{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"DIANA SEBERA","gend":1,"add":"4105 OLD IRON CT APT 411","city":"HOPEWELL","state":"VA","zip":"23860-9998","dob":"1957-06-15","age":"","mstatus":"","insh":"20072299*01","cliId":"","pno":8042979878,"cno":8042979878,"email":"","ename":"","eno":"","pphy":"DREHER, ELIZABETH R LNP","ppno":8047354040,"pcpadd":",","pcpcity":"CHESTER","pcpstate":"VA","pcpzip":"23836-9998","pcpcounty":"","pcpid":"","pcpname":"Richmond Gastroenterology Associates","plan":"OHP","program":"MEDICAID","lob":"OHCC","region":"CENTRAL","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"","pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["I10.","F34.1","F60.3","M54.5","N20.0","Z79.899","U07.1","NO DATA","J96.01","S06.9X9A","G72.81","F41.9","R33.9","R53.1","E78.5","R56.9","J69.0","G93.41","I48.91","U09.9","E87.6","J98.19","R13.10","Z66.","Z78.9","Z82.49","Z83.3","R41.82","J96.11","E44.0","E55.9","E46.","R60.0","M54.16","J18.9","Z20.822","D64.9","R63.5","G47.00","M62.81","R42.","R26.0","I24.8","E83.39","K76.0","Z28.310","Z87.820","I67.9","K30.","G40.909","S06.9XAA","R26.2","R13.12","R26.9","F41.1","R63.0","G93.40","Z04.9","Z51.89","R09.02","Z99.81","F19.959","V58.89","R41.0","R05.9","R74.01","K92.2","F13.239","G40.409","J96.90","R03.0","Z87.09","Z87.01","I50.30","R07.9","H66.91","R00.0","I51.7","R94.31","R09.3","R53.83","A41.9","R46.89","Z86.19","F32.9"],"date":["2023-04-12","2023-04-13","2023-04-12","2021-07-12","2021-12-29","2023-04-13","2022-11-01","2022-12-23","2022-11-01","2022-09-30","2022-09-30","2022-12-23","2022-09-30","2022-12-23","2022-12-26","2022-12-01","2022-10-02","2022-10-14","2022-10-02","2022-10-02","2022-10-02","2022-10-02","2022-12-22","2022-10-02","2022-10-02","2022-10-02","2022-10-02","2022-10-10","2022-10-13","2022-10-14","2022-12-22","2022-12-23","2022-11-30","2023-04-12","2022-09-07","2022-09-07","2022-11-17","2022-12-16","2022-12-26","2022-12-28","2023-01-31","2021-10-15","2022-09-07","2022-09-07","2022-09-17","2022-09-07","2022-09-07","2022-10-01","2022-10-05","2022-12-20","2022-12-26","2022-10-24","2022-11-16","2022-11-09","2022-12-01","2022-12-20","2022-12-20","2023-01-31","2022-09-17","2022-10-10","2022-09-17","2022-09-17","2022-09-17","2022-10-02","2022-09-17","2022-09-17","2022-10-02","2022-10-02","2022-10-03","2022-11-02","2023-01-31","2022-10-28","2022-12-22","2022-09-08","2022-10-02","2021-08-30","2022-09-07","2022-09-07","2022-09-07","2022-09-07","2022-09-07","2022-10-02","2022-10-21","2022-11-07","2022-11-15"],"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":[["","68645055154","LISINOPRIL TAB","5MG","90","Select","Select",""],["","57664037713","TRAMADOL HCL TAB","50MG","90","Select","Select",""],["","00228203110","ALPRAZOLAM TAB","1MG","120","Select","Select",""],["","00093216568","NALOXONE HCL SPR","","2","Select","Select",""],["","68462026290","ROSUVASTATIN TAB","10MG","30","Select","Select",""],["","00054418625","DEXAMETHASON TAB","6MG","5","Select","Select",""],["","50111056001","TRAZODONE TAB","50MG","30","Select","Select",""],["","00121089020","VANCOMYCIN CAP","250MG","28","Select","Select",""],["","68382013201","TAMSULOSIN CAP","0.4MG","30","Select","Select",""],["","57237010099","METOPROL TAR TAB","25MG","60","Select","Select",""],["","00574200802","NYSTOP POW","100000","60","Select","Select",""],["","23155002506","BUSPIRONE TAB","15MG","14","Select","Select",""],["","31722053805","LEVETIRACETA TAB","750MG","120","Select","Select",""],["","13107003105","MIRTAZAPINE TAB","15MG","30","Select","Select",""],["","00228203110","ALPRAZOLAM","1 MG","30","Select","Select",""],["","68382056410","METOPROLOL SUCCINATE","25 MG","90","Select","Select",""],["","68645061190","LISINOPRIL","20 MG","90","Select","Select",""],["","57664037708","TRAMADOL HCL","TAB 50MG","90","Select","Select",""],["","00093216568","NALOXONE HCL","SPR ","2","Select","Select",""],["","72205000390","ROSUVASTATIN","TAB 10MG","30","Select","Select",""],["","00574200802","NYSTOP","POW 100000","60","Select","Select",""],["","62756016013","TAMSULOSIN","CAP 0.4MG","30","Select","Select",""],["","50111056001","TRAZODONE","TAB 50MG","30","Select","Select",""],["","13107003105","MIRTAZAPINE","TAB 15MG","30","Select","Select",""],["","00121089020","VANCOMYCIN","CAP 250MG","28","Select","Select",""],["","23155002506","BUSPIRONE","TAB 15MG","14","Select","Select",""],["","31722053805","LEVETIRACETA","TAB 750MG","120","Select","Select",""],["","42543000110","METOPROL TAR","TAB 25MG","1","Select","Select",""],["","00054418625","DEXAMETHASON","TAB 6MG","5","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":""}]}]}