{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"NAZIEL SLOAN","gend":0,"add":"4575 DOYELS LAKE ROAD","city":"EMPORIA","state":"VA","zip":"23847-9998","dob":"1983-05-30","age":"","mstatus":"","insh":"20083122*01","cliId":"","pno":4343782956,"cno":4343782956,"email":"","ename":"","eno":"","pphy":"WATSON, JENNIFER NP","ppno":4346346101,"pcpadd":"6 DOCTORS DR","pcpcity":"EMPORIA","pcpstate":"VA","pcpzip":"23847-9998","pcpcounty":"","pcpid":"","pcpname":"","plan":"OHP","program":"MEDICAID","lob":"OHCC","region":"CENTRAL","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":4346348611,"pcpnpi":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["E11.65","F20.9","F14.21","F43.10","F33.2","G44.009","R09.81","F43.12","E11.9","I10."],"date":["2023-02-27","2023-02-20","2022-10-03","2023-03-31","2022-06-13","2022-11-04","2022-11-04","2022-08-01","2022-08-01","2022-08-01"],"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":[["","68382011714","RISPERIDONE","4 MG","30","Select","Select",""],["","00310621030","FARXIGA","TAB 10MG","30","Select","Select",""],["","00169477212","OZEMPIC","2MG\/0.75ML","3","Select","Select",""],["","68645056354","IBUPROFEN","TAB 800MG","20","Select","Select",""],["","00116200116","CHLORHEX GLU","SOL 0.0012","473","Select","Select",""],["","43598065530","BUPROPN HCL","TAB 150MG XL","30","Select","Select",""],["","00406048410","APAP\/CODEINE","TAB 300-30MG","21","Select","Select",""],["","76282072201","PRAZOSIN HCL","2 MG","30","Select","Select",""],["","57237002801","AMOXICILLIN","TAB 500MG","21","Select","Select",""],["","62332002431","FLUOXETINE","CAP 40MG","30","Select","Select",""],["","43975035003","PALIPERIDONE","TAB ER 3MG","30","Select","Select",""],["","65162019011","NAPROXEN","TAB 500MG","20","Select","Select",""],["","68180044601","QUETIAPINE","TAB 50MG","15","Select","Select",""],["","68645058259","METFORMIN","TAB 500MG","60","Select","Select",""],["","49035022482","ANTI-DIARRHE","TAB 2MG","10","Select","Select",""],["","29300013901","DIVALPROEX","TAB 250MG DR","90","Select","Select",""],["","00093005301","BUSPIRONE","TAB 5MG","30","Select","Select",""],["","58602070176","LOPERAMIDE","TAB 2MG","10","Select","Select",""],["","00093342601","LORAZEPAM","1 MG","10","Select","Select",""],["","29300041519","CYCLOBENZAPR","TAB 10MG","30","Select","Select",""],["","00093224001","CEPHALEXIN","TAB 500MG","20","Select","Select",""],["","65862014736","SUMATRIPTAN","TAB 50MG","2","Select","Select",""],["","16714008310","HYDROXYZINE HCL","50 MG","60","Select","Select",""],["","69315013801","BENZTROPINE MESYLATE","2 MG","90","Select","Select",""],["","55111015330","ONDANSETRON HCL","4 MG","15","Select","Select",""],["","62332002331","FLUOXETINE HCL","20 MG","90","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":""}]}]}