{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"SCOTT SCHRADER","gend":0,"add":"OFFENDER 00054705","city":"HENRICO","state":"VA","zip":"23231-9998","dob":"1963-10-13","age":"","mstatus":"","insh":"2492300*01","cliId":"","pno":8042224048,"cno":8042224048,"email":"","ename":"","eno":"","pphy":"WATTERSON, WILLIAM K MD","ppno":8048976141,"pcpadd":"2410 PAGEHURST DRIVE,","pcpcity":"MIDLOTHIAN","pcpstate":"VA","pcpzip":"23113-9998","pcpcounty":"","pcpid":"","pcpname":"","plan":"OHP","program":"MEDICAID","lob":"M4","region":"CENTRAL","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":8048976141,"pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["R41.82","A41.81","F10.20","I48.0","I48.92","NO DATA","R07.81","S32.019A","I10.","K21.9","F14.90","M48.02","W18.30XA","R94.31","E87.1","G93.41","J18.9","J96.01","I47.1","I34.0","I51.7","R00.0","R78.81","R55.","S32.010A","B95.2","J96.90","I65.23","I48.91","R53.1","J16.8","Z20.822","F10.239","E44.1","J81.1","Z87.891","Z59.00","E87.6","K76.0","D75.89","Z68.37","I21.19","A41.9","F17.200","S50.812A","G93.40","F17.210","G95.9","M48.56XA","I95.9","G93.89","F10.230","F14.10","D64.9","I65.29","K76.9","Z79.01","I25.2"],"date":["2022-11-26","2022-11-28","2022-12-19","2022-11-24","2022-11-28","2022-12-17","2022-11-22","2022-11-22","2022-11-28","2022-11-28","2022-11-28","2022-11-22","2022-11-28","2022-12-16","2022-12-21","2022-12-21","2022-12-21","2022-12-21","2022-12-16","2022-11-20","2022-11-20","2022-11-16","2022-11-24","2022-11-24","2022-11-28","2022-11-24","2022-12-12","2022-11-19","2022-12-14","2022-11-28","2022-12-10","2022-12-10","2022-12-10","2022-12-10","2022-12-10","2022-12-10","2022-12-10","2022-12-19","2022-12-10","2022-12-10","2022-12-10","2022-12-16","2022-11-15","2022-11-16","2022-11-15","2022-11-16","2022-11-16","2022-11-16","2022-11-16","2022-11-16","2022-11-16","2022-11-16","2022-11-16","2022-11-16","2022-11-16","2022-11-16","2022-11-16","2022-11-26"],"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":[["","00536110688","NICOTINE TD","DIS 7MG\/24HR","14","Select","Select",""],["","65862056099","PANTOPRAZOLE","TAB 40MG","30","Select","Select",""],["","79854020010","VITAMIN B-1","TAB 100MG","30","Select","Select",""],["","70010075405","METHOCARBAM","TAB 500MG","15","Select","Select",""],["","00378459401","METOPROL TAR","TAB 75MG","60","Select","Select",""],["","40093010588","B-1","TAB 100MG","30","Select","Select",""],["","31604001281","B1","TAB 100MG","30","Select","Select",""],["","68382022705","AMIODARONE","TAB 200MG","30","Select","Select",""],["","00135019602","NICODERM CQ","DIS 7MG\/24HR","14","Select","Select",""],["","67877019910","AMLODIPINE","TAB 10MG","30","Select","Select",""],["","69315012710","FOLIC ACID","TAB 1000MCG","30","Select","Select",""],["","67877022301","GABAPENTIN","CAP 300MG","30","Select","Select",""],["","16729008101","NALTREXONE","TAB 50MG","30","Select","Select",""],["","80681005000","DAILY-VITE","TAB ","30","Select","Select",""],["","70010075405","METHOCARBAM TAB","500MG","15","Select","Select",""],["","00536110688","NICOTINE TD DIS","7MG\/24HR","14","Select","Select",""],["","80681005000","DAILY-VITE TAB","","30","Select","Select",""],["","67877019910","AMLODIPINE TAB","10MG","30","Select","Select",""],["","00378459401","METOPROL TAR TAB","75MG","60","Select","Select",""],["","16729008101","NALTREXONE TAB","50MG","30","Select","Select",""],["","79854020010","VITAMIN B-","1 TAB 100MG","30","Select","Select",""],["","68382022705","AMIODARONE TAB","200MG","30","Select","Select",""],["","69315012710","FOLIC ACID TAB","1000MCG","30","Select","Select",""],["","40093010588","B-","1 TAB 100MG","30","Select","Select",""],["","67877022301","GABAPENTIN CAP","300MG","30","Select","Select",""],["","00135019602","NICODERM CQ DIS","7MG\/24HR","14","Select","Select",""],["","31604001281","B","1 TAB 100MG","30","Select","Select",""],["","65862056099","PANTOPRAZOLE TAB","40MG","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":""}]}]}