{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"INA V SCOTT","gend":1,"add":"433 WESTOVER PINES DR","city":"RICHMOND","state":"VA","zip":"23223-9998","dob":"1964-02-06","age":"","mstatus":"","insh":"20034639*01","cliId":"","pno":8047370962,"cno":8047370962,"email":"","ename":"","eno":"","pphy":"HEGGI, ABDULWAHAB MD","ppno":8049685700,"pcpadd":"5000 COX ROAD SUITE 100,","pcpcity":"GLEN ALLEN","pcpstate":"VA","pcpzip":"23060-9998","pcpcounty":"","pcpid":"","pcpname":"","plan":"OHP","program":"MEDICAID","lob":"OHCC","region":"CENTRAL","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":8049685739,"pcpnpi":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["F33.0","R53.83","R63.4","R00.2","E78.5","Z11.3","Z11.4","J20.9","R13.10","R11.0","R10.32","K83.8","R07.9","R06.00","R94.31","I10.","E78.2","F17.200","Z20.822","M79.604","G62.9","W19.XXXA","R00.1","B00.9","M54.2","NO DATA","R26.89","M47.26","M43.16","M51.36","R07.89","J18.9","R10.9","K59.09","R93.2","M54.5","M47.817","M54.32","R29.898","M48.47XA","R31.0","R80.9","N39.46","Z87.891","Z79.899","M79.89","J45.41","Z92.29","Z71.9","E66.3","M51.9","M54.16","M47.816","K58.1","D12.6","B00.1","F41.0","I07.1","Z01.89","F33.9","M25.512","M79.605","Z79.891","G89.4","R05.9","R31.9","Z72.0","B00.2","R07.2","I34.0","I36.1","R06.02","R11.2","F41.9","M54.31","R42.","G40.909","F17.210","Z86.718","Z79.82","R20.2"],"date":["2021-02-22","2021-02-22","2021-02-22","2023-09-19","2021-02-22","2021-02-22","2021-02-22","2021-02-22","2023-09-13","2023-09-13","2021-02-25","2023-08-28","2023-09-19","2023-09-19","2021-02-26","2023-09-19","2021-02-26","2021-02-26","2021-08-06","2023-03-06","2022-09-22","2022-09-22","2023-08-26","2023-01-03","2023-03-15","2023-09-20","2023-03-15","2023-05-03","2023-05-03","2023-05-03","2023-08-25","2023-06-16","2023-08-28","2023-08-27","2023-08-27","2021-01-21","2023-04-27","2023-04-27","2023-04-27","2021-01-04","2021-03-10","2021-03-10","2021-03-10","2021-03-10","2023-06-16","2021-07-02","2021-10-27","2021-10-27","2021-10-27","2021-10-27","2023-09-20","2023-09-20","2023-04-27","2023-09-13","2023-09-13","2021-01-06","2021-01-06","2022-09-22","2022-09-28","2021-03-30","2023-03-06","2023-03-06","2023-06-01","2023-06-01","2023-08-21","2023-08-21","2023-05-03","2023-05-03","2023-05-03","2023-08-26","2023-08-26","2021-10-22","2022-03-04","2022-03-13","2023-03-23","2022-09-28","2023-06-16","2023-06-16","2023-06-16","2023-06-16","2023-06-16"],"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":[["","00378632277","VALSART\/HCTZ","TAB 160-12.5","30","Select","Select",""],["","00378427577","VALACYCLOVIR","500 MG","90","Select","Select",""],["","43598081115","CETIRIZINE","TAB 10MG","30","Select","Select",""],["","70954005940","PREDNISONE","10 MG","48","Select","Select",""],["","65162062711","TRAMADOL HCL","TAB 50MG","8","Select","Select",""],["","68462010530","ONDANSETRON","TAB 4MG","30","Select","Select",""],["","00597007541","SPIRIVA","CAP HANDIHLR","90","Select","Select",""],["","76204020060","ALBUTEROL","NEB 0.00083","360","Select","Select",""],["","69097067805","PREGABALIN","50 MG","7","Select","Select",""],["","00456120330","LINZESS","72 MCG","30","Select","Select",""],["","59267030401","PFIZER BIVAL","INJ BA4\/BA5","0","Select","Select",""],["","70461032203","FLUCLVX QUAD","INJ 2022-23","0","Select","Select",""],["","69230030405","ALLERGY RELI","TAB 10MG","30","Select","Select",""],["","65862090801","CELECOXIB","100 MG","30","Select","Select",""],["","00378632277","VALSARTAN-HYDROCHLOROTHIAZIDE","160-12.5MG","90","Select","Select",""],["","00406051205","OXYCODONE-ACETAMINOPHEN","5 MG-325MG","120","Select","Select",""],["","00093216568","NALOXONE HCL","4 MG","2","Select","Select",""],["","45963055650","GABAPENTIN","300 MG","30","Select","Select",""],["","71858030505","LICART","1.3 %","30","Select","Select",""],["","65862070020","CEFUROXIME","500 MG","20","Select","Select",""],["","00781543920","CEFPODOXIME PROXETIL","200 MG","20","Select","Select",""],["","00054074287","ALBUTEROL SULFATE HFA","90 MCG","6.7","Select","Select",""],["","69584061150","METHOCARBAMOL","500 MG","40","Select","Select",""],["","43598083005","ATORVASTATIN CALCIUM","10 MG","30","Select","Select",""],["","00536120215","LIDOCAINE PAIN RELIEF","4 %","10","Select","Select",""],["","72647033104","METHYLPREDNISOLONE","4 MG","21","Select","Select",""],["","57237000511","FLUCONAZOLE","150 MG","1","Select","Select",""],["","27808023302","DOXYCYCLINE HYCLATE","100 MG","20","Select","Select",""],["","61269098135","DOCOSANOL","10 %","2","Select","Select",""],["","00172392670","DIAZEPAM","5 MG","15","Select","Select",""],["","00536252525","CAPSAICIN","0.025 %","60","Select","Select",""],["","29300039710","AMLODIPINE BESYLATE","5 MG","90","Select","Select",""],["","00135020001","ABREVA","10 %","2","Select","Select",""],["","76204020025","ALBUTEROL SULFATE","2.5 MG\/3ML","75","Select","Select",""],["","00591352530","LIDOCAINE","5 %","30","Select","Select",""],["","00591079401","DICYCLOMINE HCL","10 MG","120","Select","Select",""],["","70461032303","FLUCELVAX QUAD","2023-2024 60MCG\/.5ML","0.5","Select","Select",""],["","00069239210","COMIRNATY","2023-2024 30 MCG\/0.3","0.3","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":""}]}]}