{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"RICHARD MEADE","gend":0,"add":"920 PRINCE AVE","city":"PETERSBURG","state":"VA","zip":"23803-9998","dob":"1972-04-07","age":"","mstatus":"","insh":"20031938*01","cliId":"","pno":8049392501,"cno":8049392501,"email":"","ename":"","eno":"","pphy":"BALMER, LUKE NP","ppno":8048289205,"pcpadd":"417 N 11TH ST","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":8048286082,"pcpnpi":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["F20.9","F43.12","F43.10","R07.9","R00.2","I10.","E78.5","G47.33","I36.1","Z20.822","R06.00","F20.3","M25.512","R93.1","K92.1","I11.9","R06.02","Z87.891","F33.2","M75.42","F33.3","H53.9","G47.30","Z11.59","F34.1","I49.3","I47.1","I51.7","R94.39","R07.89","Z01.812","K64.2","J30.1","Z12.11","K64.9","M75.52","R93.89","F20.0","H47.239","H25.13","NO DATA","H52.203","H52.4","F33.1","Z01.810","I51.9","F41.8","K64.8","K64.4","Z28.21","E55.9","E78.00","Z12.5","Z23.","M54.5","Z01.30","F41.9","I51.4","Z79.899","K21.9"],"date":["2023-01-13","2022-12-16","2023-04-10","2021-06-03","2021-11-12","2022-11-02","2021-11-12","2022-01-17","2021-04-05","2021-11-16","2021-10-01","2022-02-21","2021-10-12","2021-10-01","2021-10-01","2021-11-12","2022-07-22","2021-11-12","2023-03-27","2021-11-19","2022-03-04","2022-11-02","2021-10-04","2021-12-17","2021-12-02","2021-06-03","2021-06-03","2021-07-26","2021-08-16","2021-08-16","2021-10-28","2021-12-20","2021-05-13","2022-01-07","2021-11-08","2021-11-19","2022-01-07","2022-08-07","2022-11-02","2022-11-02","2022-11-02","2022-11-02","2022-11-02","2022-02-10","2021-08-16","2021-08-16","2021-12-20","2021-10-07","2021-10-07","2021-11-08","2021-11-08","2021-02-01","2021-02-01","2021-09-07","2021-03-05","2021-10-12","2021-10-12","2022-05-10","2021-06-02","2022-01-07"],"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":[["","69452015120","VITAMIN D","CAP 50000UNT","1","Select","Select",""],["","68180072103","AMLODIPINE","TAB 10MG","90","Select","Select",""],["","57664016758","METOPROL TAR","TAB 100MG","180","Select","Select",""],["","65862019201","FLUOXETINE","CAP 10MG","30","Select","Select",""],["","23155002401","BUSPIRONE","TAB 10MG","60","Select","Select",""],["","00054327099","FLUTICASONE","SPR 50MCG","16","Select","Select",""],["","59779070501","EYE ITCH REL","DRO 0.00025","5","Select","Select",""],["","70377000712","ROSUVASTATIN","TAB 10MG","30","Select","Select",""],["","43547030503","ARIPIPRAZOLE","15 MG","15","Select","Select",""],["","50111056002","TRAZODONE","TAB 50MG","30","Select","Select",""],["","69097094312","GABAPENTIN","CAP 300MG","90","Select","Select",""],["","69097052444","DICLOFENAC","GEL 0.01","100","Select","Select",""],["","00093005805","TRAMADOL HCL","TAB 50MG","20","Select","Select",""],["","45802065078","LORATADINE","TAB 10MG","90","Select","Select",""],["","52268001201","SUPREP BOWEL","SOL PREP KIT","354","Select","Select",""],["","24208060110","ALAWAY","DRO 0.025%OP","10","Select","Select",""],["","00574709012","HYDROCORT AC","SUP 25MG","28","Select","Select",""],["","10702001801","OXYCODONE","TAB 5MG","20","Select","Select",""],["","41100082073","MIRALAX","POW 3350 NF","238","Select","Select",""],["","50428009256","GENTLE LAXAT","TAB 5MG EC","8","Select","Select",""],["","76385011350","CARVEDILOL","TAB 25MG","60","Select","Select",""],["","68180051301","LISINOPRIL","5 MG","30","Select","Select",""],["","49483070110","FLUOXETINE HCL","10 MG","30","Select","Select",""],["","50111056001","TRAZODONE HCL","50 MG","30","Select","Select",""],["","69584009250","BUSPIRONE HCL","10 MG","60","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":""}]}]}