{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"ANTHONY M ROBINSON","gend":0,"add":"2503 ALEXANDER AVE","city":"RICHMOND","state":"VA","zip":"23234-9998","dob":"1978-04-23","age":"","mstatus":"","insh":"2283870*01","cliId":"","pno":8047289680,"cno":8047289680,"email":"","ename":"","eno":"","pphy":"ARMISTEAD, SCOTT MD","ppno":8042307777,"pcpadd":"4730 N SOUTHSIDE PLZ,","pcpcity":"RICHMOND","pcpstate":"VA","pcpzip":"23224-9998","pcpcounty":"","pcpid":"","pcpname":"","plan":"OHP","program":"MEDICAID","lob":"M4","region":"CENTRAL","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":8042302071,"pcpnpi":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["F20.9","F33.9","L02.211","R10.31","A41.9","L03.116","F19.10","T24.002A","E87.6","F17.200","I10.","S81.802A","G93.40","R65.10","Z66.","F41.1","F90.2","H10.33","Z59.01","F33.1","M79.604","M79.605","R22.43","S91.002A","L97.929","S06.9XAA","R60.0","A49.1","F33.2","R41.82","F11.10","F14.10","B18.2","F43.10","R22.42","R59.0","R00.0","F31.31","G93.49","R11.14","F19.90","R76.8","NO DATA","L97.329","B95.0","F31.10","R50.81","F11.90","Z87.820","Y04.8XXS","Z04.9","F10.20","D64.9","M72.9","Z88.8","L08.9","G89.29","F11.93","A08.4","E83.39","Z79.899","Z98.890","B19.20","R06.02","S99.922A","M79.89","F33.3","F33.0","F32.9"],"date":["2022-05-22","2023-07-17","2022-06-24","2022-06-24","2022-11-23","2023-05-11","2022-11-23","2022-11-22","2022-11-23","2022-11-19","2023-05-20","2023-05-20","2021-12-14","2021-12-13","2021-12-11","2022-04-03","2022-05-01","2023-01-21","2022-04-26","2023-09-13","2022-09-21","2022-11-20","2022-09-21","2022-10-25","2022-11-23","2022-11-23","2022-11-23","2022-11-23","2022-08-14","2021-12-14","2021-12-14","2022-10-19","2021-12-14","2023-08-08","2022-11-20","2022-10-23","2022-10-18","2022-02-15","2021-12-13","2021-12-13","2021-12-13","2021-12-14","2022-11-19","2022-11-19","2022-11-19","2022-12-30","2021-12-12","2021-12-12","2021-12-12","2021-12-12","2021-12-12","2022-10-19","2022-10-19","2022-10-19","2022-10-19","2022-12-23","2022-12-23","2021-12-11","2021-12-11","2021-12-11","2021-12-11","2021-12-11","2021-12-14","2022-09-21","2022-10-12","2022-10-12","2023-08-04","2023-03-02","2023-07-28"],"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":[["","00054429731","FUROSEMIDE","TAB 20MG","5","Select","Select",""],["","53489011905","DOXYCYCL HYC","CAP 100MG","10","Select","Select",""],["","53746010901","HYDROCO\/APAP","TAB 5-325MG","20","Select","Select",""],["","62559016701","OXYCODONE","CAP HCL 5MG","15","Select","Select",""],["","65162019050","NAPROXEN","TAB 500MG","20","Select","Select",""],["","42858010301","OXYCOD\/APAP","TAB 7.5-325","20","Select","Select",""],["","69097081312","GABAPENTIN","CAP 100MG","90","Select","Select",""],["","57664051083","MIRTAZAPINE","7.5 MG","30","Select","Select",""],["","65862001501","AMOXICILLIN","TAB 875MG","20","Select","Select",""],["","61314064305","TOBRAMYCIN","0.3 %","5","Select","Select",""],["","65862050320","AMOXICILLIN-CLAVULANATE POTASS","875-125 MG","16","Select","Select",""],["","53489011905","DOXYCYCLINE HYCLATE","100 MG","16","Select","Select",""],["","00054429731","FUROSEMIDE TAB","20MG","5","Select","Select",""],["","53489011905","DOXYCYCL HYC CAP","100MG","10","Select","Select",""],["","42858010301","OXYCOD\/APAP TAB","7.5-325","20","Select","Select",""],["","62559016701","OXYCODONE CAP HCL","5MG","15","Select","Select",""],["","69097081312","GABAPENTIN CAP","100MG","90","Select","Select",""],["","65162019050","NAPROXEN TAB","500MG","20","Select","Select",""],["","57664051083","MIRTAZAPINE TAB","7.5MG","30","Select","Select",""],["","53746010901","HYDROCO\/APAP TAB","5-325MG","20","Select","Select",""],["","65862001501","AMOXICILLIN TAB","875MG","20","Select","Select",""],["","69097083412","SERTRALINE HCL","50 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":""}]}]}