{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"JAMAL HAMMAD","gend":0,"add":"9645 DELLA DR","city":"HENRICO","state":"VA","zip":"23238-9998","dob":"1969-11-09","age":"","mstatus":"","insh":"2300525*01","cliId":"","pno":8043195748,"cno":8043195748,"email":"","ename":"","eno":"","pphy":"MILLER, AMY MD","ppno":8048938100,"pcpadd":"1230 ALVERSER DR STE 100","pcpcity":"MIDLOTHIAN","pcpstate":"VA","pcpzip":"23113-9998","pcpcounty":"","pcpid":"","pcpname":"Health Visions MD, Inc","plan":"OHP","program":"MEDICAID","lob":"M4","region":"CENTRAL","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":8044239917,"pcpnpi":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["N18.6","Z99.2","R00.1","R94.31","J96.01","I16.0","D63.1","T82.898A","R55.","U07.1","E87.1","E87.5","Z45.2","Z04.9","I49.1","I49.3","R07.9","I10.","E78.5","I25.10","I12.0","R06.00","J31.0","N18.9","Z78.9","L20.9","E78.2","R42.","M54.2","I72.3","T88.8XXA","I95.9","K66.1","R57.8","I21.4","D62.","I25.118","N40.0","J09.X1","E87.70","R30.0","R06.02","I50.33","I34.0","D64.9","J18.9","N25.81","I46.9","A41.9","K72.00","E11.22","Z49.01","Z20.822","I47.1","I47.2","I13.2","I48.91","I50.9","Z79.82","D63.8","Z79.4","I20.9","D72.829","R50.9","M79.81","I44.0","I45.4","G83.10","Z91.89","G47.00","J10.08","I50.43","D69.6","F17.200","E78.00","I25.2","Z79.02","J81.0","I48.0","NO DATA","I11.0","J96.90","K92.2","R29.818","I67.2","Z46.82","N28.1","K42.9","R09.02","E11.9","T82.590A","I95.1","Z79.899","I50.30","I50.32","I11.9","J96.00","M79.89","M79.661","M79.662","J81.1","J10.00","I50.1","R07.89","D68.9","R74.8","Z68.23","T82.868A","Z86.16","Z87.891","R51.9","R60.9","G62.9","Z13.89","R10.11","R74.01","G93.41","K55.9","K56.7","D68.4","E11.649","I50.22","I51.7","I35.8","R57.0","Z01.810","E55.9","F41.8","R80.9","R31.9","R10.13","Z95.1","J44.9","Z87.442","Z86.73","R63.4","R13.10","R16.2","J96.21","R58.","R53.82","I08.0","J10.1","R01.1","R06.09","Z68.24"],"date":["2023-01-14","2023-01-13","2022-02-07","2022-10-24","2022-12-28","2022-01-04","2023-01-13","2022-01-18","2022-02-11","2022-02-11","2023-01-11","2023-01-13","2022-10-17","2022-06-22","2022-06-22","2022-06-23","2022-06-29","2023-01-04","2022-10-13","2023-01-14","2023-01-11","2022-10-05","2022-10-05","2023-01-04","2023-01-04","2022-10-05","2023-01-03","2022-10-07","2022-10-07","2022-10-17","2022-10-17","2023-01-14","2023-01-03","2022-11-05","2023-01-14","2022-11-05","2022-11-05","2022-11-05","2022-12-02","2022-12-28","2022-12-02","2022-12-25","2023-01-14","2022-12-20","2023-01-04","2022-12-28","2023-01-13","2023-01-14","2023-01-14","2023-01-14","2023-01-14","2022-06-17","2023-01-11","2022-06-23","2022-06-23","2023-01-11","2023-01-14","2022-10-14","2022-06-23","2023-01-03","2022-06-23","2022-06-23","2022-10-19","2022-10-19","2022-10-19","2022-10-24","2022-10-24","2023-01-04","2023-01-04","2023-01-04","2022-12-13","2022-12-13","2022-12-13","2022-12-13","2022-12-13","2022-12-13","2022-12-13","2023-01-11","2023-01-14","2023-01-14","2023-01-14","2022-10-17","2022-10-17","2022-10-17","2022-10-17","2022-10-17","2022-10-17","2022-10-17","2022-12-17","2022-12-20","2022-02-07","2022-02-07","2022-02-07","2022-04-07","2022-04-08","2022-06-23","2022-10-14","2022-12-14","2022-12-14","2022-12-14","2022-12-20","2022-12-17","2022-12-18","2023-01-11","2023-01-14","2023-01-14","2023-01-14","2022-02-10","2022-03-08","2022-03-08","2021-03-29","2022-01-03","2022-05-24","2022-05-24","2022-12-25","2023-01-13","2023-01-11","2023-01-11","2023-01-11","2023-01-11","2023-01-11","2023-01-11","2023-01-13","2023-01-13","2023-01-14","2022-03-03","2022-05-03","2022-05-03","2022-05-03","2022-05-03","2023-01-13","2022-04-06","2022-04-06","2022-04-06","2022-04-06","2022-04-08","2022-04-08","2022-06-24","2022-10-13","2022-12-06","2022-12-06","2022-12-16","2022-12-20","2023-01-03","2023-01-03","2023-01-03"],"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":[["","00536123441","ASPIRIN LOW","TAB 81MG EC","30","Select","Select",""],["","57664047758","METOPROL TAR","TAB 50MG","62","Select","Select",""],["","43547040211","FUROSEMIDE","TAB 40MG","30","Select","Select",""],["","23155000301","HYDRALAZINE","TAB 50MG","60","Select","Select",""],["","23155053102","CALC ACETATE","CAP 667MG","720","Select","Select",""],["","70377002911","ATORVASTATIN","TAB 40MG","30","Select","Select",""],["","00527169501","BUT\/APAP\/CAF","TAB ","15","Select","Select",""],["","68180072103","AMLODIPINE","TAB 10MG","90","Select","Select",""],["","00168035730","LIDO\/PRILOCN","CRE 2.5-2.5%","60","Select","Select",""],["","00310111039","LOKELMA","PAK 10GM","5","Select","Select",""],["","00093317431","ALBUTEROL","AER HFA","8","Select","Select",""],["","42858010201","OXYCOD\/APAP","TAB 5-325MG","21","Select","Select",""],["","80681015500","MINERIN","CRE ","113","Select","Select",""],["","10702003645","SOD POLY SUL","POW ","454","Select","Select",""],["","55154735302","SPS","SUS 15GM\/60","240","Select","Select",""],["","13668000705","ZOLPIDEM","TAB 5MG","20","Select","Select",""],["","00955105027","SEVELAMER","TAB 800MG","270","Select","Select",""],["","69452015120","VITAMIN D","CAP 50000UNT","12","Select","Select",""],["","51862024160","AMIODARONE","TAB 200MG","60","Select","Select",""],["","69097094312","GABAPENTIN","CAP 300MG","30","Select","Select",""],["","00054327099","FLUTICASONE","SPR 50MCG","16","Select","Select",""],["","67877025130","TRIAMCINOLON","CRE 0.001","90","Select","Select",""],["","50428399766","MOISTURIZING","CRE XTR-DRY","454","Select","Select",""],["","11877001140","BINAXNOW COV","KIT HOME TES","4","Select","Select",""],["","71930005552","APAP\/CODEINE","TAB 300-30MG","5","Select","Select",""],["","07610022640","MELATONIN","TAB 3MG","16","Select","Select",""],["","50111056001","TRAZODONE","TAB 50MG","30","Select","Select",""],["","00093005805","TRAMADOL HCL","TAB 50MG","20","Select","Select",""],["","13668010510","ISOSORBIDE MONONITRATE ER","60 MG","90","Select","Select",""],["","00093310905","AMOXICILLIN","500 MG","21","Select","Select",""],["","71930005552","ACETAMINOPHEN-CODEINE","300MG-30MG","5","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":""}]}]}