{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"MARKUS C LOCKHART","gend":0,"add":"119 SUNSET CT","city":"NORTH TAZEWELL","state":"VA","zip":"24630-9998","dob":"1991-11-08","age":"","mstatus":"","insh":"20071986*01","cliId":"","pno":2769704925,"cno":2769704925,"email":"","ename":"","eno":"","pphy":"STOCKBURGER, ROBERT W MD","ppno":5404279200,"pcpadd":"2145 MT PLEASANT BLVD,","pcpcity":"ROANOKE","pcpstate":"VA","pcpzip":"24014-9998","pcpcounty":"","pcpid":"","pcpname":"","plan":"OHP","program":"MEDICAID","lob":"OHCC","region":"SOUTHWEST","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":5404273237,"pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["F33.1","F41.1","M54.2","NO DATA","M79.601","M79.602","M79.604","M79.605","B34.9","N45.1","N40.0","Z98.52","M54.16","G89.29","R20.0","R20.2","R79.89","F41.8","Z13.220","Z13.29","F43.23","M47.22","M47.816","M79.7","Z79.899","G89.4","R05.9","H43.393","R03.0","R07.89","E78.00","H10.45","J02.9","E78.5","J01.00","R05.1","K57.30","R16.2","M19.90","Z88.8","R10.33","Z20.818","Z30.2","E66.01","U07.1","R10.9","R52.","M79.2","E88.81","E66.9","Z68.36","F41.9","D51.9","M62.838","J02.0","R53.83","M54.40","F12.90","Z30.09","G62.9","M54.12","M54.5","N50.82","Z20.822","Z20.828","R06.2","J34.9","R50.9","R07.9","J06.9"],"date":["2022-08-26","2022-08-26","2022-10-04","2022-12-16","2022-08-03","2022-08-03","2022-08-03","2022-08-03","2022-12-22","2021-03-05","2021-03-22","2021-03-29","2022-10-04","2023-02-13","2022-04-05","2022-04-05","2022-08-11","2022-08-11","2022-04-05","2022-04-05","2022-06-14","2023-06-12","2023-03-21","2023-06-12","2023-03-21","2023-03-21","2023-04-29","2021-07-26","2022-09-26","2022-04-17","2022-08-11","2022-09-26","2023-06-06","2023-02-13","2022-11-18","2022-11-18","2023-01-04","2022-12-15","2022-12-15","2022-12-15","2022-12-15","2023-06-06","2021-02-19","2021-02-19","2022-08-31","2022-12-15","2022-12-15","2022-08-05","2022-08-05","2022-08-05","2022-08-05","2022-08-05","2022-08-05","2022-08-05","2023-02-10","2023-02-13","2023-02-13","2023-02-13","2021-02-10","2022-05-05","2022-05-05","2021-01-05","2021-03-29","2023-04-29","2023-04-29","2023-04-29","2023-04-29","2023-04-29","2022-04-17","2022-12-28"],"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":[["","16729044310","BUPROPN HCL","TAB 150MG XL","30","Select","Select",""],["","16571020150","DICLOFENAC","TAB 75MG DR","60","Select","Select",""],["","00591352530","LIDOCAINE","PAD 0.05","90","Select","Select",""],["","42806040021","METHYLPRED","TAB 4MG","21","Select","Select",""],["","55111017915","TIZANIDINE","TAB 2MG","60","Select","Select",""],["","50228017910","GABAPENTIN","CAP 100MG","90","Select","Select",""],["","57237009960","CEFDINIR","CAP 300MG","20","Select","Select",""],["","42192060716","BROM\/PSE\/DM","SYP 2\/30\/10","280","Select","Select",""],["","00093505698","ATORVASTATIN","TAB 10MG","30","Select","Select",""],["","31722099601","HYDROCO\/APAP","TAB 5-325MG","90","Select","Select",""],["","60432060416","PROMETHAZINE","SYP DM","120","Select","Select",""],["","11877001140","BINAXNOW COV","KIT HOME TES","8","Select","Select",""],["","00904685272","LORATADINE","TAB 10MG","30","Select","Select",""],["","59746017509","PREDNISONE","20 MG","10","Select","Select",""],["","50111078751","AZITHROMYCIN","250 MG","6","Select","Select",""],["","64380079901","OSELTAMIVIR","CAP 75MG","10","Select","Select",""],["","00406012301","HYDROCODONE-ACETAMINOPHEN","5 MG-325MG","90","Select","Select",""],["","63304069301","CLINDAMYCIN HCL","300 MG","40","Select","Select",""],["","72578005518","DOXYCYCLINE HYCLATE","100 MG","20","Select","Select",""],["","00781261305","AMOXICILLIN","500 MG","20","Select","Select",""],["","69097014260","ALBUTEROL SULFATE HFA","90 MCG","6.7","Select","Select",""],["","69452014430","BENZONATATE","200 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":""}]}]}