{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"JENNY  L TRIMBLE","gend":1,"add":"653 OLD QUAKER ROAD","city":"GALAX","state":"VA","zip":"24333-9998","dob":"1979-03-27","age":"","mstatus":"","insh":"2405241*01","cliId":"","pno":2762374495,"cno":2762374495,"email":"","ename":"","eno":"","pphy":"BRYANT, KATHERINE F MD","ppno":2762362909,"pcpadd":"227 HOSPITAL DR","pcpcity":"GALAX","pcpstate":"VA","pcpzip":"24333-9998","pcpcounty":"","pcpid":"","pcpname":"","plan":"OHP","program":"MEDICAID","lob":"M4","region":"SOUTHWEST","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":2762368845,"pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["R10.2","N87.0","E66.09","D25.9","D39.11","E10.65","E55.9","E78.2","D51.0","M51.16","M47.26","I21.4","Z95.5","R00.2","E10.42","Z72.0","Z65.8","Z79.899","J40.","M51.36","M54.06","M54.16","NO DATA","G47.33","R10.84","N73.6","E28.2","R10.31","J44.9","E11.9","H25.11","H26.492","E10.8","Z79.4","M54.41","M43.06","F43.0","R10.30","G89.4","R39.15","Z87.440","R51.9","W19.XXXA","J18.9","E83.42","Z20.822","M62.830","F33.1","G47.19","I25.10","I25.2","J20.9","E10.3553","F17.210","E10.9","Z98.61","M43.07","M43.16","Z01.411","R20.1","G47.30","R06.02","N92.1","R11.0","J34.89","Z09.","E78.5","R60.0","N39.0","Z87.891","R11.2","I10.","I25.118","F17.200","Z68.37","Z96.41","K21.9","R07.81","M54.2","S20.212A","S00.83XA","S70.02XA","R06.83","R68.2","G89.29","M54.9","F41.9","R07.9"],"date":["2022-03-01","2022-02-21","2022-08-31","2022-03-01","2022-03-01","2022-07-23","2022-03-23","2022-03-23","2022-03-23","2022-07-07","2022-07-07","2022-10-26","2022-10-26","2022-10-26","2022-10-26","2023-01-30","2022-11-23","2023-03-27","2022-11-16","2023-03-27","2023-03-27","2023-02-06","2023-02-06","2023-03-08","2022-03-30","2022-03-25","2022-03-25","2022-03-25","2022-07-22","2022-07-22","2022-04-05","2022-04-26","2023-03-30","2023-03-30","2021-08-24","2021-08-24","2021-08-24","2022-02-14","2022-02-14","2022-02-14","2022-02-14","2022-06-30","2022-09-13","2022-08-15","2022-08-15","2022-08-15","2023-03-27","2023-01-30","2023-01-30","2023-03-06","2023-02-01","2023-01-30","2023-01-30","2022-07-22","2022-07-22","2023-02-01","2022-03-03","2022-03-03","2022-03-01","2022-03-23","2023-03-06","2021-12-22","2022-03-21","2022-07-13","2022-07-13","2022-08-02","2022-08-02","2021-09-28","2022-02-01","2022-07-22","2022-03-30","2022-07-22","2022-08-31","2022-08-31","2022-08-31","2022-08-31","2022-07-22","2022-09-13","2022-09-13","2022-09-13","2022-09-13","2022-09-13","2022-11-23","2022-11-23","2022-07-22","2022-07-22","2022-07-22","2022-07-22"],"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":[["","69230031703","ALLERGY RELF","TAB 10MG","30","Select","Select",""],["","00378801593","LANSOPRAZOLE","CAP 15MG DR","90","Select","Select",""],["","55111068405","IBU","TAB 800MG","90","Select","Select",""],["","00169750111","NOVOLOG","100\/ML","30","Select","Select",""],["","71930002012","HYDROCO\/APAP","TAB 7.5-325","120","Select","Select",""],["","65862060130","MODAFINIL","100 MG","30","Select","Select",""],["","29300024605","BUSPIRONE","TAB 15MG","30","Select","Select",""],["","69315011610","FUROSEMIDE","20 MG","30","Select","Select",""],["","50228011505","FLUOXETINE","CAP 40MG","90","Select","Select",""],["","43598029590","PREGABALIN","150 MG","90","Select","Select",""],["","31722071310","PANTOPRAZOLE","TAB 40MG","90","Select","Select",""],["","65702071210","ACCU-CHEK","TES GUIDE","200","Select","Select",""],["","55111017915","TIZANIDINE","TAB 2MG","21","Select","Select",""],["","00185012201","NITROFURANTN","CAP 100MG","14","Select","Select",""],["","65162068110","PHENAZOPYRID","TAB 100MG","6","Select","Select",""],["","61314012605","KETOROLAC","SOL 0.005","5","Select","Select",""],["","60758011905","PREDNISOLONE","SUS 1% OP","5","Select","Select",""],["","67877032105","IBUPROFEN","TAB 800MG","90","Select","Select",""],["","00093342210","CYCLOBENZAPR","TAB 10MG","90","Select","Select",""],["","69315030805","CIPROFLOXACN","SOL 0.3% OP","5","Select","Select",""],["","00781717612","NALOXONE","SPR ","2","Select","Select",""],["","00536589688","NICOTINE TD","DIS 21MG\/24H","28","Select","Select",""],["","00135050902","NICORETTE","LOZ 4MG MINT","243","Select","Select",""],["","24208039830","IPRATROPIUM","SPR 0.0003","30","Select","Select",""],["","00406048401","APAP\/CODEINE","TAB 300-30MG","10","Select","Select",""],["","42571016242","AMOX\/K CLAV","TAB 875-125","20","Select","Select",""],["","68180016011","AZITHROMYCIN","250 MG","6","Select","Select",""],["","10702000310","PROMETHAZINE","TAB 25MG","10","Select","Select",""],["","73070010011","INSULIN ASPA","INJ 100\/ML","30","Select","Select",""],["","63824000815","MUCINEX","TAB 600MG ER","30","Select","Select",""],["","00904404073","ASPIRIN","CHW 81MG","100","Select","Select",""],["","00093220405","METOCLOPRAM","TAB 5MG","30","Select","Select",""],["","49035046708","ASPIRIN 81MG","CHE WABLE TABLETS","30","Select","Select",""],["","57237010099","METOPROL TAR","TAB 25MG","60","Select","Select",""],["","16729004617","ATORVASTATIN","TAB 40MG","30","Select","Select",""],["","50924097110","SOFTCLIX","MIS LANCETS","200","Select","Select",""],["","16729027310","PRASUGREL","TAB 10MG","30","Select","Select",""],["","86227090105","INSULIN SYRG","MIS 1ML\/29G","100","Select","Select",""],["","64380071207","BENZONATATE","100 MG","30","Select","Select",""],["","67877043003","ARIPIPRAZOLE","2 MG","30","Select","Select",""],["","43598043611","NITROGLYCERN","SUB 0.4MG","25","Select","Select",""],["","31722071310","PANTOPRAZOLE SODIUM","40 MG","90","Select","Select",""],["","75834025701","ATORVASTATIN CALCIUM","40 MG","30","Select","Select",""],["","72888000405","METOPROLOL TARTRATE","25 MG","90","Select","Select",""],["","00093342210","CYCLOBENZAPRINE HCL","10 MG","90","Select","Select",""],["","52937000120","VASCEPA","1 G","360","Select","Select",""],["","71930002012","HYDROCODONE-ACETAMINOPHEN","7.5-325 MG","120","Select","Select",""],["","29300024605","BUSPIRONE HCL","15 MG","30","Select","Select",""],["","65862083030","PRASUGREL HCL","10 MG","30","Select","Select",""],["","42806055212","OMEGA-","3 ACID ETHYL ESTERS 1 G","360","Select","Select",""],["","73070010011","INSULIN ASPART","100\/ML","30","Select","Select",""],["","69230031703","ALLERGY RELIEF","10 MG","90","Select","Select",""],["","50228011505","FLUOXETINE HCL","40 MG","90","Select","Select",""],["","65702071210","ACCU-CHEK GUIDE TEST STRIP","","200","Select","Select",""],["","59746000103","METHYLPREDNISOLONE","4 MG","21","Select","Select",""],["","50924097110","ACCU-CHEK SOFTCLIX #","971","200","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":""}]}]}