{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"JANICE WILLIAMS","gend":1,"add":"500 STOCKTON ST APT A115","city":"RICHMOND","state":"VA","zip":"23224-9998","dob":"1966-07-11","age":"","mstatus":"","insh":"20074630*01","cliId":"","pno":6785727245,"cno":6785727245,"email":"","ename":"","eno":"","pphy":"BIGGS, ANGELA GAIL FNP","ppno":8047800840,"pcpadd":"1500 N LOMBARDY STREET,","pcpcity":"RICHMOND","pcpstate":"VA","pcpzip":"23220-9998","pcpcounty":"","pcpid":"","pcpname":"","plan":"OHP","program":"MEDICAID","lob":"OHCC","region":"CENTRAL","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":8047800862,"pcpnpi":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["J34.1","R05.9","F33.3","R04.2","I10.","E11.9","F25.1","F41.1","J03.90","R59.0","S61.210A","Z23.","R09.81","R59.9","Z20.822","V58.89","R79.89","Z13.1","N89.8","J34.89","W26.8XXD","Z48.02"],"date":["2022-01-17","2022-01-17","2022-03-31","2022-01-17","2022-09-17","2022-09-02","2022-02-11","2021-05-17","2022-01-11","2022-01-11","2022-09-06","2022-09-06","2021-12-31","2021-12-31","2021-12-31","2022-09-17","2022-05-16","2022-05-16","2022-05-16","2022-02-04","2022-09-17","2022-09-17"],"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":[["","51991074790","DULOXETINE","CAP 30MG","17","Select","Select",""],["","43547030303","ARIPIPRAZOLE","TAB 5MG","3","Select","Select",""],["","64380080807","IBUPROFEN","TAB 600MG","15","Select","Select",""],["","00093317431","ALBUTEROL","AER HFA","8","Select","Select",""],["","00781808926","AZITHROMYCIN","TAB 250MG","6","Select","Select",""],["","00904672059","ACETAMIN","TAB 500MG","30","Select","Select",""],["","70954005930","PREDNISONE","PAK 10MG","21","Select","Select",""],["","00067067430","LORATADINE","TAB 10MG","15","Select","Select",""],["","00363017508","PAIN RELIEVE","TAB 500MG","30","Select","Select",""],["","59310057922","PROAIR HFA","AER ","8","Select","Select",""],["","57664047758","METOPROL TAR","TAB 50MG","90","Select","Select",""],["","00781185220","AMOX\/K CLAV","TAB 875-125","14","Select","Select",""],["","45802012265","LORATADINE-D","TAB 5-120MG","30","Select","Select",""],["","60505082901","FLUTICASONE","SPR 50MCG","32","Select","Select",""],["","70199001730","THALITONE","TAB 15MG","30","Select","Select",""],["","31722072690","MONTELUKAST","TAB 10MG","30","Select","Select",""],["","68180071909","AMLODIPINE","TAB 2.5MG","30","Select","Select",""],["","50111064701","FLUOXETINE","CAP 10MG","7","Select","Select",""],["","75834002012","VITAMIN D3","CAP 50000UNT","12","Select","Select",""],["","66993068130","OLANZAPINE","TAB 5MG","30","Select","Select",""],["","45963067611","METOPROL SUC","TAB 50MG ER","30","Select","Select",""],["","00904515460","GUAIFENESIN","TAB 200MG","15","Select","Select",""],["","00378718505","METFORMIN","TAB 500MG","60","Select","Select",""],["","00093314705","CEPHALEXIN","CAP 500MG","10","Select","Select",""],["","29300012810","HYDROCHLOROT","TAB 25MG","30","Select","Select",""],["","45963067611","METOPROLOL SUCCINATE","50 MG","90","Select","Select",""],["","00781185220","AMOX\/K CLAV TAB","875-125","14","Select","Select",""],["","00904515460","GUAIFENESIN TAB","200MG","15","Select","Select",""],["","70954005930","PREDNISONE PAK","10MG","21","Select","Select",""],["","45802012265","LORATADINE-D TAB","5-120MG","30","Select","Select",""],["","50111064801","FLUOXETINE CAP","20MG","30","Select","Select",""],["","60505082901","FLUTICASONE SPR","50MCG","32","Select","Select",""],["","51991074790","DULOXETINE CAP","30MG","17","Select","Select",""],["","68180071909","AMLODIPINE TAB","2.5MG","30","Select","Select",""],["","31722072690","MONTELUKAST TAB","10MG","30","Select","Select",""],["","75834002012","VITAMIN D","3 CAP 50000UNT","12","Select","Select",""],["","70199001730","THALITONE TAB","15MG","30","Select","Select",""],["","66993068130","OLANZAPINE TAB","5MG","30","Select","Select",""],["","43547030303","ARIPIPRAZOLE TAB","5MG","3","Select","Select",""],["","45963067611","METOPROL SUC TAB","50MG ER","90","Select","Select",""],["","57664047758","METOPROL TAR TAB","50MG","30","Select","Select",""],["","00093314705","CEPHALEXIN CAP","500MG","10","Select","Select",""],["","29300012810","HYDROCHLOROT TAB","25MG","30","Select","Select",""],["","00378718505","METFORMIN TAB","500MG","60","Select","Select",""],["","29300012810","HYDROCHLOROTHIAZIDE","25 MG","60","Select","Select",""],["","43598083005","ATORVASTATIN CALCIUM","10 MG","90","Select","Select",""],["","59651078105","GLIPIZIDE ER","5 MG","180","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":""}]}]}