{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"PATRICIA S COLLINS","gend":1,"add":"8243 SCOTT ROBERSON ROAD","city":"WISE","state":"VA","zip":"24293-9998","dob":"1954-04-17","age":"","mstatus":"","insh":"20025659*01","cliId":"","pno":2763282976,"cno":2763282976,"email":"","ename":"","eno":"","pphy":"KUMAR, VIJAY N MD","ppno":2763250121,"pcpadd":"610 PARK AVE NW,","pcpcity":"NORTON","pcpstate":"VA","pcpzip":"24273-9998","pcpcounty":"","pcpid":"","pcpname":"Kumar Quality Medical Care","plan":"OHP","program":"MEDICAID","lob":"OHCC","region":"SOUTHWEST","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":2763250172,"pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["K74.60","I10.","E72.20","E03.9","K76.9","K72.90","K41.90","F41.9","K21.9","R18.8","D64.9","K52.9","L03.90","R60.0","M25.569","NO DATA","R53.83","D50.9","D22.39","J34.89","D69.6","E78.5"],"date":["2023-07-20","2023-09-19","2021-06-25","2023-06-22","2023-09-19","2023-07-20","2022-09-30","2023-09-19","2021-03-02","2023-07-20","2021-05-27","2022-08-02","2022-10-17","2022-10-17","2022-07-08","2022-07-08","2023-08-21","2023-02-23","2023-08-21","2023-08-21","2023-09-19","2023-09-19"],"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":[["","68180096801","LEVOTHYROXIN","TAB 88MCG","30","Select","Select",""],["","80681007200","VITAMIN B-12","TAB 500MCG","30","Select","Select",""],["","13107008305","LORAZEPAM","0.5 MG","30","Select","Select",""],["","00904759060","FEROSUL","325(65) MG","90","Select","Select",""],["","69238207701","PROPRANOLOL","TAB 10MG","90","Select","Select",""],["","45963043965","CONSTULOSE","SOL 10GM\/15","2838","Select","Select",""],["","58657015101","FOLIC ACID","1 MG","30","Select","Select",""],["","16729022701","SPIRONOLACT","TAB 100MG","90","Select","Select",""],["","43547040211","FUROSEMIDE","40 MG","30","Select","Select",""],["","16714012302","OMEPRAZOLE","40 MG","90","Select","Select",""],["","10631028605","LAC-HYDRIN","LOT FIVE","226","Select","Select",""],["","65649030302","XIFAXAN","TAB 550MG","60","Select","Select",""],["","66689003801","LACTULOSE","SOL 20GM\/30","2838","Select","Select",""],["","00536100901","FERROUS SULF","TAB 325MG","90","Select","Select",""],["","64764024060","AMITIZA","CAP 24MCG","60","Select","Select",""],["","00254302902","LUBIPROSTONE","CAP 24MCG","60","Select","Select",""],["","45963043864","ENULOSE","10 G\/15 ML","2838","Select","Select",""],["","67877021905","CEPHALEXIN","500 MG","20","Select","Select",""],["","69097052444","DICLOFENAC","GEL 0.01","100","Select","Select",""],["","00603533815","PREDNISONE","PAK 10MG","21","Select","Select",""],["","42806031250","DOXYCYCL HYC","TAB 100MG","20","Select","Select",""],["","40093010600","VITAMIN B-","12 500 MCG","30","Select","Select",""],["","16729044917","LEVOTHYROXINE SODIUM","75 MCG","30","Select","Select",""],["","00536100901","FERROUS SULFATE","325(65) MG","90","Select","Select",""],["","69238207701","PROPRANOLOL HCL","10 MG","90","Select","Select",""],["","53746051501","SPIRONOLACTONE","100 MG","90","Select","Select",""],["","43547040210","FUROSEMIDE TAB","40MG","30","Select","Select",""],["","66689003801","LACTULOSE SOL","20GM\/30","2838","Select","Select",""],["","16729044917","LEVOTHYROXIN TAB","75MCG","30","Select","Select",""],["","45963043965","CONSTULOSE SOL","10GM\/15","2838","Select","Select",""],["","00904759080","FEROSUL TAB","325MG","90","Select","Select",""],["","45963043864","ENULOSE SOL","10GM\/15","2838","Select","Select",""],["","64764024060","AMITIZA CAP","24MCG","60","Select","Select",""],["","00254302902","LUBIPROSTONE CAP","24MCG","60","Select","Select",""],["","69315090405","LORAZEPAM TAB","0.5MG","30","Select","Select",""],["","69238207701","PROPRANOLOL TAB","10MG","90","Select","Select",""],["","16729022701","SPIRONOLACT TAB","100MG","90","Select","Select",""],["","00536100901","FERROUS SULF TAB","325MG","90","Select","Select",""],["","58657015101","FOLIC ACID TAB","1MG","30","Select","Select",""],["","67877021905","CEPHALEXIN CAP","500MG","20","Select","Select",""],["","68382050010","OMEPRAZOLE CAP","40MG","90","Select","Select",""],["","00603533815","PREDNISONE PAK","10MG","21","Select","Select",""],["","69097052444","DICLOFENAC GEL","1%","100","Select","Select",""],["","42806031250","DOXYCYCL HYC TAB","100MG","20","Select","Select",""],["","45802011222","MUPIROCIN","2 %","22","Select","Select",""],["","70752012905","TRIAMCINOLONE ACETONIDE","0.025 %","60","Select","Select",""],["","42806071401","BENZONATATE","100 MG","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":""}]}]}