{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"BRENDA   M ANDERSON","gend":1,"add":"7118 FREDRICK HALL RD","city":"MINERAL","state":"VA","zip":"23117-9998","dob":"1958-05-23","age":"","mstatus":"","insh":"20023126*01","cliId":"","pno":5402232595,"cno":5402232595,"email":"","ename":"","eno":"","pphy":"GREEN, MATTHEW P MD","ppno":5409672011,"pcpadd":"575 INDUSTRIAL DR","pcpcity":"LOUISA","pcpstate":"VA","pcpzip":"23093-9998","pcpcounty":"","pcpid":"","pcpname":"","plan":"OHP","program":"MEDICAID","lob":"OHCC","region":"CHARLOTTESVILLE WESTERN","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":5409672982,"pcpnpi":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["M20.22","M21.6X2","M20.12","M20.42","C50.411","Z17.1","R92.8","Z91.89","I51.7","I51.9","Z51.11","C50.911","R11.0","E55.9","E87.6","K59.03","R94.5","M89.8X9","C77.3","Z90.11","D23.71","D23.72","M77.41","M77.42","M67.01","M67.02","NO DATA","M47.816","M17.12","M17.11","M51.36","D64.9","M20.11","G62.9","G90.50","M25.9","Z45.2","M79.672","M79.671","T84.84XA","M21.622","I10.","Y79.8","Z85.3","Z87.891","Z79.899","Z08.","R63.4","R21.","Z01.810","M17.10","M19.91","M20.5X2","T84.213S","N63.10","T82.594A","M79.604","L60.8","M79.605","Z12.31","E78.2","M20.41","T45.1X5A","Z92.21","G25.0","G62.0"],"date":["2021-02-05","2021-02-05","2021-05-13","2021-05-13","2022-08-24","2022-12-14","2021-08-02","2021-08-30","2021-08-30","2021-08-30","2022-02-04","2022-12-14","2022-02-04","2022-10-20","2022-03-23","2021-11-12","2021-10-01","2021-10-29","2021-11-17","2022-12-14","2022-07-29","2022-07-29","2022-07-29","2022-07-29","2022-01-12","2022-01-12","2022-11-29","2022-08-26","2022-11-29","2022-11-29","2022-11-29","2022-10-20","2022-05-11","2022-03-10","2022-03-10","2022-03-10","2022-02-25","2022-10-19","2022-06-01","2022-10-28","2022-10-28","2022-10-28","2022-10-28","2022-12-14","2022-10-28","2022-10-28","2022-12-14","2021-10-29","2022-05-18","2022-10-20","2022-05-11","2022-05-11","2021-01-28","2022-10-19","2021-07-02","2021-12-17","2022-03-23","2022-03-23","2022-03-23","2022-12-14","2022-10-20","2023-01-16","2022-08-24","2022-02-25","2022-08-24","2022-08-24"],"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":[["","27241009903","DULOXETINE","CAP 60MG","60","Select","Select",""],["","52817033010","CYCLOBENZAPR","TAB 5MG","30","Select","Select",""],["","69097067805","PREGABALIN","CAP 50MG","90","Select","Select",""],["","68462019005","NAPROXEN","TAB 500MG","14","Select","Select",""],["","65862053750","LEVOFLOXACIN","TAB 500MG","10","Select","Select",""],["","00406012305","HYDROCO\/APAP","TAB 5-325MG","12","Select","Select",""],["","60505265301","TRAZODONE","TAB 50MG","30","Select","Select",""],["","00093720198","PRAVASTATIN","TAB 20MG","90","Select","Select",""],["","29300012810","HYDROCHLOROT","TAB 25MG","90","Select","Select",""],["","29300035005","ALLOPURINOL","300 MG","90","Select","Select",""],["","59676058015","JANSSEN VACC","INJ COVID-19","0","Select","Select",""],["","74312015605","D3-1000","CAP 1000UNIT","30","Select","Select",""],["","00406055201","OXYCODONE","TAB 5MG","15","Select","Select",""],["","00363023820","STOOL SOFTNR","CAP 100MG","30","Select","Select",""],["","80681016800","VITAMIN D3","TAB 25MCG","90","Select","Select",""],["","68462010630","ONDANSETRON","TAB 8MG","24","Select","Select",""],["","00245036030","KLOR-CON","PAK 20MEQ","30","Select","Select",""],["","00045048790","TYLENOL","CAP 325MG","30","Select","Select",""],["","59746011506","PROCHLORPER","TAB 10MG","30","Select","Select",""],["","69543038130","OLANZAPINE","TAB 5MG","1","Select","Select",""],["","45802065087","LORATADINE","TAB 10MG","30","Select","Select",""],["","00363013820","SENNA","TAB 8.6MG","30","Select","Select",""],["","68382032001","POT CHLORIDE","TAB 10MEQ ER","60","Select","Select",""],["","80777027310","MODERNA VAC","INJ COVID-19","0","Select","Select",""],["","51672131201","MUPIROCIN","OIN 0.02","15","Select","Select",""],["","72140063608","AQUAPHOR","OIN ADVANCED","396","Select","Select",""],["","24208091055","ERYTHROMYCIN","OIN 5MG\/GM","4","Select","Select",""],["","64380080707","IBUPROFEN","TAB 800MG","21","Select","Select",""],["","00093314705","CEPHALEXIN","CAP 500MG","21","Select","Select",""],["","11877001140","BINAXNOW COV","KIT HOME TES","8","Select","Select",""],["","65862001705","AMOXICILLIN","CAP 500MG","21","Select","Select",""],["","00116200116","CHLORHEX GLU","SOL 0.0012","473","Select","Select",""],["","80681016800","VITAMIN D","3 25 MCG","30","Select","Select",""],["","27241009903","DULOXETINE HCL","60 MG","60","Select","Select",""],["","11534016503","FOLIC ACID","1 MG","30","Select","Select",""],["","29300012810","HYDROCHLOROTHIAZIDE","25 MG","90","Select","Select",""],["","69680013300","POTASSIUM CHLORIDE","10 MEQ","180","Select","Select",""],["","00093720198","PRAVASTATIN SODIUM","20 MG","90","Select","Select",""],["","11877001140","BINAXNOW COVID-","19 AG SELF TEST","8","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":""}]}]}