{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"MICHAEL BREWSTER","gend":0,"add":"7765 STAND CIR APT 402","city":"MECHANICSVILLE","state":"VA","zip":"23111-9998","dob":"1988-03-31","age":"","mstatus":"","insh":"20024365*01","cliId":"","pno":8046874038,"cno":8046874038,"email":"","ename":"","eno":"","pphy":"SPARROW, K. CHARLES MD","ppno":8047951144,"pcpadd":"2660 NEW MARKET MEDICAL CTR,","pcpcity":"RICHMOND","pcpstate":"VA","pcpzip":"23231-9998","pcpcounty":"","pcpid":"","pcpname":"","plan":"OHP","program":"MEDICAID","lob":"OHCC","region":"CENTRAL","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":8047951052,"pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["M25.512","M75.42","G40.209","G43.119","G80.2","M54.5","G89.29","G47.30","I21.3","R07.89","R07.9","R09.02","R50.9","G40.219","J06.9","M79.605","G40.822","G40.909","G40.919","NO DATA","Z79.899","H53.9","N45.1","J01.00","R41.82","K59.1","L25.9","T78.40XA","J32.9","B34.9","Z20.822","R40.4","F17.200","R00.0","R47.01","M54.9","R41.0","V47.5XXA","F11.20","M25.562","G47.63","G47.61","R05.","R56.9","R94.31","R69.","R35.0"],"date":["2022-01-20","2021-01-27","2021-07-19","2021-11-08","2021-03-23","2021-07-21","2022-01-11","2021-06-30","2021-07-30","2021-07-30","2022-01-11","2021-07-30","2021-07-30","2021-11-18","2022-01-20","2023-01-20","2022-10-12","2021-11-06","2021-11-19","2023-07-20","2023-01-20","2021-07-19","2021-07-21","2021-12-28","2022-07-25","2021-04-22","2021-10-27","2021-10-27","2022-01-11","2022-01-11","2022-01-11","2022-07-25","2022-01-11","2022-07-25","2022-07-25","2021-11-06","2021-11-06","2021-11-06","2022-10-12","2022-10-12","2021-07-05","2021-07-05","2021-07-30","2021-11-06","2021-11-06","2022-01-11","2022-04-11"],"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":[["","00832712415","DIVALPROEX","TAB 500MG DR","180","Select","Select",""],["","68382091634","METHYLPRED","TAB 4MG","21","Select","Select",""],["","42858080101","MORPHINE SUL","TAB 15MG ER","90","Select","Select",""],["","00406055201","OXYCODONE","TAB 5MG","120","Select","Select",""],["","45963055750","GABAPENTIN","400 MG","90","Select","Select",""],["","00527058601","DICYCLOMINE","CAP 10MG","90","Select","Select",""],["","17772010330","TROKENDI XR","CAP 100MG","90","Select","Select",""],["","68382005105","MELOXICAM","15 MG","90","Select","Select",""],["","59267102501","PFIZER VACC","INJ ADLT RTU","0","Select","Select",""],["","00591264001","BUT\/APAP\/CAF","CAP ","90","Select","Select",""],["","52817033010","CYCLOBENZAPR","TAB 5MG","60","Select","Select",""],["","62037099901","POT CL MICRO","TAB 20MEQ ER","10","Select","Select",""],["","00591079401","DICYCLOMINE HCL","10 MG","90","Select","Select",""],["","42858080101","MORPHINE SULFATE ER","15 MG","90","Select","Select",""],["","00406055201","OXYCODONE HCL","5 MG","120","Select","Select",""],["","00480235856","TOPIRAMATE ER","100 MG","270","Select","Select",""],["","65862017760","CEFDINIR","300 MG","10","Select","Select",""],["","00093216568","NALOXONE HCL","4 MG","2","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":""}]}]}