{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"LAVONDA  D TART","gend":1,"add":"60 WEATHERSPOON DR","city":"EMPORIA","state":"VA","zip":"23847-9998","dob":"1992-03-23","age":"","mstatus":"","insh":"20035937*01","cliId":"","pno":4344306705,"cno":4344306705,"email":"","ename":"","eno":"","pphy":"BYERS, KELLY NP","ppno":4346346101,"pcpadd":"6 DOCTORS DR,","pcpcity":"EMPORIA","pcpstate":"VA","pcpzip":"23847-9998","pcpcounty":"","pcpid":"","pcpname":"","plan":"OHP","program":"MEDICAID","lob":"OHCC","region":"CENTRAL","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":4346348611,"pcpnpi":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["F33.1","F10.10","F12.90","F41.9","I10.","H11.31","Z62.810","Z79.84","Z79.899","Z91.410","Z20.822","V62.84","K04.7","Z82.49","Z87.891","K08.9","M79.7","NO DATA","Z03.818","Z79.1","R51.9","B34.9","Z20.828","F17.210","Z68.38","M79.641","S00.552A","S09.93XA","F41.1","F32.2","F10.20","F43.10","F31.89","S00.211A","Z68.34","F31.63","R30.9","N92.6","F12.20","H10.45","H04.123","H52.13","H52.223","Z01.419","W45.8XXA"],"date":["2021-07-09","2021-02-17","2021-02-17","2021-02-17","2022-09-15","2021-02-26","2021-02-17","2021-02-17","2022-09-15","2021-02-17","2022-09-15","2021-02-17","2022-04-09","2022-09-15","2022-09-15","2022-04-09","2022-09-15","2022-09-15","2022-09-15","2022-09-15","2022-09-15","2022-09-08","2022-02-01","2022-02-01","2022-02-01","2023-02-01","2023-04-23","2023-04-23","2023-02-23","2023-02-23","2023-02-23","2023-02-23","2021-02-26","2021-02-26","2021-02-26","2021-08-24","2022-06-22","2022-06-22","2021-03-10","2021-04-15","2021-04-15","2021-04-15","2021-04-15","2022-11-02","2023-04-23"],"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":[["","53746010901","HYDROCO\/APAP","TAB 5-325MG","12","Select","Select",""],["","00093117410","PENICILLN VK","TAB 500MG","28","Select","Select",""],["","67877025130","TRIAMCINOLON","CRE 0.001","30","Select","Select",""],["","69097012203","TOPIRAMATE","TAB 25MG","60","Select","Select",""],["","65862049001","QUETIAPINE","TAB 50MG","30","Select","Select",""],["","43547030503","ARIPIPRAZOLE","TAB 15MG","30","Select","Select",""],["","67877041401","METFORMIN","TAB 750MG ER","30","Select","Select",""],["","47781030301","NITROFURANTN","CAP 100MG","14","Select","Select",""],["","00378064110","PREDNISONE","TAB 10MG","18","Select","Select",""],["","50111033401","METRONIDAZOL","TAB 500MG","21","Select","Select",""],["","49483034010","ACETAMIN","TAB 325MG","20","Select","Select",""],["","68180016011","AZITHROMYCIN","TAB 250MG","6","Select","Select",""],["","59746000103","METHYLPREDNISOLONE","4 MG","21","Select","Select",""],["","69097083512","SERTRALINE HCL","100 MG","30","Select","Select",""],["","42858010201","OXYCODONE-ACETAMINOPHEN","5 MG-325MG","15","Select","Select",""],["","49483060450","IBUPROFEN","800 MG","20","Select","Select",""],["","68180012202","CEPHALEXIN","500 MG","28","Select","Select",""],["","00093117410","PENICILLN VK TAB","500MG","28","Select","Select",""],["","53746010901","HYDROCO\/APAP TAB","5-325MG","12","Select","Select",""],["","67877041401","METFORMIN TAB","750MG ER","30","Select","Select",""],["","67877025130","TRIAMCINOLON CRE","0.1%","30","Select","Select",""],["","69097012203","TOPIRAMATE TAB","25MG","60","Select","Select",""],["","65862049001","QUETIAPINE TAB","50MG","30","Select","Select",""],["","43547030503","ARIPIPRAZOLE TAB","15MG","30","Select","Select",""],["","47781030301","NITROFURANTN CAP","100MG","14","Select","Select",""],["","49483034010","ACETAMIN TAB","325MG","20","Select","Select",""],["","50111033401","METRONIDAZOL TAB","500MG","21","Select","Select",""],["","00378064110","PREDNISONE TAB","10MG","18","Select","Select",""],["","68180016011","AZITHROMYCIN TAB","250MG","6","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":""}]}]}