{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"SHARON   M GARCIA-NAJERA","gend":1,"add":"2559 STOWE ST","city":"CHESAPEAKE","state":"VA","zip":"23324-9998","dob":"1967-11-23","age":"","mstatus":"","insh":"20027685*01","cliId":"","pno":7575455822,"cno":7575455822,"email":"","ename":"","eno":"","pphy":"JONES, SHAVON C MD","ppno":7579251866,"pcpadd":"157 N MAIN ST","pcpcity":"SUFFOLK","pcpstate":"VA","pcpzip":"23434-9998","pcpcounty":"","pcpid":"","pcpname":"","plan":"OHP","program":"MEDICAID","lob":"OHCC","region":"TIDEWATER","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":7579280902,"pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["J44.9","I10.","E55.9","R53.83","Z12.11","J31.0","R25.1","R21.","R60.0","B35.3","G60.9","L91.8","M79.671","M79.672","R06.00","J45.40","R09.02","F17.200","F41.9","R60.9","E11.9","C64.2","N28.89","K76.0","D17.79","Z90.49","Z98.890","K21.9","R35.0","F25.0","F43.12","G25.9","G20.","M54.12","R20.2","G25.1","J45.41","N92.6","F31.9","Z23.","R63.5","R07.89","Z12.31","R07.9","R06.09","R06.01","C64.9","Z63.4","L98.8"],"date":["2023-02-24","2023-01-23","2021-01-29","2021-01-29","2021-01-29","2021-07-16","2021-01-29","2021-01-29","2021-01-29","2021-01-29","2021-03-09","2021-07-13","2021-07-13","2021-03-09","2023-02-22","2021-05-13","2022-11-18","2023-02-22","2021-05-13","2021-03-22","2023-01-23","2021-09-08","2021-09-08","2023-02-20","2021-09-08","2021-09-08","2021-09-08","2023-01-23","2021-07-16","2023-01-30","2023-01-30","2022-01-04","2023-02-22","2023-02-07","2022-08-02","2023-02-07","2022-11-18","2022-06-27","2022-09-26","2022-09-26","2023-01-23","2023-01-23","2023-01-23","2023-02-22","2023-02-22","2023-02-22","2022-10-28","2022-07-25","2021-07-13"],"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":[["","67877019905","AMLODIPINE","TAB 10MG","30","Select","Select",""],["","29300024716","BUSPIRONE","TAB 30MG","60","Select","Select",""],["","68001041203","GABAPENTIN","800 MG","90","Select","Select",""],["","00378363705","CETIRIZINE","TAB 10MG","30","Select","Select",""],["","65862056099","PANTOPRAZOLE","TAB 40MG","30","Select","Select",""],["","68462018022","MUPIROCIN","OIN 0.02","22","Select","Select",""],["","68382013905","TOPIRAMATE","50 MG","180","Select","Select",""],["","42543049701","AMANTADINE","100 MG","90","Select","Select",""],["","69452015120","VITAMIN D","CAP 50000UNT","12","Select","Select",""],["","68001038703","TRIAMT\/HCTZ","TAB 37.5-25","30","Select","Select",""],["","13107000305","MIRTAZAPINE","30 MG","30","Select","Select",""],["","62332009931","ARIPIPRAZOLE","10 MG","30","Select","Select",""],["","80777027399","MODERNA VAC","INJ COVID-19","0","Select","Select",""],["","45802052526","AMMONIUM LAC","LOT 0.12","400","Select","Select",""],["","00173088710","TRELEGY","AER ELLIPTA","60","Select","Select",""],["","63824000832","MUCINEX","TAB 600MG ER","60","Select","Select",""],["","00597007541","SPIRIVA","CAP HANDIHLR","30","Select","Select",""],["","59310057922","PROAIR HFA","AER ","8","Select","Select",""],["","66993001968","ALBUTEROL","AER HFA","18","Select","Select",""],["","55111012850","CIPROFLOXACN","TAB 750MG","20","Select","Select",""],["","00093342510","LORAZEPAM","TAB 0.5MG","2","Select","Select",""],["","78206012601","DULERA","200-5 MCG","13","Select","Select",""],["","68001000501","METHYLPRED","TAB 4MG","21","Select","Select",""],["","51224012230","AZITHROMYCIN","TAB 500MG","10","Select","Select",""],["","53885027150","ONETOUCH","TES VERIO","50","Select","Select",""],["","53885000810","ONETOUCH DEL","MIS PLUS 33G","100","Select","Select",""],["","53885004401","ONE TOUCH","KIT VERIO FL","1","Select","Select",""],["","68001017903","GLIMEPIRIDE","4 MG","30","Select","Select",""],["","00054004641","IPRATROPIUM","SPR 0.0006","15","Select","Select",""],["","00173068220","VENTOLIN HFA","AER ","18","Select","Select",""],["","29300024716","BUSPIRONE HCL","30 MG","60","Select","Select",""],["","53885027150","ONETOUCH VERIO TEST STRIP","","50","Select","Select",""],["","00054004641","IPRATROPIUM BROMIDE","42 MCG","15","Select","Select",""],["","00597007541","SPIRIVA HANDIHALER","18 MCG","30","Select","Select",""],["","66993001968","ALBUTEROL SULFATE HFA","90 MCG","18","Select","Select",""],["","67877019905","AMLODIPINE BESYLATE","10 MG","30","Select","Select",""],["","65862056099","PANTOPRAZOLE SODIUM","40 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":""}]}]}