{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"JUNIOUS HOLLAND","gend":0,"add":"3104 WHITE TAIL CTS","city":"CHESAPEAKE","state":"VA","zip":"23323-9998","dob":"1977-12-10","age":"","mstatus":"","insh":"20029306*01","cliId":"","pno":7574877560,"cno":7574877560,"email":"","ename":"","eno":"","pphy":"KAPOOR, SONIA MD","ppno":7575480076,"pcpadd":"SUITE 100 725 VOLVO PKWY,","pcpcity":"CHESAPEAKE","pcpstate":"VA","pcpzip":"23320-9998","pcpcounty":"","pcpid":"","pcpname":"Family Physicians of Chesapeake","plan":"OHP","program":"MEDICAID","lob":"OHCC","region":"TIDEWATER","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":7575484652,"pcpnpi":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["J32.9","R09.81","I12.0","N18.6","Z99.2","L01.09","J34.89","J31.0","J01.81","Z01.818","V58.89","R07.9","M79.672","M1A.9XX1","M79.89","L73.9","Z71.9","I42.9","Z79.899","U07.1","NO DATA","M10.9","N18.5","I10.","E87.5","R00.2","J30.2","L01.00","Z20.828","R06.02","I21.4","I47.1","E87.6","Z09.","R00.0","I44.0","D63.1","E83.52","N25.81","R04.0","I13.2","I50.32","E11.22","Z82.49","K21.9","F41.1","R10.84","Z20.822"],"date":["2021-02-06","2023-06-06","2023-08-01","2023-08-01","2023-08-01","2021-01-26","2023-06-06","2021-02-09","2021-02-09","2022-06-29","2022-06-29","2022-06-27","2021-04-12","2021-04-12","2021-04-12","2021-05-07","2021-05-07","2023-05-23","2023-05-23","2021-03-17","2021-03-17","2021-04-14","2021-04-14","2023-05-25","2023-05-23","2022-06-27","2021-01-30","2021-02-03","2021-03-10","2021-03-17","2023-05-25","2023-05-25","2023-05-25","2023-06-02","2023-06-02","2023-05-23","2023-05-25","2023-05-25","2023-05-25","2023-06-06","2023-05-25","2023-05-25","2023-05-23","2023-05-23","2023-05-23","2023-05-23","2023-08-28","2023-08-28"],"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":[["","68180044102","CEPHALEXIN","SUS 250\/5ML","400","Select","Select",""],["","00093101042","MUPIROCIN","2 %","22","Select","Select",""],["","65862070060","CEFUROXIME","TAB 500MG","20","Select","Select",""],["","59746017310","PREDNISONE","TAB 10MG","30","Select","Select",""],["","72647033104","METHYLPRED","TAB 4MG","21","Select","Select",""],["","45802012801","CLINDAMYCIN","LOT 0.01","60","Select","Select",""],["","00591207072","LIDO\/PRILOCN","CRE 2.5-2.5%","25","Select","Select",""],["","43598036730","CINACALCET","TAB 30MG","90","Select","Select",""],["","49230064551","VELPHORO","500MG IRON","180","Select","Select",""],["","10542007010","DIALYVITE","TAB 800","30","Select","Select",""],["","43598036730","CINACALCET HCL","30 MG","30","Select","Select",""],["","43598036730","CINACALCET TAB","30MG","90","Select","Select",""],["","49230064551","VELPHORO CHW","500MG","210","Select","Select",""],["","10542007010","DIALYVITE TAB","800","90","Select","Select",""],["","00093101042","MUPIROCIN OIN","2%","22","Select","Select",""],["","57664050658","METOPROLOL TARTRATE","25 MG","60","Select","Select",""],["","49035027408","ASPIRIN","81 MG","30","Select","Select",""],["","00093505898","ATORVASTATIN CALCIUM","40 MG","30","Select","Select",""],["","65862049647","SULFAMETHOXAZOLE-TRIMETHOPRIM","200-40MG\/5","50","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":""}]}]}