{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"BRITTANY  A WILLIS","gend":1,"add":"3312 LYONS AVE","city":"NORFOLK","state":"VA","zip":"23509-9998","dob":"1989-05-22","age":"","mstatus":"","insh":"7040660*01","cliId":"","pno":7572745165,"cno":7572745165,"email":"","ename":"","eno":"","pphy":"BARBEAU, BREANNA PA","ppno":7572759331,"pcpadd":"2088 S INDEPENDENCE BLVD STE 103","pcpcity":"VIRGINIA BEACH","pcpstate":"VA","pcpzip":"23453-9998","pcpcounty":"","pcpid":"","pcpname":"Nowcare Volvo","plan":"OHP","program":"MEDICAID","lob":"M4","region":"TIDEWATER","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":7574167656,"pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["J45.901","Z20.822","J45.909","R30.0","R05.1","F43.12","S62.326A","R05.9","NO DATA","F90.9","F31.9","F43.10","G35.","F17.210","Z88.0","Z88.1","Z88.5","Z88.8","Z91.040","Z91.048","R10.9","Z85.9","J01.00","Z20.828","K92.0","R10.13","R19.5","H57.11","M54.42","M79.671","S61.511A","Z23.","Z79.890","Z87.442","Z90.49","Z90.710","Z90.722","Z87.19","R11.2","N76.0","N30.00","R06.2","S69.91XA","S62.336A","W22.09XA","R68.89","R10.30","B96.89","Z87.891","Z82.49","Z82.61","Z79.899","B34.9"],"date":["2022-05-29","2023-01-13","2023-01-13","2023-01-13","2023-01-13","2021-03-14","2021-10-24","2022-01-26","2022-11-08","2022-05-29","2022-05-29","2022-05-29","2023-01-13","2023-01-13","2023-01-13","2023-01-13","2023-01-13","2022-12-02","2023-01-13","2022-12-02","2022-07-22","2022-05-20","2022-06-26","2022-06-26","2022-07-27","2022-07-27","2022-07-27","2022-12-03","2021-08-08","2021-06-30","2021-06-30","2021-06-30","2023-01-13","2022-07-22","2022-07-27","2022-07-22","2022-07-22","2022-07-22","2022-07-22","2022-11-08","2022-11-08","2023-01-13","2021-10-24","2021-10-27","2021-10-27","2022-01-27","2022-04-08","2022-04-08","2022-07-27","2022-07-27","2022-07-27","2022-05-29","2022-06-24"],"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":[["","00046110281","PREMARIN","TAB 0.625MG","30","Select","Select",""],["","65162047810","NITROFURANTN","CAP 100MG","10","Select","Select",""],["","59267100003","PFIZER VACC","INJ COVID-19","0","Select","Select",""],["","42806040021","METHYLPRED","TAB 4MG","21","Select","Select",""],["","69547035302","NARCAN","SPR ","2","Select","Select",""],["","51862094205","DIAZEPAM","TAB 5MG","6","Select","Select",""],["","00406048410","APAP\/CODEINE","TAB 300-30MG","12","Select","Select",""],["","00406051205","OXYCOD\/APAP","TAB 5-325MG","15","Select","Select",""],["","67877032105","IBUPROFEN","TAB 800MG","30","Select","Select",""],["","68462015713","ONDANSETRON","TAB 4MG ODT","12","Select","Select",""],["","59310057922","PROAIR HFA","AER ","8","Select","Select",""],["","42806071401","BENZONATATE","CAP 100MG","30","Select","Select",""],["","00781808926","AZITHROMYCIN","TAB 250MG","6","Select","Select",""],["","00591079501","DICYCLOMINE","TAB 20MG","30","Select","Select",""],["","70954006020","PREDNISONE","TAB 20MG","8","Select","Select",""],["","50111033402","METRONIDAZOL","TAB 500MG","14","Select","Select",""],["","47335070349","ALBUTEROL","NEB 0.00083","30","Select","Select",""],["","65862078430","ESOMEPRA MAG","CAP 40MG DR","30","Select","Select",""],["","29300041301","CYCLOBENZAPR","TAB 5MG","15","Select","Select",""],["","00555088702","ESTRADIOL","2 MG","90","Select","Select",""],["","00065047401","SYSTANE","GEL 0.003","10","Select","Select",""],["","00378335299","ESTRADIOL (ONCE WEEKLY)","0.1MG\/24HR","12","Select","Select",""],["","14613033972","QUICKVUE AT-HOME COVID-","19 TEST","8","Select","Select",""],["","69097014260","ALBUTEROL SULFATE HFA","90 MCG","6.7","Select","Select",""],["","76204020030","ALBUTEROL SULFATE","2.5 MG\/3ML","90","Select","Select",""],["","43547028110","ESCITALOPRAM OXALATE","10 MG","90","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":""}]}]}