{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"EVON  D EVERETT","gend":1,"add":"1207 SOUTH ST APT C","city":"FRANKLIN","state":"VA","zip":"23851-9998","dob":"1966-12-05","age":"","mstatus":"","insh":"5996082*01","cliId":"","pno":7575690766,"cno":7575690766,"email":"","ename":"","eno":"","pphy":"MEISER, COLLEEN NP","ppno":7576061656,"pcpadd":"3235 BRIDGE ROAD SUITE 15,","pcpcity":"SUFFOLK","pcpstate":"VA","pcpzip":"23435-9998","pcpcounty":"","pcpid":"","pcpname":"Lakeview Internal Medicine Meade","plan":"OHP","program":"MEDICAID","lob":"M4","region":"CENTRAL","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":7576861657,"pcpnpi":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["R07.89","I10.","E78.5","K43.6","NO DATA","G47.33","M25.552","N95.0","G47.30","F41.9","Z98.51","Z87.891","Z88.8","Z91.040","Z79.899","M19.90","R94.31","I63.50","I67.1","I63.9","Z00.00","R39.15","S46.911A","R29.90","R29.898","R20.2","R07.9","I51.7","N93.9","R10.13","Z86.2","I69.351","K43.9","D64.9","D24.9","J30.2","M12.9","M62.50","G43.909","Z79.02","Z79.82","K62.5","R55.","Z86.73","Z12.11","R51.9","R11.2","R53.1","Z98.890","Z20.828","G47.00","Z99.89","Z09."],"date":["2022-10-24","2023-05-01","2023-02-14","2021-10-27","2023-05-01","2023-05-01","2021-10-27","2022-09-29","2022-11-08","2022-09-29","2022-09-29","2023-05-16","2022-05-25","2022-05-25","2022-05-25","2022-05-25","2023-01-19","2023-02-13","2023-05-15","2023-02-13","2023-05-01","2023-05-01","2023-05-01","2022-09-03","2022-09-03","2022-09-03","2023-02-14","2021-01-06","2022-02-19","2022-02-19","2022-02-19","2022-09-29","2022-09-29","2022-09-29","2022-09-29","2022-09-29","2022-09-29","2022-09-29","2022-09-29","2022-09-29","2022-09-29","2022-11-08","2022-10-04","2022-11-08","2022-11-08","2023-05-16","2023-05-16","2023-05-16","2023-05-16","2021-09-29","2022-09-15","2022-02-10","2022-09-15"],"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":[["","68645051054","HYDROCHLOROT","TAB 25MG","30","Select","Select",""],["","68645051654","AMLODIPINE","TAB 10MG","90","Select","Select",""],["","67877069601","CHLORTHALID","TAB 25MG","30","Select","Select",""],["","68645059459","FAMOTIDINE","TAB 20MG","10","Select","Select",""],["","68645056259","IBUPROFEN","TAB 600MG","40","Select","Select",""],["","68180044501","QUETIAPINE","TAB 25MG","30","Select","Select",""],["","68382009205","CARVEDILOL","3.125 MG","60","Select","Select",""],["","49035041690","ASPIRIN","325 MG","90","Select","Select",""],["","49035035590","EQ ASPIRIN","TAB 325MG","30","Select","Select",""],["","00093505798","ATORVASTATIN","TAB 80MG","30","Select","Select",""],["","68645059090","CLOPIDOGREL","75 MG","90","Select","Select",""],["","43386009019","GAVILYTE-G","236-22.74G","4000","Select","Select",""],["","52268001201","SUPREP BOWEL","SOL PREP KIT","354","Select","Select",""],["","68645051654","AMLODIPINE BESYLATE","10 MG","90","Select","Select",""],["","00093505798","ATORVASTATIN CALCIUM","80 MG","90","Select","Select",""],["","68180044501","QUETIAPINE FUMARATE","25 MG","30","Select","Select",""],["","68462015713","ONDANSETRON ODT","4 MG","10","Select","Select",""],["","31722013801","BACLOFEN","5 MG","90","Select","Select",""],["","68645051654","AMLODIPINE TAB","10MG","90","Select","Select",""],["","68645051054","HYDROCHLOROT TAB","25MG","30","Select","Select",""],["","67877069601","CHLORTHALID TAB","25MG","30","Select","Select",""],["","68645059459","FAMOTIDINE TAB","20MG","10","Select","Select",""],["","68382009205","CARVEDILOL TAB","3.125MG","60","Select","Select",""],["","68180044501","QUETIAPINE TAB","25MG","30","Select","Select",""],["","68645056259","IBUPROFEN TAB","600MG","40","Select","Select",""],["","00904404073","ASPIRIN CHW","81MG","21","Select","Select",""],["","00093505798","ATORVASTATIN TAB","80MG","30","Select","Select",""],["","52268001201","SUPREP BOWEL SOL PREP KIT","","354","Select","Select",""],["","49035035590","EQ ASPIRIN TAB","325MG","30","Select","Select",""],["","68645059090","CLOPIDOGREL TAB","75MG","21","Select","Select",""],["","43386009019","GAVILYTE-G SOL","","4000","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":""}]}]}