{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"KATELYN A COON","gend":1,"add":"23301 LAKE SHORES CT","city":"CARROLLTON","state":"VA","zip":"23314-9998","dob":"1999-05-15","age":"","mstatus":"","insh":"20067253*01","cliId":"","pno":7572923774,"cno":7572923774,"email":"","ename":"","eno":"","pphy":"POPE, THOMAS C MD","ppno":7573573331,"pcpadd":"201 GUMWOOD DR,","pcpcity":"SMITHFIELD","pcpstate":"VA","pcpzip":"23430-9998","pcpcounty":"","pcpid":"","pcpname":"","plan":"OHP","program":"MEDICAID","lob":"OHCC","region":"TIDEWATER","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":7573451006,"pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["Z01.419","Z12.4","Z11.3","Z11.4","F33.9","F41.1","F84.0","F39.","Z01.411","N92.6","Z32.02","Z13.31","F41.9","Z68.22","F33.1","K13.70","B37.0","R63.4","F31.9","Z68.1","Z23.","F31.32","NO DATA","F51.04","Z79.899","Z76.89","N89.8","E28.2","T50.905A","R50.83","T50.Z95A","R11.2","R45.89","Z88.8","R11.0","Z68.23","G43.009","Z68.25","G47.00","T43.595A","I51.7","Z88.2","Z20.828","A09.","F41.0","Z30.41","D80.2","D80.6","Z68.29","Z68.21"],"date":["2023-09-12","2023-09-12","2021-03-15","2021-03-15","2022-01-05","2023-09-20","2023-09-20","2023-08-07","2023-09-12","2022-08-19","2023-03-14","2023-09-12","2023-08-10","2022-08-24","2023-09-20","2022-03-22","2022-03-22","2022-01-18","2023-01-20","2022-02-18","2022-10-20","2023-09-06","2023-09-06","2023-09-06","2023-09-06","2023-09-06","2023-09-12","2023-09-12","2023-09-02","2021-04-28","2021-04-28","2021-11-01","2021-11-01","2021-11-01","2023-09-02","2022-09-20","2023-01-20","2023-01-20","2023-09-02","2023-09-02","2023-09-02","2023-09-02","2021-02-17","2021-02-17","2023-08-07","2023-07-28","2022-08-01","2022-08-01","2023-08-10","2022-03-22"],"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":[["","43598016630","OLANZAPINE","10 MG","30","Select","Select",""],["","50383077504","LIDOCAINE","SOL 2% VISC","100","Select","Select",""],["","70710113908","FLUCONAZOLE","TAB 150MG","1","Select","Select",""],["","00121086802","NYSTATIN","SUS 100000","480","Select","Select",""],["","65757065242","LYBALVI","TAB 10-10MG","30","Select","Select",""],["","68462015813","ONDANSETRON","TAB 8MG ODT","12","Select","Select",""],["","00093342601","LORAZEPAM","1 MG","30","Select","Select",""],["","00555077902","MEDROXYPR AC","TAB 10MG","10","Select","Select",""],["","00093506101","HYDROXYZ HCL","TAB 25MG","30","Select","Select",""],["","13107007901","TRAZODONE HCL","50 MG","6","Select","Select",""],["","00093506101","HYDROXYZINE HCL","25 MG","45","Select","Select",""],["","51672413101","LAMOTRIGINE","100 MG","60","Select","Select",""],["","00591555401","PROPRANOLOL HCL","10 MG","90","Select","Select",""],["","00555077902","MEDROXYPROGESTERONE ACETATE","10 MG","10","Select","Select",""],["","65862037301","ESCITALOPRAM OXALATE","5 MG","30","Select","Select",""],["","00006033530","BELSOMRA","20 MG","30","Select","Select",""],["","00378728353","NORETHINDRONE-E.ESTRADIOL-IRON","1MG-20(21)","84","Select","Select",""],["","62332049430","LURASIDONE HCL","20 MG","30","Select","Select",""],["","65862039010","ONDANSETRON ODT","4 MG","20","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":""}]}]}