{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"WILLIAM EASON","gend":0,"add":"2614 MEADOWS LNDG","city":"CHESAPEAKE","state":"VA","zip":"23321-9998","dob":"1963-10-03","age":"","mstatus":"","insh":"20051082*01","cliId":"","pno":7576722153,"cno":7576722153,"email":"","ename":"","eno":"","pphy":"SHICK, DEVON A MD","ppno":7574847386,"pcpadd":"3235 ACADEMY AVE STE 101","pcpcity":"PORTSMOUTH","pcpstate":"VA","pcpzip":"23703-9998","pcpcounty":"","pcpid":"","pcpname":"Cedar Road Medical Associates","plan":"OHP","program":"MEDICAID","lob":"M4","region":"TIDEWATER","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":7574841913,"pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["A41.9","A48.1","NO DATA","I50.23","E87.1","I11.0","Z21.","I25.5","I25.10","I10.","E11.65","K76.0","E78.5","I25.2","Z20.822","Z95.810","Z95.5","J18.9","R50.9","R77.8","B20.","I21.4","E11.9","I25.110","I50.22","L84.","L60.0","Q66.72","Q66.71","Z12.11","M54.5","F41.9","K21.9","M54.32","Z79.899","R79.89","I50.9","R94.39","R07.9","R06.02","E66.9","Z23.","Z68.31","Z00.01","E55.9","I25.111","F41.1","F19.10","E78.00","I44.7","N17.9","I70.0","I42.9","I49.3","F17.200","Z13.220","Z00.00","Z11.3","Z78.9"],"date":["2021-08-15","2021-08-18","2021-08-15","2021-08-18","2021-08-15","2023-03-14","2021-08-15","2023-03-31","2022-12-12","2022-12-12","2023-03-14","2021-08-15","2022-12-12","2021-08-15","2021-08-15","2023-03-31","2021-08-15","2021-08-26","2021-08-17","2021-08-16","2023-03-14","2021-08-17","2022-07-13","2021-08-17","2022-06-01","2022-07-13","2022-07-13","2022-07-13","2022-07-13","2022-09-09","2021-08-04","2021-08-04","2022-12-12","2021-08-04","2021-05-05","2021-08-16","2023-03-14","2021-08-18","2021-08-15","2021-08-18","2023-03-14","2022-12-12","2023-03-14","2022-09-09","2022-09-09","2023-03-14","2023-03-14","2023-03-14","2023-03-14","2021-08-15","2021-08-18","2022-06-17","2021-10-14","2022-07-01","2021-08-26","2023-02-15","2021-03-29","2021-03-29","2021-03-29"],"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":[["","00078069620","ENTRESTO","97MG-103MG","60","Select","Select",""],["","69315011601","FUROSEMIDE","20 MG","60","Select","Select",""],["","53489014301","SPIRONOLACT","TAB 25MG","30","Select","Select",""],["","68382009401","CARVEDILOL","12.5 MG","60","Select","Select",""],["","55111019605","CLOPIDOGREL","75 MG","30","Select","Select",""],["","00006027731","JANUVIA","100 MG","30","Select","Select",""],["","16714071302","TAMSULOSIN","CAP 0.4MG","30","Select","Select",""],["","16714071503","OMEPRAZOLE","20 MG","30","Select","Select",""],["","55111032201","GLIMEPIRIDE","4 MG","60","Select","Select",""],["","53885000810","ONETOUCH DEL","MIS PLUS 33G","100","Select","Select",""],["","53885027025","ONETOUCH","TES VERIO","50","Select","Select",""],["","61958250101","BIKTARVY","50-200-25","30","Select","Select",""],["","80777027399","MODERNA VAC","INJ COVID-19","0","Select","Select",""],["","00713055593","DOXYCYC MONO","CAP 100MG","16","Select","Select",""],["","45802041926","AMMONIUM LAC","LOT 0.12","400","Select","Select",""],["","57237003101","AMOXICILLIN","CAP 500MG","20","Select","Select",""],["","42806071501","BENZONATATE","CAP 200MG","10","Select","Select",""],["","42806031250","DOXYCYCL HYC","TAB 100MG","20","Select","Select",""],["","66993001968","ALBUTEROL","AER HFA","18","Select","Select",""],["","53885000810","ONETOUCH DELICA PLUS LANCET","33 GAUGE","100","Select","Select",""],["","16714071302","TAMSULOSIN HCL","0.4 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":""}]}]}