{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"STEPHANIE  D PITTS","gend":1,"add":"1014 HILLPOINT ROAD","city":"SUFFOLK","state":"VA","zip":"23434-9998","dob":"1970-02-07","age":"","mstatus":"","insh":"20039561*01","cliId":"","pno":7579718858,"cno":7579718858,"email":"","ename":"","eno":"","pphy":"PASCUAL, REYMOND MD","ppno":7578262102,"pcpadd":"2100 HARTFORD RD","pcpcity":"HAMPTON","pcpstate":"VA","pcpzip":"23666-9998","pcpcounty":"","pcpid":"","pcpname":"TPMG PENINSULA MEDICAL ASSOCIATES","plan":"OHP","program":"MEDICAID","lob":"OHCC","region":"TIDEWATER","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":7578259482,"pcpnpi":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["N39.41","M62.81","I50.9","NO DATA","J44.9","I10.","I50.42","R20.0","M34.9","E55.9","G47.00","Z00.00","G89.4","I50.22","K22.4","L94.0","L97.821","R60.0","Z86.718","I87.312","Z79.899","Z87.891","R93.89","J96.01","D68.59","M35.1","Q82.0","R06.02","R13.10","R06.09","I50.32","L97.929","I11.0","R60.9","I73.9","I50.43","L97.329","I95.9","L97.829","I42.8","E66.01","Z95.828","Z68.38","D68.51","Z20.822","I51.7","R94.2","R06.00","L28.2","B37.2","L03.116","Z11.1","L98.492","L88.","S81.809A","I50.23","E87.6","I42.0","Z79.891","L97.321","S81.802A","E46.","I27.20","I89.0","R29.818","I07.1","I87.2","I73.00","K21.9","Z86.711","Z87.81","L97.822","Z91.81","Z98.890"],"date":["2023-04-13","2023-04-13","2023-03-24","2023-01-20","2023-02-01","2023-02-07","2022-10-21","2022-02-22","2023-02-07","2022-02-10","2022-02-10","2023-02-07","2022-02-10","2023-01-25","2022-10-24","2023-03-24","2023-04-20","2023-02-07","2023-03-24","2023-03-24","2022-12-19","2022-07-18","2022-10-05","2023-02-01","2023-02-01","2022-10-02","2023-04-20","2022-10-01","2022-10-21","2023-01-25","2023-01-25","2022-04-20","2022-09-30","2022-04-20","2022-07-25","2022-10-01","2022-09-30","2022-09-30","2022-09-30","2022-09-30","2022-10-01","2023-01-18","2022-09-30","2022-09-30","2022-09-30","2022-10-01","2022-11-04","2022-11-04","2021-02-25","2021-05-27","2022-12-12","2022-12-12","2023-01-18","2023-04-20","2022-09-01","2022-09-01","2022-10-01","2023-02-01","2022-12-19","2022-06-03","2023-02-07","2023-02-07","2021-07-20","2022-10-03","2022-11-04","2023-01-20","2023-02-01","2023-03-24","2023-02-01","2023-03-24","2023-02-01","2023-03-24","2023-03-24","2023-03-24"],"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":[["","68462010530","ONDANSETRON","TAB 4MG","30","Select","Select",""],["","62332002891","LOSARTAN POT","TAB 50MG","180","Select","Select",""],["","72140000021","EUCERIN","CRE ","454","Select","Select",""],["","69292056201","METOLAZONE","2.5 MG","10","Select","Select",""],["","59651029501","NIFEDIPINE","TAB 30MG ER","30","Select","Select",""],["","53746051501","SPIRONOLACT","TAB 100MG","30","Select","Select",""],["","00832054211","BUMETANIDE","2 MG","60","Select","Select",""],["","59310057922","PROAIR HFA","AER ","8","Select","Select",""],["","16729018929","MYCOPHENOLIC","TAB 360MG DR","120","Select","Select",""],["","00603020922","MAG OXIDE","TAB 400MG","60","Select","Select",""],["","50428399766","MOISTURIZING","CRE XTR-DRY","454","Select","Select",""],["","59267102503","PFIZER VACC","INJ ADLT RTU","0","Select","Select",""],["","59651000305","OMEPRAZOLE","40 MG","60","Select","Select",""],["","42858030201","HYDROMORPHON","TAB 4MG","180","Select","Select",""],["","45963067696","METOPROL SUC","TAB 50MG ER","30","Select","Select",""],["","00603154258","POT CHLORIDE","SOL 0.1","473","Select","Select",""],["","00093321992","KETOCONAZOLE","CRE 0.02","60","Select","Select",""],["","66993001968","ALBUTEROL","AER HFA","18","Select","Select",""],["","68462053253","CLOBETASOL","SOL 0.0005","50","Select","Select",""],["","00173068220","VENTOLIN HFA","90 MCG","18","Select","Select",""],["","67877014801","TEMAZEPAM","CAP 7.5MG","30","Select","Select",""],["","00781717612","NALOXONE","SPR ","1","Select","Select",""],["","58160089052","FLUARIX QUAD","INJ 2022-23","0","Select","Select",""],["","42858010401","OXYCOD\/APAP","TAB 10-325MG","28","Select","Select",""],["","00904775127","MINERIN","CRE ","454","Select","Select",""],["","53489011905","DOXYCYCL HYC","CAP 100MG","20","Select","Select",""],["","59267030402","PFIZER BIVAL","INJ BA4\/BA5","0","Select","Select",""],["","69097052444","DICLOFENAC","GEL 0.01","100","Select","Select",""],["","69842087651","CVS ACETAMIN","TAB 325MG","90","Select","Select",""],["","47335075649","IPRATROPIUM\/","SOL ALBUTER","150","Select","Select",""],["","00093227434","AMOX\/K CLAV","TAB 500-125","20","Select","Select",""],["","65862096701","ESZOPICLONE","1 MG","1","Select","Select",""],["","59651029501","NIFEDIPINE ER","30 MG","30","Select","Select",""],["","42858030301","HYDROMORPHONE HCL","8 MG","240","Select","Select",""],["","62332054605","TIMOLOL MALEATE","0.5 %","5","Select","Select",""],["","16729042210","TACROLIMUS","0.1 %","30","Select","Select",""],["","21922001707","CLOBETASOL PROPIONATE","0.05 %","60","Select","Select",""],["","00093317431","ALBUTEROL SULFATE HFA","90 MCG","8.5","Select","Select",""],["","62332002891","LOSARTAN POTASSIUM","50 MG","180","Select","Select",""],["","59746000103","METHYLPREDNISOLONE","4 MG","21","Select","Select",""],["","53746051501","SPIRONOLACTONE","100 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":""}]}]}