{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"DANQUAN  M DICKERSON","gend":0,"add":"5408 WILLIAMSBURG RD RM 204","city":"SANDSTON","state":"VA","zip":"23150-9998","dob":"2000-04-10","age":"","mstatus":"","insh":"20047363*01","cliId":"","pno":8043981307,"cno":8043981307,"email":"","ename":"","eno":"","pphy":"BOATWRIGHT III, JOSEPH W MD","ppno":8046438914,"pcpadd":"211 EAST CLAY ST","pcpcity":"RICHMOND","pcpstate":"VA","pcpzip":"23219-9998","pcpcounty":"","pcpid":"","pcpname":"Joseph W. Boatwright, III, MD","plan":"OHP","program":"MEDICAID","lob":"OHCC","region":"CENTRAL","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":8046434237,"pcpnpi":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["J98.01","R56.1","S06.0X0S","J30.89","R03.0","M54.9","F33.9","F25.0","F43.10","F12.20","F25.1","F33.2","F20.9","F31.81","F32.9","F32.1","L03.116","F25.9","F33.1","F41.9","F33.3","R51.9","F43.12","S80.862A","F17.200","J45.909","F31.9","F41.1","F31.5","F12.988"],"date":["2022-04-28","2022-04-28","2022-04-28","2022-04-28","2022-04-28","2022-04-28","2023-02-21","2022-09-30","2022-05-08","2021-07-25","2023-03-17","2021-10-24","2022-01-26","2022-02-06","2021-02-12","2021-07-06","2021-08-08","2022-07-31","2023-01-13","2022-07-18","2022-12-26","2022-07-06","2021-07-04","2021-08-08","2021-08-08","2021-08-08","2022-01-02","2022-03-20","2021-11-23","2021-11-23"],"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":[["","62332024331","FLUOXETINE","TAB 20MG","30","Select","Select",""],["","29300014801","QUETIAPINE","TAB 50MG","30","Select","Select",""],["","62756018488","OXCARBAZEPIN","TAB 300MG","60","Select","Select",""],["","59310057922","PROAIR HFA","AER ","8","Select","Select",""],["","33342006907","OLANZAPINE","7.5 MG","30","Select","Select",""],["","10702025301","BUT\/APAP\/CAF","TAB ","12","Select","Select",""],["","65862037401","ESCITALOPRAM","TAB 10MG","30","Select","Select",""],["","31722082030","ARIPIPRAZOLE","TAB 5MG","30","Select","Select",""],["","42806016005","HYDROXYZINE HCL","25 MG","60","Select","Select",""],["","70436001002","BUPROPION XL","150 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":""}]}]}