{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"PRAISE OGEDEGBE","gend":1,"add":"1003 SAINT CHARLES AVE","city":"CHARLOTTESVILLE","state":"VA","zip":"22901-9998","dob":"1993-12-19","age":"","mstatus":"","insh":"20083795*01","cliId":"","pno":7576854366,"cno":7576854366,"email":"","ename":"","eno":"","pphy":"GAZEWOOD, JOHN D MD","ppno":4349245348,"pcpadd":"1221 LEE ST,","pcpcity":"CHARLOTTESVILLE","pcpstate":"VA","pcpzip":"22908-9998","pcpcounty":"","pcpid":"","pcpname":"","plan":"OHP","program":"MEDICAID","lob":"OHCC","region":"CHARLOTTESVILLE WESTERN","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":4349248335,"pcpnpi":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["E66.01","K21.9","Z68.43","E66.8","F54.","F32.9","F41.1","G47.00","E88.81","NO DATA","F31.9","Z71.3","F33.42","F51.05","F43.10","G56.23","F33.1","G56.03","M25.511","M25.512","F51.01","R06.83","R51.9","R35.0","E28.2","F33.2","F41.9","F33.40","D50.0","F42.9","T43.591A","G43.109","R63.2","G43.709","Z97.3","G44.89","F51.04","K95.89","E86.0","F32.5","J45.909","F60.3","K66.0","Z91.51","R63.8","F33.9","Z71.89","R10.13","K91.2","Z98.84","Z68.42","K29.50","R10.9","R11.2","T43.595A","Z53.8","K91.89","M62.511","M62.512","Z41.9","G43.909","N92.1","E61.1","G89.29","R35.1","M79.641","M79.642","G56.22","H40.053","G43.009","H52.7","H52.13","H52.203","D64.9"],"date":["2023-09-21","2023-05-10","2023-06-22","2022-10-14","2022-10-14","2022-10-14","2023-07-28","2023-07-28","2022-11-08","2023-07-13","2023-05-10","2023-05-04","2023-05-17","2023-07-28","2023-07-28","2023-08-18","2023-07-28","2023-08-18","2023-09-08","2023-09-08","2023-01-12","2023-07-28","2022-09-15","2022-11-09","2022-11-09","2023-07-28","2023-07-28","2023-07-28","2023-09-15","2023-05-03","2023-05-31","2022-07-08","2022-07-08","2022-10-28","2022-10-07","2022-10-28","2022-10-28","2023-09-01","2023-05-27","2023-05-27","2023-05-27","2023-05-27","2023-05-27","2023-05-27","2023-05-31","2023-08-17","2022-08-01","2022-12-14","2023-09-21","2023-09-21","2023-09-21","2022-08-08","2023-05-27","2023-05-27","2023-06-02","2023-09-01","2023-09-01","2023-09-08","2023-09-08","2023-04-25","2023-05-10","2023-09-15","2022-10-07","2022-12-14","2023-03-07","2023-08-18","2023-08-18","2023-08-18","2022-07-15","2022-07-15","2022-07-15","2022-07-22","2022-07-22","2023-06-16"],"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":[["","65862096801","ESZOPICLONE","TAB 2MG","15","Select","Select",""],["","00555077902","MEDROXYPR AC","TAB 10MG","30","Select","Select",""],["","00169477212","OZEMPIC","INJ 8MG\/3ML","3","Select","Select",""],["","65162063711","PANTOPRAZOLE","TAB 40MG","30","Select","Select",""],["","00378320501","PRAZOSIN HCL","5 MG","30","Select","Select",""],["","68462022401","LITHIUM CARB","TAB 450MG ER","60","Select","Select",""],["","16571040250","CETIRIZINE","TAB 10MG","90","Select","Select",""],["","67877042805","GABAPENTIN","TAB 600MG","30","Select","Select",""],["","68382011205","RISPERIDONE","TAB 0.25MG","90","Select","Select",""],["","63304019130","DESVENLAFAX","TAB 50MG ER","30","Select","Select",""],["","00093005305","BUSPIRONE","TAB 5MG","60","Select","Select",""],["","00121176030","MAG-AL","LIQ ","150","Select","Select",""],["","57896048914","POLYETH GLYC","POW 3350 NF","238","Select","Select",""],["","00169450514","WEGOVY","INJ 0.5MG","2","Select","Select",""],["","69238154001","URSODIOL","300 MG","60","Select","Select",""],["","65162006205","SUCRALFATE","1 G\/10 ML","1242","Select","Select",""],["","65862021501","ZALEPLON","10 MG","30","Select","Select",""],["","68462022401","LITHIUM CARBONATE ER","450 MG","60","Select","Select",""],["","00054452725","LITHIUM CARBONATE","300 MG","30","Select","Select",""],["","62559015901","FLUVOXAMINE MALEATE","50 MG","90","Select","Select",""],["","00378647044","SCOPOLAMINE","1 MG\/3 DAY","3","Select","Select",""],["","00555077902","MEDROXYPROGESTERONE ACETATE","10 MG","30","Select","Select",""],["","49483034010","ACETAMINOPHEN","325 MG","27","Select","Select",""],["","51672400102","NORTRIPTYLINE HCL","10 MG","30","Select","Select",""],["","70010077005","METHOCARBAMOL","750 MG","16","Select","Select",""],["","49483008010","SENNA","8.6 MG","30","Select","Select",""],["","65862056099","PANTOPRAZOLE SODIUM","40 MG","90","Select","Select",""],["","00406055201","OXYCODONE HCL","5 MG","7","Select","Select",""],["","59651039360","BUSPIRONE HCL","30 MG","68","Select","Select",""],["","57896048914","POLYETHYLENE GLYCOL","3350 17 G\/DOSE","238","Select","Select",""],["","51991031233","DESVENLAFAXINE SUCCINATE ER","100 MG","90","Select","Select",""],["","57237007730","ONDANSETRON ODT","4 MG","20","Select","Select",""],["","60505082901","FLUTICASONE PROPIONATE","50 MCG","16","Select","Select",""],["","16571040250","CETIRIZINE HCL","10 MG","30","Select","Select",""],["","00591352530","LIDOCAINE","5 %","30","Select","Select",""],["","70000043401","GAS RELIEF","80 MG","30","Select","Select",""],["","11917011838","MULTIVITAMIN","9 MG\/15 ML","900","Select","Select",""],["","00005434362","CENTRUM","9 MG\/15 ML","900","Select","Select",""],["","80681016500","VITAMIN B-","12 250 MCG","40","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":""}]}]}