{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"PAULUS W ROBINSON","gend":0,"add":"455 CAMPGROUND ROAD","city":"EMPORIA","state":"VA","zip":"23847-9998","dob":"1968-08-15","age":"","mstatus":"","insh":"2259620*01","cliId":"","pno":4346320330,"cno":4346320330,"email":"","ename":"","eno":"","pphy":"CHERIAN, REENA NP","ppno":8046284141,"pcpadd":"1001 E. LEIGH ST","pcpcity":"RICHMOND","pcpstate":"VA","pcpzip":"23298-9998","pcpcounty":"","pcpid":"","pcpname":"","plan":"OHP","program":"MEDICAID","lob":"M4","region":"CENTRAL","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":8048281703,"pcpnpi":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["I10.","E78.5","G47.33","D35.2","K76.0","Z79.84","Z79.899","Z86.018","Z23.","E11.9","E66.01","R55.","R51.9","M54.42","G89.29","Z87.891","M54.16","NO DATA","E11.3593","E11.69","E66.8","Z68.41","R74.8","N39.0","R94.5","I44.0","R00.0","R00.1","H25.819","M79.672","E55.9","Z13.9","Z13.228","R07.89","Z53.21","R50.9","R11.2","M10.072","E66.9","Z68.42","R11.0","F17.210","R07.9"],"date":["2023-03-10","2022-11-10","2023-05-02","2023-03-10","2023-05-11","2023-03-10","2021-10-22","2021-10-22","2022-12-16","2023-03-10","2023-03-10","2022-06-29","2022-06-12","2022-08-19","2023-05-22","2023-01-13","2023-04-27","2023-05-22","2021-07-14","2021-07-14","2021-07-14","2021-07-14","2022-05-05","2021-12-10","2022-05-05","2022-06-24","2022-06-24","2022-06-24","2021-09-24","2021-08-24","2021-08-24","2021-08-24","2022-06-12","2023-01-13","2021-12-06","2021-12-06","2021-12-06","2022-09-12","2021-06-24","2021-03-10","2021-05-07","2021-05-07","2023-01-13"],"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":[["","00093505798","ATORVASTATIN","TAB 80MG","30","Select","Select",""],["","31722070290","LOSARTAN POT","TAB 100MG","30","Select","Select",""],["","80681016900","VITAMIN D3","TAB 25MCG","60","Select","Select",""],["","31604004070","D3","TAB 1000UNIT","60","Select","Select",""],["","00169406013","VICTOZA","3-PAK 0.6 MG\/0.1","9","Select","Select",""],["","68645051654","AMLODIPINE","TAB 10MG","30","Select","Select",""],["","31722054201","INDOMETHACIN","CAP 25MG","30","Select","Select",""],["","69367020301","BUT\/APAP\/CAF","TAB ","24","Select","Select",""],["","68645058259","METFORMIN","TAB 500MG","180","Select","Select",""],["","81131038679","RELION PEN","MIS 32GX4MM","50","Select","Select",""],["","55111015330","ONDANSETRON","TAB 4MG","12","Select","Select",""],["","59762444002","METHYLPRED","TAB 4MG","21","Select","Select",""],["","00093031401","KETOROLAC","TAB 10MG","20","Select","Select",""],["","70010000201","COLCHICINE","TAB 0.6MG","20","Select","Select",""],["","00406048410","APAP\/CODEINE","TAB 300-30MG","18","Select","Select",""],["","49035018121","ARTHRTS PAIN","TAB 650MG","30","Select","Select",""],["","68645056259","IBUPROFEN","TAB 600MG","60","Select","Select",""],["","49035080283","8HR ARTHRITS","TAB 650MG ER","30","Select","Select",""],["","08290320550","BD PEN NEEDL","MIS 32GX5\/32","100","Select","Select",""],["","31604004070","VITAMIN D","3 25 MCG","60","Select","Select",""],["","49035013606","LIDOCAINE PAIN RELIEF","4 %","10","Select","Select",""],["","81131038679","PEN NEEDLE","32GX 5\/32\"","50","Select","Select",""],["","35573045002","KETOROLAC TROMETHAMINE","10 MG","20","Select","Select",""],["","31722053401","METHOCARBAMOL","750 MG","40","Select","Select",""],["","31722070290","LOSARTAN POTASSIUM","100 MG","30","Select","Select",""],["","68645051654","AMLODIPINE BESYLATE","10 MG","30","Select","Select",""],["","68645058259","METFORMIN HCL","500 MG","60","Select","Select",""],["","00093505798","ATORVASTATIN CALCIUM","80 MG","30","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":""}]}]}