{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"JOSEPH   P MANN","gend":0,"add":"14109 BOLLING ST","city":"CHESTER","state":"VA","zip":"23836-9998","dob":"1959-12-25","age":"","mstatus":"","insh":"20070809*01","cliId":"","pno":8049302039,"cno":8049302039,"email":"","ename":"","eno":"","pphy":"VILLANUEVA, JOHN G MD","ppno":8044525800,"pcpadd":"SUITE 2 4260 CROSSINGS BLVD","pcpcity":"PRINCE GEORGE","pcpstate":"VA","pcpzip":"23875-9998","pcpcounty":"","pcpid":"","pcpname":"","plan":"OHP","program":"MEDICAID","lob":"OHCC","region":"CENTRAL","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":8044525801,"pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["C82.28","Z51.11","I50.9","I50.41","R06.02","E78.2","B34.9","R05.9","I51.7","I50.20","I50.30","I34.0","R94.31","I42.9","I11.0","I50.21","R22.43","R00.0","I50.33","I10.","M06.041","C85.90","M17.11","D73.5","D64.9","K92.1","Z20.822","M06.9","Z79.899","R06.00","E87.70","I50.31","I50.43","C82.90","B19.20","D63.8","M81.0","Z53.29","D69.6","E66.9","Z92.21","Z68.33","E78.5","M21.70","M19.012","M12.812"],"date":["2021-03-04","2021-03-04","2023-03-07","2022-01-24","2022-01-24","2022-01-24","2022-01-19","2022-01-19","2022-01-22","2022-01-22","2022-01-22","2022-01-22","2023-03-08","2023-03-08","2023-03-08","2023-03-08","2023-03-08","2022-01-21","2022-01-24","2022-01-28","2023-03-07","2023-03-07","2023-03-13","2021-02-12","2021-03-04","2022-01-12","2022-01-22","2022-01-22","2022-01-21","2022-01-21","2022-01-22","2022-01-23","2022-01-22","2022-01-22","2022-01-22","2022-01-22","2022-01-22","2022-01-22","2022-01-22","2022-01-22","2022-01-22","2022-01-22","2022-01-28","2023-03-13","2023-03-13","2023-03-13"],"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":[["","29300046805","CLONIDINE","TAB 0.1MG","30","Select","Select",""],["","43547035410","LISINOPRIL","TAB 20MG","30","Select","Select",""],["","16729013501","ALLOPURINOL","TAB 300MG","30","Select","Select",""],["","68382080501","TRAZODONE","TAB 50MG","30","Select","Select",""],["","59746017206","PREDNISONE","5 MG","90","Select","Select",""],["","00054429931","FUROSEMIDE","40 MG","60","Select","Select",""],["","11534016501","FOLIC ACID","1 MG","30","Select","Select",""],["","08290841801","INSULIN SYRG","MIS 1ML\/31G","10","Select","Select",""],["","68180063709","ATORVASTATIN","TAB 40MG","30","Select","Select",""],["","61703035038","METHOTREXATE","25 MG\/ML","4","Select","Select",""],["","62332025118","AZITHROMYCIN","TAB 250MG","6","Select","Select",""],["","59310057922","PROAIR HFA","AER ","8","Select","Select",""],["","68180096301","ALBUTEROL","AER HFA","8","Select","Select",""],["","31722015130","VALSARTAN","TAB 40MG","30","Select","Select",""],["","31722058901","METOPROL SUC","TAB 25MG ER","15","Select","Select",""],["","00078065920","ENTRESTO","24 MG-26MG","60","Select","Select",""],["","67877059001","METOPROLOL SUCCINATE","25 MG","15","Select","Select",""],["","59137052004","RASUVO","15MG\/0.3ML","1.2","Select","Select",""],["","00310621030","FARXIGA","10 MG","90","Select","Select",""],["","68180063709","ATORVASTATIN CALCIUM","40 MG","30","Select","Select",""],["","08290329420","INSULIN SYRINGE","28GX1\/2\"","4","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":""}]}]}