{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"REBECCA A REECE","gend":1,"add":"505 CROSS CREEK ROAD 1650 ARTESIAN","city":"DRYDEN","state":"VA","zip":"24243-9998","dob":"1983-11-24","age":"","mstatus":"","insh":"2376010*01","cliId":"","pno":2766398200,"cno":2766398200,"email":"","ename":"","eno":"","pphy":"YEARY, JOSHUA A DO","ppno":2764454826,"pcpadd":"1446 DR THOMAS WALKER ROAD,","pcpcity":"EWING","pcpstate":"VA","pcpzip":"24248-9998","pcpcounty":"","pcpid":"","pcpname":"","plan":"OHP","program":"MEDICAID","lob":"M4","region":"SOUTHWEST","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":2765469702,"pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["A60.00","F32.9","B00.9","Z87.891","D22.5","D22.21","D48.5","Z80.8","R10.11","Z48.02","F31.5","F25.0","F41.1","F60.3","R45.89","Z13.89","F41.0","Z71.89","Z13.9","F31.30","F41.9","Z79.899","N89.8","L27.0","A42.9","R11.2","N20.1","D22.72","D22.62","F31.11","F17.220","Z00.8","N94.9","N76.1","E86.0","Z01.812","Z30.431","Z30.433","R19.00","B37.3","Z01.419","Z12.31","R68.82","Z76.89","F33.1","F31.9","U07.1","R53.83","Z65.3","D22.71","D22.61","L81.4","L82.1","Z87.2","Z71.3","Z68.27","Z71.82"],"date":["2022-01-17","2022-01-17","2022-03-01","2022-07-21","2023-08-17","2022-06-21","2023-08-17","2023-08-17","2022-07-28","2022-09-29","2023-03-01","2022-11-22","2023-07-31","2023-03-01","2023-05-08","2023-05-08","2023-05-18","2023-07-31","2021-07-28","2021-07-20","2021-07-20","2023-03-01","2022-03-01","2021-05-26","2021-05-26","2022-07-21","2022-07-12","2023-08-17","2023-08-17","2023-07-31","2021-07-28","2021-07-28","2021-09-17","2022-01-22","2022-01-22","2021-06-09","2021-06-09","2021-06-09","2022-03-01","2022-03-01","2021-03-25","2021-03-25","2021-03-25","2021-03-25","2021-10-11","2023-05-18","2023-03-14","2023-03-14","2023-05-18","2023-08-17","2023-08-17","2023-08-17","2023-08-17","2023-08-17","2023-07-31","2023-07-31","2023-07-31"],"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":[["","80777027399","MODERNA VAC","INJ COVID-19","0","Select","Select",""],["","29300022701","METRONIDAZOL","TAB 500MG","14","Select","Select",""],["","65862044830","VALACYCLOVIR","500 MG","30","Select","Select",""],["","00781261305","AMOXICILLIN","CAP 500MG","30","Select","Select",""],["","51991029305","OXCARBAZEPIN","TAB 300MG","90","Select","Select",""],["","64380073706","VITAMIN D","CAP 50000UNT","4","Select","Select",""],["","68462074617","ACYCLOVIR","OIN 0.05","15","Select","Select",""],["","00006412102","GARDASIL 9","INJ ","0","Select","Select",""],["","68382009705","PAROXETINE","TAB 10MG","30","Select","Select",""],["","19515081852","FLULAVAL QUA","INJ 2021-22","0","Select","Select",""],["","65862018601","CLINDAMYCIN","CAP 300MG","14","Select","Select",""],["","68462011944","FLUCONAZOLE","TAB 150MG","2","Select","Select",""],["","68462039610","OMEPRAZOLE","20 MG","30","Select","Select",""],["","00406012305","HYDROCO\/APAP","TAB 5-325MG","12","Select","Select",""],["","00456111030","VIIBRYD","TAB 10MG","30","Select","Select",""],["","68462022001","LITHIUM CARB","CAP 150MG","30","Select","Select",""],["","49281042250","FLUZONE QUAD","INJ 2022-23","0","Select","Select",""],["","68001024617","ONDANSETRON","TAB 4MG ODT","10","Select","Select",""],["","68382013210","TAMSULOSIN","CAP 0.4MG","7","Select","Select",""],["","60505477203","VILAZODONE","TAB 10MG","30","Select","Select",""],["","60505477203","VILAZODONE HCL","10 MG","30","Select","Select",""],["","68462022001","LITHIUM CARBONATE","150 MG","60","Select","Select",""],["","60505082901","FLUTICASONE PROPIONATE","50 MCG","16","Select","Select",""],["","31722072610","MONTELUKAST SODIUM","10 MG","30","Select","Select",""],["","59746032430","VALACYCLOVIR TAB","500MG","30","Select","Select",""],["","51991029305","OXCARBAZEPIN TAB","300MG","90","Select","Select",""],["","68382009705","PAROXETINE TAB","10MG","30","Select","Select",""],["","64380073706","VITAMIN D CAP","50000UNT","4","Select","Select",""],["","68462074617","ACYCLOVIR OIN","5%","15","Select","Select",""],["","68462011944","FLUCONAZOLE TAB","150MG","2","Select","Select",""],["","29300022701","METRONIDAZOL TAB","500MG","14","Select","Select",""],["","65862018601","CLINDAMYCIN CAP","300MG","14","Select","Select",""],["","00006412102","GARDASIL","9 INJ","0","Select","Select",""],["","46122002903","OMEPRAZOLE TAB","20MG","30","Select","Select",""],["","00456111030","VIIBRYD TAB","10MG","30","Select","Select",""],["","68382013210","TAMSULOSIN CAP","0.4MG","7","Select","Select",""],["","00406012305","HYDROCO\/APAP TAB","5-325MG","12","Select","Select",""],["","68462039610","OMEPRAZOLE CAP","20MG","30","Select","Select",""],["","68001024617","ONDANSETRON TAB","4MG ODT","10","Select","Select",""],["","68462022001","LITHIUM CARB CAP","150MG","30","Select","Select",""],["","49281042250","FLUZONE QUAD INJ","2022-23","0","Select","Select",""],["","60505477203","VILAZODONE TAB","10MG","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":""}]}]}