{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"NELSON   R BAILEY","gend":0,"add":"97 FIRETOWER LN","city":"KEYSVILLE","state":"VA","zip":"23947-9998","dob":"1963-12-10","age":"","mstatus":"","insh":"20023425*01","cliId":"","pno":4343909026,"cno":4343909026,"email":"","ename":"","eno":"","pphy":"MANNEPALLI, SUPRIYA MD","ppno":4343155340,"pcpadd":"935 S MAIN STREET","pcpcity":"FARMVILLE","pcpstate":"VA","pcpzip":"23901-9998","pcpcounty":"","pcpid":"","pcpname":"","plan":"OHP","program":"MEDICAID","lob":"OHCC","region":"CHARLOTTESVILLE WESTERN","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":4343152859,"pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["R41.82","J96.02","N02.9","R74.8","G47.33","C71.0","G93.89","M06.9","G40.909","I10.","E78.5","D64.9","D69.6","R79.89","R52.","Z29.8","M05.741","M81.0","C71.9","M05.742","R91.8","I71.2","Z87.891","M05.9","E55.9","Z79.899","M19.031","M19.032","M19.071","M19.072","M17.0","M15.9","Z23.","M05.79","D72.819","Z28.3","M77.8","M77.32","M77.31","Z79.631","Z51.81","NO DATA","Z71.85","Z79.620","R06.83","R53.83","R00.1","Z68.27","Z72.821","C91.Z0","D70.2","D61.818","R53.82","R56.9","G93.6","M77.42","L25.5","Z04.9","M62.82","Z71.89","M25.831","M25.832","M89.8X8","D70.9","I77.819","E78.2","Z87.898","G47.30","I63.9","Z74.3","J06.9","J02.9","Z20.822","I77.810","R07.9","R42.","E66.9","Z86.010","Z12.11","D12.3","D12.4","K57.30","K64.1","R06.02","R05.9","K21.9","K57.90","J96.01","J69.0","G93.40","K92.0","G81.91","R47.01","R29.810","R94.5","R53.1","R77.8"],"date":["2023-02-16","2023-02-09","2023-02-09","2023-02-08","2023-03-10","2023-03-24","2023-03-02","2023-03-07","2023-03-02","2023-03-02","2023-03-02","2023-03-02","2023-03-07","2023-03-02","2023-03-02","2023-03-02","2023-03-08","2023-03-08","2023-03-08","2023-03-08","2022-11-09","2022-05-12","2022-10-18","2023-02-06","2022-01-10","2023-03-07","2022-01-10","2022-01-10","2022-10-11","2022-01-10","2021-03-23","2021-10-08","2022-10-11","2022-10-11","2022-10-11","2022-01-10","2022-10-11","2022-10-11","2022-10-11","2022-10-11","2022-10-11","2023-02-06","2022-10-11","2022-10-11","2022-11-15","2022-11-15","2022-10-18","2022-10-18","2022-10-18","2023-01-23","2023-01-23","2023-02-06","2022-04-11","2023-03-07","2023-03-07","2021-03-23","2022-05-05","2023-02-06","2023-02-10","2021-07-27","2022-01-10","2022-01-10","2022-01-10","2022-03-14","2022-08-10","2022-08-10","2022-08-10","2022-11-15","2023-02-06","2023-02-06","2023-01-15","2023-01-15","2023-02-06","2021-03-22","2021-03-22","2021-03-22","2021-03-22","2021-10-25","2021-10-25","2021-10-25","2021-10-25","2021-10-25","2021-10-25","2023-01-15","2023-01-15","2023-01-15","2023-01-15","2023-02-06","2023-02-06","2023-02-06","2023-02-06","2023-02-06","2023-02-06","2023-02-06","2023-02-17","2023-02-06","2023-02-06"],"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":[["","70700015010","OMEPRAZOLE","CAP 20MG","90","Select","Select",""],["","00093092810","LOVASTATIN","40 MG","60","Select","Select",""],["","69315012710","FOLIC ACID","1 MG","30","Select","Select",""],["","16729048601","METHOTREXATE","TAB 2.5MG","120","Select","Select",""],["","58406002104","ENBREL","INJ 50MG\/ML","4","Select","Select",""],["","68382056510","METOPROL SUC","TAB 50MG ER","45","Select","Select",""],["","59746017509","PREDNISONE","TAB 20MG","7","Select","Select",""],["","52268020101","SUTAB","TAB ","24","Select","Select",""],["","16571068701","HYDROXYCHLOR","TAB 200MG","180","Select","Select",""],["","31722071390","PANTOPRAZOLE SODIUM","40 MG","30","Select","Select",""],["","47335092974","TEMOZOLOMIDE","140 MG","42","Select","Select",""],["","60219204301","DEXAMETHASONE","4 MG","30","Select","Select",""],["","55111015430","ONDANSETRON HCL","8 MG","30","Select","Select",""],["","65862024708","LEVETIRACETAM","750 MG","60","Select","Select",""],["","50111056001","TRAZODONE HCL","50 MG","30","Select","Select",""],["","65162027250","SULFAMETHOXAZOLE-TRIMETHOPRIM","800-160 MG","32","Select","Select",""],["","68382056410","METOPROLOL SUCCINATE","25 MG","30","Select","Select",""],["","45802086802","POLYETHYLENE GLYCOL","3350 17 G\/DOSE","238","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":""}]}]}