{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"CHARLES W PRESTON","gend":0,"add":"1001 PINECREST AVE","city":"BEDFORD","state":"VA","zip":"24523-9998","dob":"1961-02-09","age":"","mstatus":"","insh":"20033597*01","cliId":"","pno":5408756341,"cno":5408756341,"email":"","ename":"","eno":"","pphy":"SCANLON ROWLETT, NICOLE MD","ppno":4343091165,"pcpadd":"STE A 1280 MAIN STREET","pcpcity":"ALTAVISTA","pcpstate":"VA","pcpzip":"24517-9998","pcpcounty":"","pcpid":"","pcpname":"","plan":"OHP","program":"MEDICAID","lob":"OHCC","region":"ROANOKE ALLEGHANY","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":4343699130,"pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["F11.20","E23.6","H40.1132","H43.313","E23.0","C43.59","Z72.0","E03.8","F10.10","M10.9","L57.0","B07.9","Z85.820","Z85.828","L90.5","Z12.83","L57.8","L73.8","L81.4","D18.01","B07.8","Z87.39","L82.1","D22.9","D17.0","D22.39","M79.602","R09.1","J22.","R06.02","D48.5","L91.8","Z85.89","D04.62","D04.61","R05.8","R07.9","I10.","Z86.018","Z76.0","R07.89","Z23.","M79.671","L82.0","C43.9","R21."],"date":["2023-05-05","2022-06-30","2021-06-21","2021-06-21","2021-06-23","2021-06-23","2021-06-23","2021-06-23","2021-06-23","2022-12-25","2023-03-22","2022-10-26","2023-03-22","2023-03-22","2023-03-22","2023-03-22","2023-03-22","2022-10-26","2022-10-26","2022-10-26","2022-10-26","2022-12-25","2023-03-22","2022-03-23","2022-03-23","2022-03-23","2022-09-12","2021-05-03","2021-05-03","2021-06-18","2021-06-30","2021-06-30","2021-06-30","2021-06-30","2021-06-30","2022-03-05","2023-01-09","2023-01-09","2022-06-30","2022-08-24","2022-12-05","2022-12-05","2022-08-18","2023-03-22","2023-05-05","2023-05-05"],"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":[["","64380097206","HYDROCORT","TAB 20MG","30","Select","Select",""],["","00378180710","LEVOTHYROXIN","TAB 88MCG","90","Select","Select",""],["","68180094111","TESTOSTERONE","20.25\/1.25","75","Select","Select",""],["","12496120803","SUBOXONE","8 MG-2 MG","42","Select","Select",""],["","68180016006","AZITHROMYCIN","TAB 250MG","6","Select","Select",""],["","00591565810","CYCLOBENZAPR","TAB 10MG","20","Select","Select",""],["","00378064205","PREDNISONE","TAB 20MG","21","Select","Select",""],["","61314014315","BRIMONIDINE","SOL 0.2% OP","15","Select","Select",""],["","59310057922","PROAIR HFA","AER ","8","Select","Select",""],["","64380071207","BENZONATATE","CAP 100MG","30","Select","Select",""],["","59746000103","METHYLPRED","TAB 4MG","21","Select","Select",""],["","69097014260","ALBUTEROL","AER HFA","7","Select","Select",""],["","65162019050","NAPROXEN","TAB 500MG","30","Select","Select",""],["","00254200801","COLCHICINE","TAB 0.6MG","3","Select","Select",""],["","00093310705","AMOXICILLIN","CAP 250MG","42","Select","Select",""],["","31722054301","INDOMETHACIN","CAP 50MG","30","Select","Select",""],["","64380097206","HYDROCORTISONE","20 MG","30","Select","Select",""],["","59779046708","ASPIRIN","81 MG","30","Select","Select",""],["","76385011150","CARVEDILOL","6.25 MG","60","Select","Select",""],["","43598043501","NITROGLYCERIN","0.3 MG","25","Select","Select",""],["","70377002911","ATORVASTATIN CALCIUM","40 MG","30","Select","Select",""],["","00378180710","LEVOTHYROXINE SODIUM","88 MCG","90","Select","Select",""],["","33342032780","TRIAMCINOLONE ACETONIDE","0.025 %","420","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":""}]}]}