{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"GARNETT D HAMLETT","gend":0,"add":"1215 HICKORY CREEK RD","city":"GLADYS","state":"VA","zip":"24554-9998","dob":"1968-05-09","age":"","mstatus":"","insh":"20028505*01","cliId":"","pno":4343767428,"cno":4343767428,"email":"","ename":"","eno":"","pphy":"COLLINS, DEBRA NP","ppno":4343762325,"pcpadd":"104 CAROLINA AVE,","pcpcity":"BROOKNEAL","pcpstate":"VA","pcpzip":"24528-9998","pcpcounty":"","pcpid":"","pcpname":"","plan":"OHP","program":"MEDICAID","lob":"OHCC","region":"CHARLOTTESVILLE WESTERN","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":4343762081,"pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["M46.20","M10.462","M46.22","M10.061","F41.9","F32.2","E78.5","F41.1","I71.9","M10.9","F10.10","I10.","R63.4","Z72.0","Z12.11","I35.1","F33.0","F17.200","F17.290","E87.1","Z86.79","R52.","I95.9","T82.898A","Z87.891","Z20.822","E78.00","E80.7","F17.210","I25.10","M25.462","Z53.20","Z79.82","Z79.899","Z82.49","M25.461","R82.5","Z29.9","E80.6","M54.2","M62.81","I71.00","G47.33","F19.10","N28.9","M79.604","K42.9","I12.9","NO DATA","R00.0","Z11.52","Z74.1","R51.9","D50.0","E87.6","F41.8","M50.30","M50.221","M48.02","I71.01","R60.0","M43.6","M10.062","D72.828","F33.2","M46.32","K59.00","N40.0","F33.9","K21.9","M62.838","Z03.818","F06.30","E78.2"],"date":["2021-03-05","2021-03-05","2021-04-21","2021-03-24","2021-11-24","2023-06-08","2021-03-26","2023-06-08","2021-12-08","2022-11-25","2023-04-13","2023-07-19","2021-11-24","2023-04-13","2021-11-24","2023-04-13","2022-12-12","2022-06-24","2023-06-08","2021-03-20","2021-03-20","2021-03-19","2021-03-19","2021-03-19","2021-05-24","2021-03-20","2023-04-13","2021-02-26","2021-03-19","2021-02-26","2021-03-20","2021-02-26","2021-02-26","2021-02-26","2021-02-26","2021-03-20","2021-03-08","2021-03-08","2021-03-20","2021-03-18","2021-03-20","2021-06-03","2022-08-17","2023-04-13","2022-11-25","2022-11-25","2023-03-20","2023-03-20","2023-04-13","2021-03-20","2021-03-20","2021-03-20","2021-02-26","2021-03-19","2021-03-19","2021-03-19","2021-04-15","2021-04-15","2021-04-15","2022-08-17","2022-08-17","2021-02-24","2021-03-01","2021-03-10","2021-03-12","2021-03-26","2021-03-26","2021-03-26","2021-03-26","2021-03-26","2021-03-26","2021-04-19","2023-06-08","2023-07-19"],"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":[["","00228202950","ALPRAZOLAM","0.5 MG","60","Select","Select",""],["","70010000201","COLCHICINE","0.6 MG","30","Select","Select",""],["","13107000305","MIRTAZAPINE","30 MG","30","Select","Select",""],["","33342006807","OLANZAPINE","TAB 5MG","7","Select","Select",""],["","68382000105","PAROXETINE","TAB 40MG","30","Select","Select",""],["","31722071310","PANTOPRAZOLE","TAB 40MG","90","Select","Select",""],["","59651039360","BUSPIRONE","TAB 30MG","60","Select","Select",""],["","69238207907","PROPRANOLOL","TAB 40MG","120","Select","Select",""],["","68180097903","LISINOPRIL","40 MG","30","Select","Select",""],["","60505258008","ATORVASTATIN","TAB 40MG","90","Select","Select",""],["","50742026103","NIFEDIPINE","TAB 60MG ER","30","Select","Select",""],["","60505614604","CEFEPIME","INJ 1GM","2","Select","Select",""],["","88008802337","OC MAXPLUS CL","EAR NEEDLES","2","Select","Select",""],["","88008802340","OC DRESSING C","ONV ERS KIT","1","Select","Select",""],["","08290306546","NORMAL SALIN","INJ 0.009","600","Select","Select",""],["","53746010905","HYDROCO\/APAP","TAB 5-325MG","15","Select","Select",""],["","0","COMPOUND"," ","1200","Select","Select",""],["","85412051708","OC CONTINU-FL","O S OL SET","6","Select","Select",""],["","43547040011","CYCLOBENZAPR","TAB 10MG","30","Select","Select",""],["","88008800949","OC SIGMA SPEC","TRU M IV PUMP","3","Select","Select",""],["","71930000613","BACLOFEN","TAB 10MG","60","Select","Select",""],["","00172392670","DIAZEPAM","TAB 5MG","7","Select","Select",""],["","00378064210","PREDNISONE","TAB 20MG","10","Select","Select",""],["","70594005702","VANCOMYCIN","INJ 1.25GM","500","Select","Select",""],["","88008802363","OC WHITE END","CAP W FLL","15","Select","Select",""],["","59746000204","METHYLPRED","TAB 8MG","3","Select","Select",""],["","65628020810","FIRVANQ","SOL 50MG\/ML","300","Select","Select",""],["","65862059805","TAMSULOSIN","CAP 0.4MG","30","Select","Select",""],["","00338355248","VANCOMYC\/D5W","INJ 1GM","800","Select","Select",""],["","51991096257","POLYETH GLYC","POW 3350 NF","510","Select","Select",""],["","67877043003","ARIPIPRAZOLE","TAB 2MG","30","Select","Select",""],["","60505258008","ATORVASTATIN CALCIUM","40 MG","90","Select","Select",""],["","65862059805","TAMSULOSIN HCL","0.4 MG","30","Select","Select",""],["","50742026003","NIFEDIPINE ER","30 MG","90","Select","Select",""],["","13107015599","PAROXETINE HCL","20 MG","30","Select","Select",""],["","69238207907","PROPRANOLOL HCL","40 MG","120","Select","Select",""],["","59651039360","BUSPIRONE HCL","30 MG","180","Select","Select",""],["","68382000105","PAROXETINE TAB","40MG","30","Select","Select",""],["","59651039360","BUSPIRONE TAB","30MG","60","Select","Select",""],["","67877058901","COLCHICINE TAB","0.6MG","30","Select","Select",""],["","50742026003","NIFEDIPINE TAB","30MG ER","90","Select","Select",""],["","65862059805","TAMSULOSIN CAP","0.4MG","30","Select","Select",""],["","60505258008","ATORVASTATIN TAB","40MG","90","Select","Select",""],["","68180097903","LISINOPRIL TAB","40MG","30","Select","Select",""],["","51991070505","ALPRAZOLAM TAB","0.5MG","60","Select","Select",""],["","13107000305","MIRTAZAPINE TAB","30MG","30","Select","Select",""],["","31722071310","PANTOPRAZOLE TAB","40MG","90","Select","Select",""],["","69238207907","PROPRANOLOL TAB","40MG","120","Select","Select",""],["","67877043003","ARIPIPRAZOLE TAB","2MG","30","Select","Select",""],["","53746010905","HYDROCO\/APAP TAB","5-325MG","15","Select","Select",""],["","00378064210","PREDNISONE TAB","20MG","10","Select","Select",""],["","29300034905","ALLOPURINOL","100 MG","90","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":""}]}]}