{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"MEGAN   M HUFF","gend":1,"add":"108 CUTSHAW CT","city":"WINCHESTER","state":"VA","zip":"22603-9998","dob":"1987-10-01","age":"","mstatus":"","insh":"2282825*01","cliId":"","pno":5405147325,"cno":5405147325,"email":"","ename":"","eno":"","pphy":"JOGLEKAR, JAY J MD","ppno":5417228172,"pcpadd":"480 WEST JUBAL EARLY DRIVE STE 120","pcpcity":"WINCHESTER","pcpstate":"VA","pcpzip":"22601-9998","pcpcounty":"","pcpid":"","pcpname":"","plan":"OHP","program":"MEDICAID","lob":"M4","region":"NORTHERN & WINCHESTER","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":5407238772,"pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["K70.40","E87.6","T39.1X1A","E87.1","NO DATA","R94.5","F41.9","G93.41","J69.0","J15.211","J96.21","R57.8","N17.0","N18.6","K76.7","K70.31","I12.0","Z99.2","I27.82","D68.9","Z68.42","D68.4","K70.11","N17.9","E87.2","E83.39","D64.9","D69.6","K74.60","K72.90","K75.81","K70.30","N18.5","N17.8","F14.20","F10.20","E03.9","E87.8","I95.3","Z79.01","I26.99","K92.0","Z98.84","J96.00","I87.8","I07.1","R18.8","K75.89","K72.00","F10.10","E83.42","M54.5","R73.01","E66.01","Z20.828","Z90.49","Z98.891","Z82.49","K70.10","Z68.43","D68.59","E86.1","F17.210","E87.3","D69.59","I50.20","J96.01","J98.11","R17.","E80.6","Z53.29","R79.89","Z68.41","I95.9","I11.0","I50.9","G47.33","N19.","R57.9","G93.40","R00.1","R00.0","N18.9","R74.8","E66.9","I31.4","I51.7","R53.1","Z99.11","F43.20","T39.1X4A","R41.0","I50.32","G47.30","Z99.89","A41.9","R65.21","D50.9","Z79.899","R16.2","K82.8","D63.1","Z86.711","Z86.718","D62.","I82.501","F19.10","I82.511","I82.531","I85.00","F14.90","D68.69","N39.0","I10.","Z20.822","D63.8","E86.0","J81.0","K76.0","D75.1","E78.5","E53.8","R60.0","Z01.810","R57.1","R16.0","K76.6","R16.1","J90.","E87.70","R19.7","Z87.891","R10.9","R34.","Z51.81","F41.8","Z68.35"],"date":["2023-02-08","2023-03-11","2021-08-26","2022-05-30","2023-03-06","2022-08-17","2023-03-11","2022-05-20","2022-05-25","2022-05-20","2022-05-20","2022-06-10","2022-05-20","2022-06-28","2022-06-27","2023-02-08","2022-06-25","2022-06-28","2023-02-08","2022-06-20","2022-05-20","2022-05-20","2023-02-08","2023-03-06","2022-06-27","2022-05-30","2022-06-27","2023-02-08","2023-03-06","2023-03-06","2023-02-14","2023-02-14","2022-06-25","2022-06-25","2022-06-17","2023-02-10","2023-03-05","2022-06-17","2022-06-27","2023-02-13","2023-03-06","2023-03-06","2023-03-05","2023-03-06","2023-03-11","2023-03-11","2023-03-11","2021-08-22","2023-02-13","2022-06-10","2023-02-13","2021-08-22","2021-08-22","2022-08-17","2021-08-22","2021-08-22","2021-08-22","2021-08-22","2023-02-14","2021-08-23","2021-08-23","2021-08-23","2021-08-23","2021-08-23","2021-08-23","2021-08-23","2022-06-28","2021-08-23","2022-05-10","2023-02-10","2022-05-04","2022-05-04","2023-02-08","2022-05-19","2022-05-19","2022-08-17","2023-03-06","2022-05-19","2022-05-26","2022-05-20","2022-05-22","2022-05-30","2023-02-14","2023-02-14","2023-03-06","2023-03-06","2023-03-08","2022-05-15","2022-05-20","2022-06-03","2021-08-28","2022-05-15","2022-05-15","2022-05-15","2022-05-20","2022-05-25","2022-05-25","2022-08-17","2022-06-10","2022-05-20","2022-05-20","2022-06-20","2022-06-27","2023-02-14","2022-06-06","2022-06-10","2023-02-14","2022-06-07","2022-06-07","2022-06-25","2023-02-08","2023-02-08","2023-02-14","2023-02-13","2022-05-19","2022-05-10","2022-05-10","2022-05-19","2022-08-17","2022-08-17","2022-08-17","2022-08-17","2023-03-05","2021-08-23","2022-05-30","2022-06-06","2022-06-06","2022-06-06","2022-06-06","2022-06-10","2023-03-05","2023-03-05","2023-03-05","2022-06-27","2022-09-21","2023-03-05","2023-03-05"],"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":[["","68645052254","SERTRALINE","TAB 50MG","30","Select","Select",""],["","10006073038","MAG OXIDE","TAB 400MG","180","Select","Select",""],["","00904759080","FEROSUL","TAB 325MG","30","Select","Select",""],["","69315012710","FOLIC ACID","1 MG","30","Select","Select",""],["","57896089601","VITAMIN B-12","TAB 1000MCG","30","Select","Select",""],["","00378180510","LEVOTHYROXIN","TAB 75MCG","30","Select","Select",""],["","81131031251","IRON","TAB 325MG","30","Select","Select",""],["","72305007530","EUTHYROX","TAB 75MCG","90","Select","Select",""],["","00054007725","TORSEMIDE","TAB 20MG","90","Select","Select",""],["","00832532511","POT CL MICRO","TAB 20MEQ ER","90","Select","Select",""],["","43547040211","FUROSEMIDE","TAB 40MG","180","Select","Select",""],["","00555032302","HYDROXYZ PAM","CAP 25MG","30","Select","Select",""],["","16729044310","BUPROPN HCL","TAB 150MG XL","30","Select","Select",""],["","79854020010","VITAMIN B-1","TAB 100MG","30","Select","Select",""],["","68585000612","MAGNESIUM-OX","TAB 400MG","60","Select","Select",""],["","10006073021","VITAMIN B1","TAB 100MG","90","Select","Select",""],["","43598075205","BUPROPION","TAB 150MG SR","30","Select","Select",""],["","59746017509","PREDNISONE","TAB 20MG","10","Select","Select",""],["","00904053060","TAB-A-VITE","TAB ","30","Select","Select",""],["","65649030302","XIFAXAN","550 MG","60","Select","Select",""],["","80681005000","DAILY-VITE","TAB ","30","Select","Select",""],["","57237012401","WARFARIN","TAB 5MG","60","Select","Select",""],["","45963043963","CONSTULOSE","10 G\/15 ML","237","Select","Select",""],["","16714008310","HYDROXYZ HCL","TAB 50MG","90","Select","Select",""],["","50383077932","LACTULOSE","10 G\/15 ML","2838","Select","Select",""],["","10006073021","VITAMIN B-","1 100 MG","34","Select","Select",""],["","00093314701","CEPHALEXIN","500 MG","3","Select","Select",""],["","16714008310","HYDROXYZINE HCL","50 MG","30","Select","Select",""],["","80681004900","CHILDREN'S MULTIVITAMIN","","30","Select","Select",""],["","00003089421","ELIQUIS","5 MG","60","Select","Select",""],["","00172392660","DIAZEPAM","5 MG","1","Select","Select",""],["","10006073038","MAGNESIUM OXIDE","400 MG","60","Select","Select",""],["","68645052254","SERTRALINE HCL","50 MG","30","Select","Select",""],["","16729044310","BUPROPION XL","150 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":""}]}]}