{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"GINGER N POSEY","gend":1,"add":"3003 HICKORY ST","city":"ALEXANDRIA","state":"VA","zip":"22305-9998","dob":"1980-05-19","age":"","mstatus":"","insh":"2117896*01","cliId":"","pno":5713868848,"cno":5713868848,"email":"","ename":"","eno":"","pphy":"VARMA, SOHAN R MD","ppno":7034369969,"pcpadd":"4229 LAFAYETTE CENTER DR STE 1125B-,","pcpcity":"CHANTILLY","pcpstate":"VA","pcpzip":"20151-9998","pcpcounty":"","pcpid":"","pcpname":"","plan":"OHP","program":"MEDICAID","lob":"M4","region":"NORTHERN & WINCHESTER","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":7035745585,"pcpnpi":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["N76.0","B96.89","F23.","Z20.822","R79.89","Z00.8","F25.0","M20.11","M20.12","L60.0","B35.1","L02.414","F41.9","NO DATA","Z04.89","F29.","F11.20","F41.1","F19.10","Z65.3","R53.83","Z63.79","N10.","N12.","O03.9","N83.201","F17.210","O20.9","O99.891","O34.80","N83.11","R10.30","Z3A.00","F11.23","F11.93","R50.9","Z51.89","R07.9"],"date":["2022-06-06","2022-06-06","2022-07-20","2023-02-02","2022-07-20","2022-07-20","2022-07-28","2022-11-14","2022-11-14","2022-11-14","2022-11-14","2022-11-17","2023-07-05","2023-07-31","2022-07-20","2022-07-22","2023-08-04","2023-02-09","2022-07-20","2022-07-20","2023-01-06","2023-01-06","2023-01-21","2023-01-30","2023-05-12","2023-05-12","2023-05-12","2023-05-04","2023-05-04","2023-05-04","2023-05-04","2023-05-04","2023-05-04","2023-07-30","2023-07-31","2023-07-31","2023-08-01","2023-08-02"],"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":[["","50111033401","METRONIDAZOL","TAB 500MG","20","Select","Select",""],["","49483060450","IBUPROFEN","800 MG","28","Select","Select",""],["","58160084211","BOOSTRIX","INJ ","0","Select","Select",""],["","00228202950","ALPRAZOLAM","0.5 MG","30","Select","Select",""],["","65862050220","AMOX\/K CLAV","TAB 500-125","20","Select","Select",""],["","13668013601","ESCITALOPRAM","TAB 10MG","90","Select","Select",""],["","65862039010","ONDANSETRON ODT","4 MG","8","Select","Select",""],["","53746010901","HYDROCODONE-ACETAMINOPHEN","5 MG-325MG","6","Select","Select",""],["","16571041250","CIPROFLOXACIN HCL","500 MG","14","Select","Select",""],["","42806016105","HYDROXYZINE HCL","50 MG","30","Select","Select",""],["","00093216568","NALOXONE HCL","4 MG","2","Select","Select",""],["","56362000589","IHEALTH COVID-","19 AG HOME TEST","8","Select","Select",""],["","59779076678","PAIN RELIEF","325 MG","30","Select","Select",""],["","60008040780","INDICAID COVID-","19 AG HOME TEST","8","Select","Select",""],["","50111033401","METRONIDAZOL TAB","500MG","20","Select","Select",""],["","58160084252","BOOSTRIX INJ","","0","Select","Select",""],["","49483060250","IBUPROFEN TAB","400MG","20","Select","Select",""],["","65862050220","AMOX\/K CLAV TAB","500-125","20","Select","Select",""],["","13668013601","ESCITALOPRAM TAB","10MG","30","Select","Select",""],["","00228202950","ALPRAZOLAM TAB","0.5MG","15","Select","Select",""],["","47781035703","BUPRENORPHINE-NALOXONE","8 MG-2 MG","7","Select","Select",""],["","50111045001","TRAZODONE HCL","150 MG","15","Select","Select",""],["","59779044870","NICOTINE PATCH","21 MG\/24HR","28","Select","Select",""],["","00093310905","AMOXICILLIN","500 MG","21","Select","Select",""],["","00093031401","KETOROLAC TROMETHAMINE","10 MG","12","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":""}]}]}