{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"AUDREY  A COCHRAN","gend":1,"add":"2901 STOCKTON STEET","city":"RICHMOND","state":"VA","zip":"23224-9998","dob":"1990-05-19","age":"","mstatus":"","insh":"20025531*01","cliId":"","pno":8042831213,"cno":8045238014,"email":"","ename":"","eno":"","pphy":"BURNETT, ANDREA MD","ppno":8048284409,"pcpadd":"403 N 11TH STREET,","pcpcity":"RICHMOND","pcpstate":"VA","pcpzip":"23298-9998","pcpcounty":"","pcpid":"","pcpname":"","plan":"OHP","program":"MEDICAID","lob":"OHCC","region":"CENTRAL","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":8048286084,"pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["E11.00","E87.1","N18.6","R77.8","L02.415","Z68.41","E87.0","E11.65","I10.","Z99.2","E78.2","I25.10","E66.9","E55.9","I12.0","E10.22","L03.115","Z12.4","N83.8","N91.5","Z96.41","M54.5","M25.551","W19.XXXA","Y92.89","Y93.89","R22.41","T82.898A","E11.9","M79.89","M79.604","M79.605","M79.651","Z79.84","I31.3","I34.0","R73.9","Z68.37","Z68.38","L02.416","L02.419","Z11.59","B95.61","E11.22","D63.1","E87.5","F41.9","E66.01","Z89.412","Z89.422","Z79.4","Z79.82","Z86.73","Z87.891","Z01.818","Z88.0","L02.91","Z68.39","T85.618A","D50.9","E34.9","I73.00","E88.81","I63.9","N20.9","G90.09","M60.051","B95.62","E86.1","E87.70","F41.1","I16.0","E10.40","Z79.899","Z20.822","E11.69","S91.301A","S90.851A"],"date":["2021-07-07","2021-07-07","2023-06-01","2021-07-07","2021-08-05","2021-07-07","2021-07-21","2023-05-16","2023-03-12","2023-06-01","2023-02-09","2023-02-09","2022-05-24","2023-02-09","2022-08-05","2021-11-23","2021-11-23","2022-05-12","2022-05-12","2022-05-12","2023-02-09","2021-06-20","2021-06-20","2021-06-20","2021-06-20","2021-06-20","2021-08-31","2022-08-05","2023-03-12","2021-07-16","2021-07-16","2021-07-16","2021-08-27","2021-07-06","2021-06-29","2021-06-29","2021-06-30","2021-07-20","2021-09-09","2021-07-21","2021-07-22","2021-12-11","2021-08-05","2022-08-05","2023-03-11","2021-08-05","2021-08-05","2021-08-05","2021-08-05","2021-08-05","2021-11-23","2021-11-23","2021-08-05","2021-11-23","2022-04-26","2021-11-23","2021-07-04","2021-07-04","2021-07-16","2023-02-09","2021-09-30","2021-09-30","2021-09-30","2021-09-30","2021-09-30","2021-09-30","2021-06-28","2021-06-28","2021-06-28","2021-06-28","2021-06-28","2021-06-28","2021-09-09","2021-09-09","2021-11-20","2023-03-12","2023-03-11","2023-03-11"],"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":[["","00054429931","FUROSEMIDE","TAB 40MG","16","Select","Select",""],["","49884025601","MINOXIDIL","TAB 2.5MG","30","Select","Select",""],["","68645051654","AMLODIPINE","TAB 10MG","30","Select","Select",""],["","10542005010","DIALYVITE","TAB 800\/ZINC","30","Select","Select",""],["","00597003234","CATAPRES-TTS","DIS 0.2\/24HR","8","Select","Select",""],["","31722070290","LOSARTAN POT","TAB 100MG","30","Select","Select",""],["","59922063101","AURYXIA","TAB 210MG","240","Select","Select",""],["","00591350904","CLONIDINE","DIS 0.2\/24HR","4","Select","Select",""],["","68645057390","GLIMEPIRIDE","TAB 4MG","30","Select","Select",""],["","00597000701","CATAPRES","TAB 0.2MG","24","Select","Select",""],["","59746000103","METHYLPRED","TAB 4MG","21","Select","Select",""],["","67877021905","CEPHALEXIN","CAP 500MG","28","Select","Select",""],["","70010075401","METHOCARBAM","TAB 500MG","12","Select","Select",""],["","00591352530","LIDOCAINE","PAD 0.05","5","Select","Select",""],["","00088221905","LANTUS SOLOS","INJ 100\/ML","15","Select","Select",""],["","00904679480","ASPIRIN LOW","CHW 81MG","30","Select","Select",""],["","10702000709","CYCLOBENZAPR","TAB 10MG","15","Select","Select",""],["","50580049660","TYLENOL","TAB 325MG","20","Select","Select",""],["","00088222033","LANTUS","INJ 100\/ML","10","Select","Select",""],["","68462063945","NITROGLYCERN","SUB 0.4MG","25","Select","Select",""],["","68645059090","CLOPIDOGREL","TAB 75MG","30","Select","Select",""],["","72205000490","ROSUVASTATIN","TAB 20MG","30","Select","Select",""],["","70010010810","GABAPENTIN","CAP 100MG","30","Select","Select",""],["","00002879959","HUMALOG KWIK","INJ 100\/ML","15","Select","Select",""],["","00002822259","INSULIN LISP","INJ 100\/ML","15","Select","Select",""],["","00386000803","PAIN EASE","AER MD STRM","104","Select","Select",""],["","72511076002","REPATHA SURE","INJ 140MG\/ML","2","Select","Select",""],["","31722094901","OXYCOD\/APAP","TAB 5-325MG","21","Select","Select",""],["","59651000130","OMEPRAZOLE","CAP 10MG","90","Select","Select",""],["","57599080000","FREESTYLE LIBRE","2 SENSOR","2","Select","Select",""],["","00597014030","TRADJENTA","5 MG","30","Select","Select",""],["","49348015472","ANTIBIOTIC","500 UNIT\/G","30","Select","Select",""],["","72511076002","REPATHA SURECLICK","140 MG\/ML","2","Select","Select",""],["","63304069301","CLINDAMYCIN HCL","300 MG","12","Select","Select",""],["","70377000612","ROSUVASTATIN CALCIUM","5 MG","90","Select","Select",""],["","00088222033","LANTUS INJ","100\/ML","10","Select","Select",""],["","00002822259","INSULIN LISP INJ","100\/ML","15","Select","Select",""],["","00002879959","HUMALOG KWIK INJ","100\/ML","15","Select","Select",""],["","00088221905","LANTUS SOLOS INJ","100\/ML","30","Select","Select",""],["","72205000490","ROSUVASTATIN TAB","20MG","30","Select","Select",""],["","31722070290","LOSARTAN POT TAB","100MG","30","Select","Select",""],["","72511076002","REPATHA SURE INJ","140MG\/ML","2","Select","Select",""],["","31722094901","OXYCOD\/APAP TAB","5-325MG","21","Select","Select",""],["","00386000803","PAIN EASE AER MD STRM","","104","Select","Select",""],["","59651000130","OMEPRAZOLE CAP","10MG","90","Select","Select",""],["","49502039475","INSULIN GLARGINE-YFGN","100\/ML (3)","15","Select","Select",""],["","00002879959","HUMALOG KWIKPEN U-","100 100\/ML","15","Select","Select",""],["","49502025175","SEMGLEE (YFGN) PEN","100\/ML (3)","30","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":""}]}]}