{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"JASON CLAWSON","gend":0,"add":"PO BOX 1798","city":"CHESTERFIELD","state":"VA","zip":"23832-9998","dob":"1979-05-11","age":"","mstatus":"","insh":"2051454*01","cliId":"","pno":8046051667,"cno":8046051667,"email":"","ename":"","eno":"","pphy":"BROOKS WILLIAMS, MALINDA A MD","ppno":8047800840,"pcpadd":"2740 BENSLEY COMMONS BLVD,","pcpcity":"NORTH CHESTERFIELD","pcpstate":"VA","pcpzip":"23237-9998","pcpcounty":"","pcpid":"","pcpname":"","plan":"OHP","program":"MEDICAID","lob":"M4","region":"CENTRAL","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":8047800862,"pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["F29.","T50.901A","R07.9","R53.83","F11.20","F19.90","I49.5","R41.3","V58.89","J96.01","G93.41","J96.00","R41.82","T50.904A","F19.129","Z79.1","Z77.22","Z56.0","M71.9","F32.9","E66.3","F19.10","T40.5X1A","NO DATA","F41.9","L03.116","G93.40","R46.89","R45.6","R61.","E87.2","F15.129","R79.89","K02.9","K04.7","R22.0","R45.1","T50.916A","Z91.128","Z79.899","F48.9","F11.14","K08.89","G89.29","M54.9","F14.10","S53.401A","R45.89","Z04.9","R69.","M70.31","M25.521","R41.89","R00.0","R94.31","F19.94","F15.20","F33.2","F31.32","M54.2"],"date":["2022-03-02","2022-09-23","2022-03-15","2022-03-15","2022-06-08","2022-03-16","2022-03-16","2022-03-16","2022-03-16","2022-09-23","2022-09-23","2022-09-21","2022-09-21","2022-09-21","2022-05-21","2022-06-05","2022-06-05","2022-05-21","2022-02-11","2022-02-28","2022-02-28","2022-03-24","2022-06-09","2022-06-09","2022-06-09","2022-06-16","2022-09-20","2022-09-20","2022-09-20","2022-09-20","2022-09-20","2022-09-20","2022-09-20","2022-09-08","2023-05-17","2022-09-08","2022-06-05","2022-03-10","2022-03-10","2022-03-24","2022-03-10","2022-06-05","2022-09-08","2022-03-24","2023-05-17","2021-12-16","2022-02-18","2022-06-05","2022-06-05","2021-12-15","2022-02-11","2022-02-11","2022-03-24","2022-05-21","2022-05-21","2022-06-08","2022-06-08","2023-04-17","2023-06-14","2023-05-17"],"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":[["","69584061250","METHOCARBAM","TAB 750MG","20","Select","Select",""],["","42806016105","HYDROXYZ HCL","TAB 50MG","15","Select","Select",""],["","60505384901","CELECOXIB","CAP 200MG","25","Select","Select",""],["","12496120403","SUBOXONE","4MG-1MG","7","Select","Select",""],["","69097083412","SERTRALINE","TAB 50MG","30","Select","Select",""],["","59651036205","IBUPROFEN","800 MG","30","Select","Select",""],["","47781035703","BUPREN\/NALOX","MIS 8-2MG","5","Select","Select",""],["","60505082901","FLUTICASONE","SPR 50MCG","16","Select","Select",""],["","50111056101","TRAZODONE","TAB 100MG","14","Select","Select",""],["","43598016630","OLANZAPINE","TAB 10MG","60","Select","Select",""],["","00143924920","AMOX\/K CLAV","TAB 875-125","20","Select","Select",""],["","16571040250","CETIRIZINE","TAB 10MG","30","Select","Select",""],["","68180072003","AMLODIPINE","TAB 5MG","30","Select","Select",""],["","16571020106","DICLOFENAC","TAB 75MG DR","20","Select","Select",""],["","65162027250","SMZ\/TMP DS","TAB 800-160","20","Select","Select",""],["","42571025201","CLINDAMYCIN","CAP 300MG","40","Select","Select",""],["","16571020106","DICLOFENAC TAB","75MG DR","20","Select","Select",""],["","42806016105","HYDROXYZ HCL TAB","50MG","15","Select","Select",""],["","69584061250","METHOCARBAM TAB","750MG","20","Select","Select",""],["","60505384901","CELECOXIB CAP","200MG","25","Select","Select",""],["","00143924920","AMOX\/K CLAV TAB","875-125","20","Select","Select",""],["","67877032105","IBUPROFEN TAB","800MG","30","Select","Select",""],["","12496120803","SUBOXONE MIS","8-2MG","5","Select","Select",""],["","69097083412","SERTRALINE TAB","50MG","30","Select","Select",""],["","47781035703","BUPREN\/NALOX MIS","8-2MG","5","Select","Select",""],["","43598016630","OLANZAPINE TAB","10MG","60","Select","Select",""],["","16571040250","CETIRIZINE TAB","10MG","30","Select","Select",""],["","60505082901","FLUTICASONE SPR","50MCG","16","Select","Select",""],["","50111056101","TRAZODONE TAB","100MG","14","Select","Select",""],["","68180072003","AMLODIPINE TAB","5MG","30","Select","Select",""],["","65162027250","SMZ\/TMP DS TAB","800-160","20","Select","Select",""],["","42571025201","CLINDAMYCIN CAP","300MG","40","Select","Select",""],["","47781035503","BUPRENORPHINE-NALOXONE","2 MG-0.5MG","5","Select","Select",""],["","57664049983","MIRTAZAPINE","15 MG","30","Select","Select",""],["","00093216568","NALOXONE HCL","4 MG","2","Select","Select",""],["","76385012350","METHOCARBAMOL","500 MG","40","Select","Select",""],["","63304069301","CLINDAMYCIN HCL","300 MG","40","Select","Select",""],["","50111056001","TRAZODONE HCL","50 MG","60","Select","Select",""],["","69584009406","BUSPIRONE HCL","30 MG","60","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":""}]}]}