{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"CARINDA TUTTLE","gend":1,"add":"2611 BAPAUME AVE APT 1","city":"NORFOLK","state":"VA","zip":"23509-9998","dob":"1967-05-21","age":"","mstatus":"","insh":"20053822*01","cliId":"","pno":7579388276,"cno":7579388276,"email":"","ename":"","eno":"","pphy":"AKRAGORN, EKKARAT MD","ppno":7574102287,"pcpadd":"112 GAINSBOROUGH SQUARE #100,","pcpcity":"CHESAPEAKE","pcpstate":"VA","pcpzip":"23320-9998","pcpcounty":"","pcpid":"","pcpname":"","plan":"OHP","program":"MEDICAID","lob":"OHCC","region":"TIDEWATER","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":7574104474,"pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["F43.10","E11.9","Z79.4","Z48.00","L02.11","E11.42","NO DATA","R11.2","G62.9","E11.65","J11.1","Z20.822","Z96.41","Z88.1","Z88.0","Z91.018","R19.7","R52.","M50.30","M47.812","M51.36","E10.10","E11.43","K31.84","E87.5","I10.","E78.5","G47.00","Z79.899","Z90.710","Z91.19","R55.","R39.81","E08.10","E11.10","E43.","Z68.1","F43.22","E13.10","R94.31","E11.40","Z86.39","R10.84","R53.83","R53.81","E16.2","M79.642","M65.332","M25.531","M47.817","M54.5","N17.9","L03.221","E86.0","V58.69","Z91.128","E03.8","F32.9","E83.42","D72.829","Z91.138","R10.9","R51.9","J02.9","R68.83","R73.09"],"date":["2022-06-15","2022-08-29","2022-08-29","2021-08-16","2021-08-16","2022-01-15","2022-07-27","2022-05-15","2021-12-25","2022-07-25","2022-05-15","2022-05-15","2022-05-15","2022-05-15","2022-05-15","2022-05-15","2022-05-15","2022-07-27","2022-07-27","2022-07-27","2022-07-27","2022-05-24","2022-01-15","2022-01-15","2022-01-15","2022-01-15","2022-01-15","2022-01-15","2022-01-15","2022-01-15","2022-01-15","2022-01-15","2022-08-29","2022-05-25","2021-07-13","2021-12-21","2021-12-21","2021-12-21","2021-12-21","2021-07-12","2021-07-13","2021-11-24","2021-11-24","2021-12-21","2021-12-21","2022-06-12","2021-04-29","2021-04-29","2021-04-29","2021-04-02","2021-04-02","2021-07-09","2021-07-09","2021-07-08","2021-07-08","2021-07-08","2021-07-08","2021-07-08","2021-07-08","2021-10-04","2021-07-08","2021-11-24","2022-05-15","2022-05-15","2022-05-15","2022-05-24"],"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":[["","53885000810","ONETOUCH DEL","MIS PLUS 33G","200","Select","Select",""],["","00088221905","LANTUS SOLOS","INJ 100\/ML","15","Select","Select",""],["","53885024510","ONETOUCH","TES ULTRA","200","Select","Select",""],["","65162062711","TRAMADOL HCL","TAB 50MG","90","Select","Select",""],["","00002751659","HUMALOG","INJ 100\/ML","15","Select","Select",""],["","00002879959","HUMALOG KWIK","INJ 100\/ML","15","Select","Select",""],["","00002773701","INSULIN LISP","INJ 100\/ML","90","Select","Select",""],["","55111012305","ATORVASTATIN","TAB 40MG","30","Select","Select",""],["","67877024910","QUETIAPINE","TAB 50MG","30","Select","Select",""],["","65862001205","SERTRALINE","TAB 50MG","45","Select","Select",""],["","68382080505","TRAZODONE","TAB 50MG","60","Select","Select",""],["","45963055750","GABAPENTIN","400 MG","90","Select","Select",""],["","55111017915","TIZANIDINE","TAB 2MG","120","Select","Select",""],["","65702071210","ACCU-CHEK","TES GUIDE","400","Select","Select",""],["","80681016900","VITAMIN D3","TAB 25MCG","30","Select","Select",""],["","68462019005","NAPROXEN","TAB 500MG","20","Select","Select",""],["","68462015713","ONDANSETRON","TAB 4MG ODT","20","Select","Select",""],["","00093220305","METOCLOPRAM","TAB 10MG","40","Select","Select",""],["","00067815202","VOLTAREN","GEL 0.01","50","Select","Select",""],["","69097052444","DICLOFENAC","GEL 0.01","400","Select","Select",""],["","62088000036","INPEN 100NN","MIS PINK NOV","1","Select","Select",""],["","68382080610","TRAZODONE HCL","100 MG","60","Select","Select",""],["","67877024910","QUETIAPINE FUMARATE","50 MG","30","Select","Select",""],["","29300011105","LAMOTRIGINE","25 MG","60","Select","Select",""],["","80681016900","VITAMIN D","3 25 MCG","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":""}]}]}