{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"ERICKA  T BROWN","gend":1,"add":"417 W 27TH ST APT C","city":"NORFOLK","state":"VA","zip":"23517-9998","dob":"2001-08-23","age":"","mstatus":"","insh":"7220308*01","cliId":"","pno":7575570825,"cno":7575570825,"email":"","ename":"","eno":"","pphy":"BARNETT, STEVEN K MD","ppno":7576400929,"pcpadd":"1001 MONTICELLO AVE STE 100,","pcpcity":"NORFOLK","pcpstate":"VA","pcpzip":"23510-9998","pcpcounty":"","pcpid":"","pcpname":"","plan":"OHP","program":"MEDICAID","lob":"M4","region":"TIDEWATER","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":8662920928,"pcpnpi":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["R06.89","J02.9","N76.0","Z20.2","Z11.4","J45.20","R10.13","R11.2","R53.81","R53.83","R51.9","Z87.891","Z91.011","E66.9","Z79.899","F33.1","J18.9","J45.21","Z20.828","J06.9","D64.9","Z99.81","V58.89","B20.","S93.401A","L05.01","T58.91XA","R94.31","F32.9","T58.11XA","R55.","E66.01","B37.81","Z11.3","R10.2","N92.6","K59.00","A74.9","R79.89","E73.9","R07.9","R10.84","Z91.89"],"date":["2021-11-29","2022-06-18","2022-06-18","2022-06-18","2022-06-18","2022-06-18","2023-01-07","2023-01-07","2023-01-03","2023-01-03","2023-01-03","2023-01-07","2023-01-07","2023-01-07","2023-01-07","2021-05-28","2021-07-02","2021-07-02","2021-07-02","2021-07-03","2021-07-02","2021-11-29","2021-11-30","2023-05-08","2021-08-27","2021-08-27","2021-11-29","2021-11-29","2023-05-08","2021-11-29","2021-11-29","2021-11-29","2022-07-19","2021-07-20","2021-07-20","2021-07-20","2021-07-20","2022-09-08","2021-11-29","2021-11-29","2021-11-29","2023-01-07","2023-02-15"],"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":[["","67877032005","IBUPROFEN TAB","600MG","30","Select","Select",""],["","68462010430","FLUCONAZOLE TAB","200MG","14","Select","Select",""],["","61958190101","GENVOYA TAB","","30","Select","Select",""],["","16571066450","METRONIDAZOL TAB","500MG","14","Select","Select",""],["","68180096301","ALBUTEROL AER HFA","","8","Select","Select",""],["","60432053716","NYSTATIN SUS","100000","480","Select","Select",""],["","59310057922","PROAIR HFA AER","","8","Select","Select",""],["","00173068220","VENTOLIN HFA AER","","8","Select","Select",""],["","00536132213","OMEPRAZOLE MAGNESIUM","20 MG","30","Select","Select",""],["","57237007710","ONDANSETRON ODT","4 MG","12","Select","Select",""],["","68382004001","PROMETHAZINE HCL","12.5 MG","12","Select","Select",""],["","69238110005","DOXYCYCLINE HYCLATE","100 MG","14","Select","Select",""],["","19903001028","MYLANTA MAXIMUM STRENGTH","400-400-40","355","Select","Select",""],["","70700015010","OMEPRAZOLE","20 MG","30","Select","Select",""],["","61958190101","GENVOYA","150-200-10","30","Select","Select",""],["","00591079501","DICYCLOMINE HCL","20 MG","30","Select","Select",""],["","65162006205","SUCRALFATE","1 G\/10 ML","414","Select","Select",""],["","68180096301","ALBUTEROL SULFATE HFA","90 MCG","8.5","Select","Select",""],["","60432053716","NYSTATIN","100000\/ML","473","Select","Select",""],["","00713052612","PROMETHEGAN","25 MG","10","Select","Select",""],["","00172572860","FAMOTIDINE","20 MG","28","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":""}]}]}