{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"APRIL MASON","gend":1,"add":"6042 BATTLEFIELD GREEN DR","city":"FREDERICKSBURG","state":"VA","zip":"22407-9998","dob":"1963-04-02","age":"","mstatus":"","insh":"2266056*01","cliId":"","pno":5407851892,"cno":5407851892,"email":"","ename":"","eno":"","pphy":"KIN JR, JOHN W MD","ppno":5403612040,"pcpadd":"1451 HOSPITAL DR STE 201,","pcpcity":"FREDERICKSBURG","pcpstate":"VA","pcpzip":"22401-9998","pcpcounty":"","pcpid":"","pcpname":"","plan":"OHP","program":"MEDICAID","lob":"M4","region":"CENTRAL","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":5403612058,"pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["D50.9","Z45.2","S26.09XA","R51.9","S09.90XA","M25.572","M79.89","S27.329A","M79.672","T14.90XA","S25.09XA","V87.7XXA","S69.91XA","Z91.81","S52.501A","S82.401A","I10.","K92.1","V89.2XXA","M25.50","R53.83","V54.16","V54.12","V58.89","D64.9","M19.90","M51.9","F41.9","K44.9","K57.30","E78.5","Z87.891","M10.9","R06.09","I42.2","R06.00","Z48.812","Z79.891","K92.2","N17.9","R10.84","M71.21","Z82.49","Z95.828","R07.89","R07.9","S25.02XA","S26.00XA","J81.0","I24.8","I42.1","S27.322A","S06.0X0A","S52.121A","S82.841A","K76.0","E66.9","R09.02","V72.85","S52.514A","S82.491A","S82.831A","S52.561A","I12.9","N18.9","N39.0","R41.89","K21.9","M25.561","I21.3","M54.9","S99.921A","I71.4","S82.61XA","S29.9XXA","S26.022A","S21.219A","R77.8","Y92.89","Y93.89","S35.02XA","G89.29","M72.2","M10.072","M19.271","M19.272","E78.00","E03.9","E55.9","R06.02","M79.671","J30.2","M25.841","S25.01XA","V49.9XXA","I95.1","M25.531","R91.8","Z20.822","E78.2","I31.2","Q24.8","Z74.09","Z78.9","M25.571","S52.591A","E87.2","D62.","K64.0","Q43.8","E83.42","Z95.4","Z87.11","Z68.34","Z79.1","R00.2","M25.569","S25.02XS","I11.9","I35.0","M25.562","Z12.31","Z78.0","R35.0"],"date":["2022-08-01","2022-06-18","2022-06-18","2022-06-18","2022-06-18","2022-06-18","2022-11-03","2022-06-18","2023-02-07","2022-06-18","2022-07-05","2022-07-05","2022-07-12","2022-09-19","2022-10-09","2022-07-18","2023-06-27","2022-08-08","2022-08-08","2023-06-27","2022-08-08","2022-10-09","2022-10-09","2023-03-08","2022-09-19","2022-09-19","2022-09-19","2022-09-19","2022-09-19","2022-09-19","2023-06-27","2022-11-03","2023-06-07","2023-03-17","2022-06-17","2021-01-05","2022-08-03","2022-08-03","2022-08-01","2022-08-01","2022-10-18","2023-01-23","2022-11-03","2023-02-28","2023-03-18","2023-03-18","2022-10-09","2022-06-28","2022-06-15","2022-06-15","2022-06-15","2022-06-15","2022-06-29","2022-06-15","2022-06-16","2022-07-31","2022-07-31","2022-06-18","2022-06-15","2022-06-23","2022-06-23","2022-10-09","2022-07-05","2022-07-05","2022-10-09","2022-07-05","2022-07-05","2022-07-05","2023-06-07","2022-06-15","2022-06-15","2022-06-15","2022-06-15","2022-06-15","2022-06-15","2022-06-15","2022-06-15","2022-06-15","2022-06-15","2022-06-15","2022-06-17","2023-06-07","2023-01-25","2023-01-25","2023-01-25","2023-01-25","2021-04-27","2021-04-27","2021-04-27","2023-06-27","2022-05-19","2022-05-19","2022-05-19","2022-06-15","2022-06-15","2023-03-18","2023-06-07","2022-12-26","2022-12-26","2021-12-16","2022-06-16","2022-06-16","2022-06-29","2022-06-29","2022-08-23","2022-06-16","2022-07-31","2022-07-31","2022-08-01","2022-07-31","2022-07-31","2022-07-31","2022-07-31","2022-07-31","2022-07-31","2023-06-27","2023-03-28","2023-06-27","2023-06-27","2023-05-01","2023-06-07","2023-06-06","2023-06-06","2023-06-27"],"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":[["","68645019059","METOPROL TAR","TAB 50MG","90","Select","Select",""],["","69238115403","EZETIMIBE","10 MG","90","Select","Select",""],["","00093354143","ESTRADIOL","CRE 0.0001","42","Select","Select",""],["","42806054701","VITAMIN D","2 1250 MCG","4","Select","Select",""],["","31722093612","OMEGA-3-ACID","CAP 1GM","120","Select","Select",""],["","80681007200","VITAMIN B-12","TAB 500MCG","30","Select","Select",""],["","68645051554","AMLODIPINE","TAB 5MG","45","Select","Select",""],["","00904759080","FEROSUL","TAB 325MG","30","Select","Select",""],["","70010000201","COLCHICINE","0.6 MG","30","Select","Select",""],["","31722054301","INDOMETHACIN","CAP 50MG","60","Select","Select",""],["","31722071390","PANTOPRAZOLE","TAB 40MG","30","Select","Select",""],["","65162062711","TRAMADOL HCL","50 MG","20","Select","Select",""],["","10135014201","ASCORBIC ACD","TAB 500MG","30","Select","Select",""],["","68382056510","METOPROL SUC","TAB 50MG ER","60","Select","Select",""],["","42858010201","OXYCOD\/APAP","TAB 5-325MG","15","Select","Select",""],["","68645051554","AMLODIPINE BESYLATE","5 MG","45","Select","Select",""],["","68382056510","METOPROLOL SUCCINATE","50 MG","60","Select","Select",""],["","68645019059","METOPROLOL TARTRATE","50 MG","60","Select","Select",""],["","80681007200","VITAMIN B-","12 500 MCG","30","Select","Select",""],["","59746017509","PREDNISONE","20 MG","18","Select","Select",""],["","60008040780","INDICAID COVID-","19 AG HOME TEST","8","Select","Select",""],["","56362000589","IHEALTH COVID-","19 AG HOME TEST","8","Select","Select",""],["","81131009371",""," ","30","Select","Select",""],["","31722093612","OMEGA-","3 ACID ETHYL ESTERS 1 G","120","Select","Select",""],["","42806054701","VITAMIN D CAP","1.25MG","4","Select","Select",""],["","68645051554","AMLODIPINE TAB","5MG","45","Select","Select",""],["","69238115403","EZETIMIBE TAB","10MG","90","Select","Select",""],["","68645019059","METOPROL TAR TAB","50MG","180","Select","Select",""],["","70010000201","COLCHICINE TAB","0.6MG","30","Select","Select",""],["","00904759080","FEROSUL TAB","325MG","30","Select","Select",""],["","31722054301","INDOMETHACIN CAP","50MG","60","Select","Select",""],["","31722071390","PANTOPRAZOLE TAB","40MG","30","Select","Select",""],["","57664037708","TRAMADOL HCL TAB","50MG","20","Select","Select",""],["","10135014201","ASCORBIC ACD TAB","500MG","30","Select","Select",""],["","31722094901","OXYCOD\/APAP TAB","5-325MG","15","Select","Select",""],["","68382056510","METOPROL SUC TAB","50MG ER","60","Select","Select",""],["","00378306677","FENOFIBRATE","145 MG","30","Select","Select",""],["","65162047810","NITROFURANTOIN MONO-MACRO","100 MG","14","Select","Select",""],["","42806040021","METHYLPREDNISOLONE","4 MG","21","Select","Select",""],["","00093101042","MUPIROCIN","2 %","22","Select","Select",""],["","72578005518","DOXYCYCLINE HYCLATE","100 MG","14","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":""}]}]}