{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"ARMANDO CHICO","gend":0,"add":"433 WEST LN APT B","city":"VIRGINIA BEACH","state":"VA","zip":"23454-9998","dob":"1964-05-04","age":"","mstatus":"","insh":"20063029*01","cliId":"","pno":7577560296,"cno":7577560296,"email":"","ename":"","eno":"","pphy":"WHITEHURST, CANDACE MD","ppno":7576228358,"pcpadd":"930 W 21ST ST STE 100,","pcpcity":"NORFOLK","pcpstate":"VA","pcpzip":"23517-9998","pcpcounty":"","pcpid":"","pcpname":"Bon Secours Ghent Station Medical Associates","plan":"OHP","program":"MEDICAID","lob":"OHCC","region":"TIDEWATER","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":7576229662,"pcpnpi":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["F33.9","F41.1","R10.31","Z68.30","K40.90","Z51.81","Z79.891","S29.012A","R07.9","R10.9","M43.6","G56.03","M54.16","M25.511","M25.512","R10.10","R10.84","I10.","G89.29","F17.210","Z98.890","Z87.19","Z88.5","R10.30","M54.2","I65.23","R06.02","M79.641","M79.642","M25.531","M25.532","R07.89","M54.9","K40.30","F20.9","M47.816","M70.61","M70.62","R42.","R51.9","F17.200","R53.1","I70.90","I70.0","Z01.818","Z20.822","K38.8","K65.9","S73.101A","F43.22","R09.89","R10.12","B36.0","Z53.29","K63.89","R10.32","R21.","Z12.11","Z68.29","M54.6","R50.9","R60.9","Z90.49","E78.5","NO DATA","J02.0","R30.0","Z11.3"],"date":["2022-04-18","2023-06-21","2022-04-25","2021-08-17","2021-12-16","2023-05-22","2023-05-22","2023-01-16","2023-01-16","2023-01-16","2023-06-08","2023-05-22","2023-05-22","2022-11-21","2022-11-21","2021-09-10","2022-01-06","2023-06-04","2022-01-06","2023-06-08","2022-01-06","2023-06-04","2023-02-19","2022-01-06","2023-07-20","2022-01-10","2022-08-09","2023-05-22","2023-05-22","2023-05-22","2023-05-22","2022-08-09","2021-11-02","2021-12-16","2021-01-17","2021-06-10","2021-06-10","2021-06-10","2022-08-08","2021-11-30","2022-04-27","2021-11-30","2022-04-27","2022-04-27","2021-12-14","2021-12-14","2023-02-19","2023-02-19","2023-08-13","2022-01-24","2022-01-10","2022-01-09","2023-07-20","2022-08-08","2023-02-19","2023-06-04","2022-04-25","2022-04-25","2022-04-25","2023-06-04","2023-06-04","2023-06-04","2023-06-04","2023-06-04","2023-06-04","2023-06-19","2023-06-19","2023-06-19"],"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":[["","65162079108","LIDOCAINE","5 %","30","Select","Select",""],["","69097096807","LISINOP\/HCTZ","TAB 10-12.5","30","Select","Select",""],["","68180063609","ATORVASTATIN","TAB 20MG","30","Select","Select",""],["","00093506001","HYDROXYZ HCL","TAB 10MG","60","Select","Select",""],["","00093005401","BUSPIRONE","TAB 10MG","60","Select","Select",""],["","11822316910","RA ASPIRIN","TAB 81MG EC","30","Select","Select",""],["","65862016001","ZOLPIDEM","TAB 10MG","15","Select","Select",""],["","10702005601","OXYCODONE","TAB 10MG","90","Select","Select",""],["","69367017401","HYDROQUINONE","CRE 0.04","28","Select","Select",""],["","00168009915","KETOCONAZOLE","CRE 0.02","15","Select","Select",""],["","00536123441","ASPIRIN LOW","TAB 81MG EC","30","Select","Select",""],["","00093216568","NALOXONE HCL","SPR 4MG","2","Select","Select",""],["","00406851001","OXYCODONE HCL","10 MG","90","Select","Select",""],["","00093310953","AMOXICILLIN","500 MG","30","Select","Select",""],["","70010075401","METHOCARBAMOL","500 MG","20","Select","Select",""],["","65862039010","ONDANSETRON ODT","4 MG","12","Select","Select",""],["","72888001405","CYCLOBENZAPRINE HCL","10 MG","20","Select","Select",""],["","68462019001","NAPROXEN","500 MG","20","Select","Select",""],["","57237030212","ASPIRIN EC","81 MG","90","Select","Select",""],["","29300039810","AMLODIPINE BESYLATE","10 MG","90","Select","Select",""],["","43598083205","ATORVASTATIN CALCIUM","40 MG","90","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":""}]}]}