{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"LORALE KEARNEY","gend":0,"add":"126 S CAPITOL ST","city":"SUFFOLK","state":"VA","zip":"23434-9998","dob":"1995-11-06","age":"","mstatus":"","insh":"20049125*01","cliId":"","pno":7578093157,"cno":7578093157,"email":"","ename":"","eno":"","pphy":"MEISER, COLLEEN NP","ppno":7576061656,"pcpadd":"3235 BRIDGE ROAD SUITE 15,","pcpcity":"SUFFOLK","pcpstate":"VA","pcpzip":"23435-9998","pcpcounty":"","pcpid":"","pcpname":"Lakeview Internal Medicine Meade","plan":"OHP","program":"MEDICAID","lob":"OHCC","region":"TIDEWATER","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":7576861657,"pcpnpi":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["Z20.822","F17.210","Z91.018","Z13.0","Z13.220","Z13.29","Z13.228","F41.1","M54.9","D57.1","NO DATA","M41.34","Z00.00","F41.9","Z20.2","J02.9","R07.89","M54.5","G89.29","M41.26","S99.921A","R10.10","F17.290","Z87.19","Z98.890","K92.1","G40.909","S16.1XXA","S39.012A","S29.019A","M41.9","N62.","R10.11","Z11.3","M54.2","M54.6","B34.9","R50.9","R56.9","S91.331A","J34.89","F31.31","F43.0","R45.89","R31.9","R10.31"],"date":["2023-02-27","2022-03-25","2022-10-06","2021-11-10","2021-11-10","2021-11-10","2021-11-10","2021-11-10","2022-09-07","2023-07-01","2022-05-05","2023-06-15","2022-09-07","2023-06-15","2023-01-21","2023-02-27","2021-06-21","2021-08-04","2021-06-21","2021-06-21","2022-02-07","2022-10-06","2023-07-01","2022-10-06","2022-10-06","2022-10-06","2021-03-03","2021-07-19","2021-07-19","2021-07-19","2021-07-19","2022-08-02","2022-10-06","2023-01-24","2021-08-04","2021-08-04","2021-10-23","2021-10-23","2021-05-12","2022-02-07","2021-10-23","2022-01-03","2023-06-15","2023-06-15","2023-07-01","2023-07-01"],"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":[["","67877021901","CEPHALEXIN","CAP 500MG","14","Select","Select",""],["","11822010233","PAIN RELIEF","TAB 500MG","30","Select","Select",""],["","65162046650","IBUPROFEN","TAB 800MG","30","Select","Select",""],["","16571066401","METRONIDAZOLE","500 MG","14","Select","Select",""],["","11822010233","PAIN RELIEF TAB","500MG","30","Select","Select",""],["","65162046650","IBUPROFEN TAB","800MG","30","Select","Select",""],["","67877021901","CEPHALEXIN CAP","500MG","14","Select","Select",""],["","13668000901","CITALOPRAM HBR","10 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":""}]}]}