{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"MELISSA  S WARD","gend":1,"add":"98 WALK LN","city":"HILLSVILLE","state":"VA","zip":"24343-9998","dob":"1987-12-12","age":"","mstatus":"","insh":"20036926*01","cliId":"","pno":2767331145,"cno":2767331145,"email":"","ename":"","eno":"","pphy":"OSBORNE, PATRICIA G NP","ppno":2767284311,"pcpadd":"702 PINE STREET","pcpcity":"HILLSVILLE","pcpstate":"VA","pcpzip":"24343-9998","pcpcounty":"","pcpid":"","pcpname":"","plan":"OHP","program":"MEDICAID","lob":"OHCC","region":"SOUTHWEST","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":2767280901,"pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["K59.00","R30.9","R10.9","R19.7","R11.2","K21.9","F20.9","G40.909","Z79.899","Z80.42","Z23.","Z90.49","F41.8","F32.9","R56.9","F20.0","NO DATA","F79.","K29.70","J02.9","Z20.818","K75.9","R10.11","K80.20","R07.1","R10.12","Z20.9","K59.09","K29.50","R51.9","H66.93","R31.9","R76.8","K59.04","R10.31","R05.9","R11.0","U07.1","R10.84","R79.89","H53.043","H10.45","H16.223","H04.123","H50.52","K80.00","R94.5","K80.10","N39.0"],"date":["2022-11-17","2021-11-30","2023-03-01","2022-05-10","2022-05-10","2022-06-30","2022-05-10","2022-05-10","2022-05-10","2022-05-10","2021-11-30","2022-05-31","2022-05-31","2022-05-31","2022-05-31","2023-04-21","2023-04-21","2023-04-21","2022-08-12","2022-11-17","2022-11-17","2021-07-20","2021-09-29","2021-10-29","2022-08-01","2022-08-01","2022-09-02","2023-04-12","2022-08-12","2021-01-06","2021-01-06","2021-05-14","2021-09-29","2021-09-29","2022-05-10","2022-07-14","2022-07-14","2022-07-14","2022-05-10","2021-08-04","2023-03-08","2023-03-08","2023-03-08","2023-03-08","2023-03-08","2021-10-11","2021-10-29","2021-10-29","2023-01-10"],"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":[["","50383070016","FLUTICASONE","SPR 50MCG","16","Select","Select",""],["","55111053201","DIVALPROEX","CAP 125MG","120","Select","Select",""],["","69315013701","BENZTROPINE","TAB 1MG","60","Select","Select",""],["","00378035101","HALOPERIDOL","TAB 0.5MG","30","Select","Select",""],["","00085047405","AFRIN MENTHL","SPR 0.0005","15","Select","Select",""],["","65862017760","CEFDINIR","CAP 300MG","14","Select","Select",""],["","11523723404","MIRALAX","POW 3350 NF","510","Select","Select",""],["","33342006707","OLANZAPINE","2.5 MG","30","Select","Select",""],["","37000074085","METAMUCIL","POW 58.6%ORG","660","Select","Select",""],["","45802086803","POLYETH GLYC","POW 3350 NF","510","Select","Select",""],["","68180012202","CEPHALEXIN","500 MG","14","Select","Select",""],["","00456120130","LINZESS","CAP 145MCG","30","Select","Select",""],["","59267100001","PFIZER VACC","INJ COVID-19","0","Select","Select",""],["","10702080806","CYCLOSPORINE","0.05 %","180","Select","Select",""],["","70069000701","OLOPATADINE","DRO 0.001","5","Select","Select",""],["","50428027684","MELATONIN","5 MG","30","Select","Select",""],["","13668021730","ARIPIPRAZOLE","TAB 5MG","30","Select","Select",""],["","65862055990","PANTOPRAZOLE","TAB 20MG","20","Select","Select",""],["","65862085901","FAMOTIDINE","20 MG","60","Select","Select",""],["","65862018830","ONDANSETRON","TAB 8MG","6","Select","Select",""],["","37000045502","PRILOSEC OTC","TAB 20MG","30","Select","Select",""],["","00093416173","AMOXICILLIN","400 MG\/5ML","100","Select","Select",""],["","70954006020","PREDNISONE","TAB 20MG","5","Select","Select",""],["","00536131385","CHEST CONGES","SYP REL DM","180","Select","Select",""],["","58657050508","GG\/DM","SYP 100-10\/5","180","Select","Select",""],["","69842057803","STOOL SOFTNR","CAP 100MG","30","Select","Select",""],["","70461032203","FLUCLVX QUAD","INJ 2022-23","0","Select","Select",""],["","59267030401","PFIZER BIVAL","INJ BA4\/BA5","0","Select","Select",""],["","69315013701","BENZTROPINE MESYLATE","1 MG","60","Select","Select",""],["","69842057803","STOOL SOFTENER","100 MG","30","Select","Select",""],["","70069000701","OLOPATADINE HCL","0.1 %","5","Select","Select",""],["","00078091112","XIIDRA","5 %","180","Select","Select",""],["","67877021560","CEFUROXIME","250 MG","28","Select","Select",""],["","55111053201","DIVALPROEX SODIUM","125 MG","120","Select","Select",""],["","72508001205","AUGMENTIN","125-31.25\/","450","Select","Select",""],["","69097083412","SERTRALINE HCL","50 MG","30","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":""}]}]}