRATROPIUM\/","SOL ALBUTER","180","Select","Select",""],["","29300011210","LAMOTRIGINE","100 MG","30","Select","Select",""],["","67877024210","QUETIAPINE","TAB 25MG","90","Select","Select",""],["","51224012230","AZITHROMYCIN","TAB 500MG","2","Select","Select",""],["","31722077690","SILDENAFIL","TAB 20MG","30","Select","Select",""],["","00069108530","PAXLOVID","TAB ","30","Select","Select",""],["","52817032000","BACLOFEN","10 MG","90","Select","Select",""],["","70010075405","METHOCARBAM","TAB 500MG","40","Select","Select",""],["","00378130001","LITHIUM CARB","TAB 300MG ER","30","Select","Select",""],["","16729011917","MONTELUKAST SODIUM","10 MG","90","Select","Select",""],["","65162088003","LURASIDONE HCL","40 MG","30","Select","Select",""],["","75834023705","CELECOXIB","100 MG","60","Select","Select",""],["","31722059690","FENOFIBRATE","145 MG","30","Select","Select",""],["","13668033105","TRAZODONE HCL","100 MG","30","Select","Select",""],["","00378145001","LITHIUM CARBONATE ER","450 MG","60","Select","Select",""],["","00169452514","WEGOVY","0.25MG\/0.5","2","Select","Select",""],["","29300039710","AMLODIPINE BESYLATE","5 MG","30","Select","Select",""],["","63402030430","LATUDA","40 MG","30","Select","Select",""],["","72205002599","ATORVASTATIN CALCIUM","80 MG","90","Select","Select",""],["","68462022201","LITHIUM CARBONATE","600 MG","30","Select","Select",""],["","66993001968","ALBUTEROL SULFATE HFA","90 MCG","18","Select","Select",""],["","59746033990","LOSARTAN-HYDROCHLOROTHIAZIDE","100MG-25MG","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":""}]}]}