{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"REGINA H HOWELL","gend":1,"add":"406 COX LNDG APT F","city":"NEWPORT NEWS","state":"VA","zip":"23608-9998","dob":"1974-03-06","age":"","mstatus":"","insh":"20075064*01","cliId":"","pno":2525583878,"cno":2525583878,"email":"","ename":"","eno":"","pphy":"JONES, JACOB E MD","ppno":7575943800,"pcpadd":"SUITE A 10510 JEFFERSON AVENUE,","pcpcity":"NEWPORT NEWS","pcpstate":"VA","pcpzip":"23601-9998","pcpcounty":"","pcpid":"","pcpname":"","plan":"OHP","program":"MEDICAID","lob":"OHCC","region":"TIDEWATER","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":7575943818,"pcpnpi":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["I69.351","E87.6","I16.0","E11.9","E78.5","I10.","E11.65","I63.219","I62.00","I69.393","I69.398","I69.892","G81.91","R41.89","R47.1","R27.0","R41.4","I12.9","N17.9","F01.50","L89.329","E11.3393","M54.42","G89.29","Z79.82","Z79.4","Z79.899","I61.9","NO DATA","M54.6","G81.90","R56.9","Z79.84","N39.46","Z99.3","I63.12","S31.829A","R11.0","K59.00","G57.91","M54.5","R41.82","Z23.","B37.2","Z12.31","L30.4","I63.89","E87.1","I69.319","I69.392","R29.818","N39.0","B96.89","I69.151","Z20.822","I70.1","N28.9","Z83.3","Z82.49","Z80.9","Z91.013","Z88.8","Z87.891","G93.6","J96.01","J96.02","I63.9","R29.702","R00.0","E78.00","Z91.14","Z88.6","I69.318","R33.9","M79.606","Z86.79","Z86.73","I69.992","R94.31","L29.9","E11.3313","E11.69","H25.13","H35.033","R82.90","L98.411","G47.9","N39.41","K59.01","M25.511"],"date":["2021-12-13","2021-07-05","2021-07-05","2021-10-12","2021-12-13","2022-02-07","2021-12-13","2021-07-11","2021-07-09","2021-07-09","2021-07-11","2021-07-29","2021-07-29","2021-07-29","2021-07-29","2021-07-29","2021-07-29","2021-07-29","2021-07-29","2021-08-12","2021-08-12","2022-01-07","2021-08-12","2021-11-15","2021-12-13","2021-12-13","2021-08-12","2022-04-28","2022-04-28","2022-04-28","2022-04-28","2021-10-12","2021-12-13","2022-12-29","2022-12-29","2022-12-29","2021-07-11","2021-07-11","2021-07-28","2021-07-11","2021-08-28","2021-10-10","2021-12-09","2021-12-09","2021-12-09","2021-12-09","2021-07-01","2021-07-14","2021-07-18","2021-07-18","2021-06-30","2021-07-27","2021-07-27","2021-10-10","2021-10-10","2021-10-10","2021-10-10","2021-10-10","2021-10-10","2021-10-10","2021-10-10","2021-10-10","2021-10-10","2021-07-09","2021-07-09","2021-07-09","2021-07-28","2021-06-30","2021-10-10","2021-06-30","2021-07-01","2021-06-30","2021-07-08","2021-07-13","2021-07-18","2021-07-01","2021-07-01","2021-07-28","2021-10-10","2022-01-07","2021-05-13","2021-11-15","2021-05-13","2021-05-13","2021-07-25","2021-07-28","2021-08-16","2021-11-15","2021-11-15","2021-11-15"],"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":[["","75834011001","CHLORTHALID","TAB 50MG","30","Select","Select",""],["","00378395277","ATORVASTATIN","TAB 40MG","30","Select","Select",""],["","00904678370","ASPIRIN LOW","TAB 81MG EC","30","Select","Select",""],["","00169633910","NOVOLOG","INJ FLEXPEN","15","Select","Select",""],["","68382009505","CARVEDILOL","TAB 25MG","62","Select","Select",""],["","69097083815","AMLODIPINE","TAB 10MG","30","Select","Select",""],["","50228010710","METFORMIN","TAB 1000MG","62","Select","Select",""],["","00088221905","LANTUS SOLOS","INJ 100\/ML","15","Select","Select",""],["","68382066101","SPIRONOLACT","TAB 50MG","30","Select","Select",""],["","57896040101","STOOL SOFTNR","CAP 100MG","30","Select","Select",""],["","00536100410","ASPIRIN","TAB 81MG EC","30","Select","Select",""],["","53885027150","ONETOUCH","TES VERIO","100","Select","Select",""],["","75834011001","CHLORTHALID TAB","50MG","30","Select","Select",""],["","00904678370","ASPIRIN LOW TAB","81MG EC","30","Select","Select",""],["","00169633910","NOVOLOG INJ FLEXPEN","","15","Select","Select",""],["","68462016505","CARVEDILOL TAB","25MG","60","Select","Select",""],["","00088221905","LANTUS SOLOS INJ","100\/ML","15","Select","Select",""],["","68382066101","SPIRONOLACT TAB","50MG","30","Select","Select",""],["","29300039810","AMLODIPINE TAB","10MG","30","Select","Select",""],["","50228010710","METFORMIN TAB","1000MG","60","Select","Select",""],["","00378395277","ATORVASTATIN TAB","40MG","31","Select","Select",""],["","57896040101","STOOL SOFTNR CAP","100MG","30","Select","Select",""],["","00536100410","ASPIRIN TAB","81MG EC","30","Select","Select",""],["","53885027150","ONETOUCH TES VERIO","","100","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":""}]}]}