{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"CAROL POLLARD","gend":1,"add":"1789 ED JONES ROAD","city":"SCOTTSVILLE","state":"VA","zip":"24590-9998","dob":"1989-12-10","age":"","mstatus":"","insh":"1888533*01","cliId":"","pno":4345662263,"cno":4345662263,"email":"","ename":"","eno":"","pphy":"PARKER, CORRIE P NP","ppno":4342433675,"pcpadd":"650 PETER JEFFERSON PARKWAY SUITE 2,","pcpcity":"CHARLOTTESVILLE","pcpstate":"VA","pcpzip":"22911-9998","pcpcounty":"","pcpid":"","pcpname":"","plan":"OHP","program":"MEDICAID","lob":"M4","region":"CHARLOTTESVILLE WESTERN","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":4342977235,"pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["M62.830","E11.9","H52.221","H40.013","H52.12","H53.149","E11.65","Z79.4","Z20.822","B34.9","R53.1","R11.2","E66.9","D72.829","R79.89","J34.89","R00.2","R53.83","R42.","S83.91XA","M79.89","Z68.41","B35.1","E66.01","I10.","K76.0","N89.8","B37.9","Z30.016","F31.0","J45.20","H93.12","H10.13","N39.0","L73.1","M54.9","K21.9","G47.33","Z71.89","Z12.4","Z11.3","Z30.8","R10.2","F43.9","R35.0","J01.90","F31.9","F51.01","M22.41","M25.561","J02.8","F31.31","L91.8","R10.84","F41.9","N30.01","R30.0","Z30.015","R60.0","R63.5","L23.9","J32.9","H65.02","M23.91","M25.461","N92.6","G47.10","J39.2","N91.5","E05.90","L72.0","Z59.6","N90.89","N64.4","N64.59","J02.9","NO DATA","J06.9","A59.01","R51.9","H60.331","H69.81","R05.9","R09.89","L60.0","R10.9","F41.8","N76.4","L30.4"],"date":["2021-01-07","2023-07-11","2021-03-04","2022-03-10","2021-03-04","2021-03-04","2023-07-25","2023-07-11","2022-10-15","2022-01-29","2021-09-08","2021-09-08","2021-09-08","2021-09-08","2023-03-30","2023-05-12","2022-06-17","2023-03-30","2022-06-17","2022-07-31","2022-07-31","2023-02-27","2023-07-25","2022-11-15","2022-12-12","2022-10-21","2023-07-19","2022-12-08","2022-12-08","2021-06-28","2021-08-16","2022-02-28","2022-03-10","2022-05-14","2022-05-14","2022-05-14","2022-09-14","2022-09-14","2022-11-15","2022-11-01","2023-07-11","2022-11-01","2021-03-24","2021-03-24","2021-03-24","2022-03-21","2022-11-15","2022-06-30","2022-09-21","2022-08-16","2022-10-15","2022-12-12","2023-01-18","2021-08-02","2021-08-16","2022-10-10","2023-07-11","2022-10-10","2023-03-06","2023-03-06","2021-04-26","2022-03-31","2023-01-12","2021-05-07","2021-05-07","2023-01-04","2023-03-30","2023-04-13","2023-04-13","2023-05-04","2023-04-13","2023-04-13","2023-04-19","2023-04-19","2023-04-19","2023-03-20","2023-03-20","2023-05-23","2023-05-04","2023-05-04","2023-05-05","2023-05-05","2023-05-31","2023-05-31","2023-07-25","2023-07-11","2023-07-11","2023-07-26","2023-07-26"],"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":[["","65162046935","ELURYNG","MIS ","3","Select","Select",""],["","69097084507","CYCLOBENZAPR","TAB 5MG","30","Select","Select",""],["","68645056354","IBUPROFEN","800 MG","30","Select","Select",""],["","0","COMPOUND"," ","0","Select","Select",""],["","00169750111","NOVOLOG","INJ 100\/ML","40","Select","Select",""],["","00024586903","TOUJEO SOLO","INJ 300IU\/ML","9","Select","Select",""],["","62756014202","METFORMIN","TAB 500MG ER","270","Select","Select",""],["","57599000101","FREESTYLE","KIT SENSOR","6","Select","Select",""],["","08290320122","BD PEN NEEDL","MIS 32GX4MM","100","Select","Select",""],["","68180051303","LISINOPRIL","TAB 5MG","90","Select","Select",""],["","51672127502","CLOTRIMAZOLE","CRE 0.01","30","Select","Select",""],["","67877019805","AMLODIPINE","TAB 5MG","30","Select","Select",""],["","00024587102","TOUJEO MAX","INJ 300IU\/ML","9","Select","Select",""],["","00597015290","JARDIANCE","10 MG","34","Select","Select",""],["","65162027250","SMZ\/TMP DS","TAB 800-160","6","Select","Select",""],["","29300011110","LAMOTRIGINE","TAB 25MG","120","Select","Select",""],["","59746017509","PREDNISONE","TAB 20MG","8","Select","Select",""],["","45802005535","TRIAMCINOLON","OIN 0.001","30","Select","Select",""],["","08290324912","INSULIN SYRG","MIS 1ML\/31G","100","Select","Select",""],["","50111033401","METRONIDAZOL","TAB 500MG","14","Select","Select",""],["","23155050110","HYDROXYZ HCL","TAB 25MG","45","Select","Select",""],["","00169413013","OZEMPIC","INJ 4MG\/3ML","3","Select","Select",""],["","69097014260","ALBUTEROL","AER HFA","13","Select","Select",""],["","51672203506","MICONAZOLE","CRE 0.02","45","Select","Select",""],["","00904530660","BANOPHEN","CAP 25MG","30","Select","Select",""],["","59310057922","PROAIR HFA","AER ","8","Select","Select",""],["","68462015713","ONDANSETRON","TAB 4MG ODT","12","Select","Select",""],["","59762501701","FLUCONAZOLE","150 MG","3","Select","Select",""],["","00093005305","BUSPIRONE","TAB 5MG","60","Select","Select",""],["","08627005303","DEXCOM G6","MIS SENSOR","3","Select","Select",""],["","65702071110","ACCU-CHEK","TES GUIDE","100","Select","Select",""],["","50924097110","SOFTCLIX","MIS LANCETS","300","Select","Select",""],["","00002882427","HUMULIN R","INJ U-500","15","Select","Select",""],["","00054418125","DEXAMETHASON","TAB 1MG","1","Select","Select",""],["","50111078710","AZITHROMYCIN","250 MG","6","Select","Select",""],["","00555077902","MEDROXYPR AC","TAB 10MG","30","Select","Select",""],["","49035008234","COLD\/CGH DM","LIQ 2.5-1-5","200","Select","Select",""],["","57237002801","AMOXICILLIN","500 MG","20","Select","Select",""],["","67877021905","CEPHALEXIN","CAP 500MG","28","Select","Select",""],["","50111056003","TRAZODONE","TAB 50MG","15","Select","Select",""],["","51672404801","CLOTRIM\/BETA","CRE DIPROP","45","Select","Select",""],["","00093031401","KETOROLAC","TAB 10MG","15","Select","Select",""],["","65162047810","NITROFURANTN","CAP 100MG","10","Select","Select",""],["","00093727198","PIOGLITAZONE","TAB 15MG","90","Select","Select",""],["","00093767902","ETONOGESTREL","MIS ETHY EST","1","Select","Select",""],["","68382005105","MELOXICAM","TAB 15MG","30","Select","Select",""],["","00378334053","XULANE","150-35\/24H","3","Select","Select",""],["","00002882427","HUMULIN R U-","500 KWIKPEN 500\/ML (3)","15","Select","Select",""],["","00781729685","ALBUTEROL SULFATE HFA","90 MCG","13.4","Select","Select",""],["","62756014202","METFORMIN HCL ER","500 MG","120","Select","Select",""],["","50111056001","TRAZODONE HCL","50 MG","30","Select","Select",""],["","08290320122","ULTRA-FINE NANO PEN NEEDLE","32GX 5\/32\"","100","Select","Select",""],["","00143924920","AMOXICILLIN-CLAVULANATE POTASS","875-125 MG","20","Select","Select",""],["","00093727198","PIOGLITAZONE HCL","15 MG","30","Select","Select",""],["","00904505359","SUDOGEST","30 MG","30","Select","Select",""],["","43598032675","CIPROFLOXACIN-DEXAMETHASONE","0.3 %-0.1%","7.5","Select","Select",""],["","68645059459","FAMOTIDINE","20 MG","180","Select","Select",""],["","50111033401","METRONIDAZOLE","500 MG","14","Select","Select",""],["","00093101042","MUPIROCIN","2 %","22","Select","Select",""],["","60505082901","FLUTICASONE PROPIONATE","50 MCG","16","Select","Select",""],["","70010016305","CETIRIZINE HCL","10 MG","90","Select","Select",""],["","69097014260","ALBUTEROL AER HFA","","13","Select","Select",""],["","08627001601","DEXCOM G","6 MIS TRANSMIT","1","Select","Select",""],["","00024587102","TOUJEO MAX INJ","300IU\/ML","9","Select","Select",""],["","62756014202","METFORMIN TAB","500MG ER","90","Select","Select",""],["","00169750111","NOVOLOG INJ","100\/ML","40","Select","Select",""],["","00169477212","OZEMPIC INJ","8MG\/3ML","3","Select","Select",""],["","65702071110","ACCU-CHEK TES GUIDE","","100","Select","Select",""],["","67877032105","IBUPROFEN TAB","800MG","30","Select","Select",""],["","08290324912","INSULIN SYRG MIS","1ML\/31G","100","Select","Select",""],["","68180051303","LISINOPRIL TAB","5MG","90","Select","Select",""],["","50924097110","SOFTCLIX MIS LANCETS","","100","Select","Select",""],["","00002882427","HUMULIN R INJ U-","500","15","Select","Select",""],["","00054418125","DEXAMETHASON TAB","1MG","1","Select","Select",""],["","08290320122","BD PEN NEEDL MIS","32GX4MM","100","Select","Select",""],["","00781261305","AMOXICILLIN CAP","500MG","20","Select","Select",""],["","67877021905","CEPHALEXIN CAP","500MG","28","Select","Select",""],["","00093031401","KETOROLAC TAB","10MG","20","Select","Select",""],["","00555077902","MEDROXYPR AC TAB","10MG","30","Select","Select",""],["","49035008234","COLD\/CGH DM LIQ","2.5-1-5","200","Select","Select",""],["","00168025815","CLOTRIM\/BETA CRE DIPROP","","45","Select","Select",""],["","67877019805","AMLODIPINE TAB","5MG","30","Select","Select",""],["","50111078751","AZITHROMYCIN TAB","250MG","6","Select","Select",""],["","50111056003","TRAZODONE TAB","50MG","15","Select","Select",""],["","68382005105","MELOXICAM TAB","15MG","30","Select","Select",""],["","65162046935","ELURYNG MIS","","3","Select","Select",""],["","00093767902","ETONOGESTREL MIS ETHY EST","","1","Select","Select",""],["","65162047810","NITROFURANTN CAP","100MG","10","Select","Select",""],["","00597015290","JARDIANCE TAB","10MG","30","Select","Select",""],["","59762501701","FLUCONAZOLE TAB","150MG","2","Select","Select",""],["","00378334053","XULANE DIS","150-35","3","Select","Select",""],["","50111033401","METRONIDAZOL TAB","500MG","14","Select","Select",""],["","00093727198","PIOGLITAZONE TAB","15MG","90","Select","Select",""],["","65162027250","SULFAMETHOXAZOLE-TRIMETHOPRIM","800-160 MG","14","Select","Select",""],["","43547028111","ESCITALOPRAM OXALATE","10 MG","90","Select","Select",""],["","00574200815","NYSTOP","100000\/G","45","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":""}]}]}