{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"OCEANA  L WOODIE","gend":1,"add":"1102 MEADOWVIEW DR APT 5","city":"PULASKI","state":"VA","zip":"24301-9998","dob":"1993-09-02","age":"","mstatus":"","insh":"1914428*01","cliId":"","pno":5409806209,"cno":5409806209,"email":"","ename":"","eno":"","pphy":"CARD, RICHARD D DO","ppno":5405095443,"pcpadd":"141 E MAIN ST STE 420","pcpcity":"PULASKI","pcpstate":"VA","pcpzip":"24301-9998","pcpcounty":"","pcpid":"","pcpname":"","plan":"OHP","program":"MEDICAID","lob":"M4","region":"ROANOKE ALLEGHANY","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":5404408924,"pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["F11.20","K29.50","NO DATA","K44.9","Z80.0","Z20.822","I10.","E11.9","F17.210","E66.01","Z68.43","E78.5","K62.5","F41.9","E11.69","F31.9","R06.81","R06.2","S30.1XXS","Y09.","M54.2","R10.2","N64.52","N64.4","J06.9","R05.","R19.7","R11.2","R30.0","R31.29","N93.9","R13.10","K21.9","Z20.828","K64.9","F17.200","D13.2","Z91.19","S09.90XA","F41.0","B37.2","R87.612","Z32.02","N94.10","Z30.432","K64.8","K59.03","D12.3","K64.4","K63.89","K29.30","Z86.010","S00.83XA","S10.93XA","Y04.0XXA","R20.2","H66.91","S00.81XA","R51.9","R05.9","R06.02","K29.70","Z01.411","Z11.3","G43.109","Z97.5","R07.9","R53.1","L23.7","R00.2","K63.5","N30.00","S00.93XA","Z00.01","R40.0","E78.2","G44.211","R07.89","R55.","I12.9","N18.9","E87.8","R79.1","Z79.51","Z79.899","B37.0","Z79.85","R09.81"],"date":["2023-04-27","2022-06-21","2023-01-05","2022-08-01","2022-08-01","2023-03-29","2023-03-29","2023-03-29","2022-07-21","2022-09-09","2022-07-21","2022-06-21","2022-07-21","2022-09-09","2023-01-05","2023-01-05","2022-09-09","2022-09-09","2022-10-31","2022-10-31","2022-10-31","2023-01-06","2023-01-06","2023-01-06","2021-06-28","2021-06-28","2021-06-28","2021-09-26","2022-08-17","2021-11-10","2021-09-16","2022-05-27","2022-05-27","2021-03-03","2022-07-21","2023-03-29","2022-06-21","2022-06-21","2022-07-04","2022-08-04","2022-08-01","2022-10-10","2022-10-10","2022-10-18","2022-10-18","2023-03-13","2023-03-13","2022-08-01","2022-07-21","2022-07-21","2022-08-01","2022-08-01","2022-10-28","2022-10-28","2022-10-28","2022-02-15","2023-02-01","2022-07-04","2022-10-28","2022-08-04","2022-08-04","2022-06-21","2022-07-19","2022-07-19","2022-07-19","2022-07-19","2022-04-19","2022-02-15","2022-06-16","2022-06-16","2022-07-21","2022-08-17","2022-10-28","2022-03-08","2022-03-08","2022-03-08","2022-03-08","2022-04-19","2022-04-19","2022-04-19","2022-04-19","2022-04-19","2022-04-19","2022-04-19","2022-04-19","2023-03-29","2023-03-29","2023-03-29"],"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":[["","16714017303","ATORVASTATIN","TAB 10MG","30","Select","Select",""],["","65862000899","METFORMIN","TAB 500MG","30","Select","Select",""],["","16714033002","GABAPENTIN","600 MG","84","Select","Select",""],["","16714070001","LAMOTRIGINE","TAB 25MG","60","Select","Select",""],["","00093406801","PRAZOSIN HCL","CAP 2MG","30","Select","Select",""],["","43547040211","FUROSEMIDE","40 MG","30","Select","Select",""],["","67877024760","QUETIAPINE","TAB 300MG","90","Select","Select",""],["","16714063403","OMEPRAZOLE","20 MG","90","Select","Select",""],["","69097012312","TOPIRAMATE","TAB 50MG","180","Select","Select",""],["","00169413212","OZEMPIC","0.25 OR .5","1.5","Select","Select",""],["","16714020130","ONDANSETRON","TAB 8MG ODT","15","Select","Select",""],["","10370010250","BUPROPN HCL","TAB 300MG XL","90","Select","Select",""],["","00310654004","BYDUREON BC","INJ 2\/0.85ML","4","Select","Select",""],["","59267100002","PFIZER VACC","INJ COVID-19","0","Select","Select",""],["","00143924920","AMOX\/K CLAV","TAB 875-125","14","Select","Select",""],["","00169406013","VICTOZA","INJ 18MG\/3ML","9","Select","Select",""],["","17478071710","KETOTIF FUM","DRO 0.025%OP","5","Select","Select",""],["","69238110002","DOXYCYCL HYC","CAP 100MG","14","Select","Select",""],["","64380076621","PEG-3350","SOL ELECTROL","4000","Select","Select",""],["","67877019710","AMLODIPINE","TAB 2.5MG","30","Select","Select",""],["","43598044828","NICOTINE TD","DIS 21MG\/24H","28","Select","Select",""],["","00603548321","PROPRANOLOL","TAB 20MG","60","Select","Select",""],["","90166012122","PEN NEEDLES","MIS 29GX12MM","100","Select","Select",""],["","45802006335","TRIAMCINOLON","CRE 0.00025","15","Select","Select",""],["","52268010001","GOLYTELY","SOL ","4000","Select","Select",""],["","00378727253","NORETHINDRON","TAB 0.35MG","90","Select","Select",""],["","16714043901","NITROFURANTN","CAP 100MG","14","Select","Select",""],["","69315031228","PROCTO-MED","CRE HC 2.5%","28","Select","Select",""],["","08470342901","PENTIPS","MIS 29GX12MM","100","Select","Select",""],["","76204020025","ALBUTEROL","NEB 0.00083","225","Select","Select",""],["","16714069101","FLUCONAZOLE","100 MG","5","Select","Select",""],["","75834025501","ATORVASTATIN CALCIUM","10 MG","90","Select","Select",""],["","00121086816","NYSTATIN","100000\/ML","200","Select","Select",""],["","67877019710","AMLODIPINE BESYLATE","2.5 MG","30","Select","Select",""],["","00054032656","FLUTICASONE-SALMETEROL","100-50 MCG","60","Select","Select",""],["","29300014810","QUETIAPINE FUMARATE","50 MG","90","Select","Select",""],["","69315031228","PROCTO-MED HC","2.5 %","28","Select","Select",""],["","00378797093","IPRATROPIUM BROMIDE","0.2 MG\/ML","225","Select","Select",""],["","17478071311","OFLOXACIN","0.3 %","10","Select","Select",""],["","65862007701","CIPROFLOXACIN HCL","500 MG","20","Select","Select",""],["","00603548321","PROPRANOLOL HCL","20 MG","60","Select","Select",""],["","16729044416","BUPROPION XL","300 MG","90","Select","Select",""],["","68180071160","CEFDINIR","300 MG","14","Select","Select",""],["","00173069500","ADVAIR DISKUS","100-50 MCG","60","Select","Select",""],["","68180096301","ALBUTEROL SULFATE HFA","90 MCG","8.5","Select","Select",""],["","64980032430","PROCTOZONE-HC","2.5 %","30","Select","Select",""],["","10631040701","PROCTOSOL-HC","2.5 %","28.35","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":""}]}]}