{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"TAMMY S KING","gend":1,"add":"2377 COTTONPATCH ROAD","city":"GRETNA","state":"VA","zip":"24557-9998","dob":"1969-10-04","age":"","mstatus":"","insh":"7692021*01","cliId":"","pno":4344833556,"cno":4344833556,"email":"","ename":"","eno":"","pphy":"HARVEY, ANDREA L FNP","ppno":4346562224,"pcpadd":"305 N MAIN ST,","pcpcity":"GRETNA","pcpstate":"VA","pcpzip":"24557-9998","pcpcounty":"","pcpid":"","pcpname":"Sovah Family Healthcare Gretna","plan":"OHP","program":"MEDICAID","lob":"OHCC","region":"CHARLOTTESVILLE WESTERN","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":4346563988,"pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["F32.9","M96.1","M54.16","M54.5","G89.4","Z51.81","Z79.891","Z72.0","J43.9","U07.1","J98.4","Z88.5","Z88.8","Z88.6","Z88.0","Z20.822","NO DATA","Z01.419","N95.1","K37.","R10.31","R11.0","R68.83","J44.9","K21.9","F17.290","Z20.828","R68.89","J02.9","T85.192A","F41.8","Z79.899","I49.9","R19.7","J06.9","Z12.31","Z00.00","Z12.2","Z11.59","D51.0","Z13.1","Z13.220","Z53.20","E55.9","Z68.1","M25.561","L25.5","K35.80","R07.0","L28.2","S93.602A"],"date":["2022-05-25","2023-07-21","2023-04-21","2021-07-01","2023-07-21","2023-01-24","2023-07-21","2021-07-01","2021-07-01","2021-11-08","2021-11-08","2022-08-08","2022-08-08","2022-08-08","2022-08-08","2022-11-29","2023-07-21","2023-06-27","2023-06-27","2021-02-19","2021-02-19","2021-02-19","2021-02-19","2022-08-08","2022-08-08","2021-02-19","2021-11-04","2021-11-04","2021-11-04","2022-08-19","2022-08-08","2023-05-31","2022-08-08","2022-11-29","2022-11-29","2023-05-31","2023-05-31","2023-05-31","2023-05-31","2023-05-31","2023-05-31","2023-05-31","2023-05-31","2023-05-31","2023-05-31","2022-02-02","2023-05-23","2021-02-19","2022-02-28","2022-07-06","2022-12-12"],"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":[["","00406012510","HYDROCO\/APAP","TAB 10-325MG","120","Select","Select",""],["","60505379609","PREGABALIN","100 MG","90","Select","Select",""],["","80777027315","MODERNA VAC","INJ COVID-19","0","Select","Select",""],["","59310057922","PROAIR HFA","AER ","8","Select","Select",""],["","55111064505","OMEPRAZOLE","40 MG","30","Select","Select",""],["","61442010210","DICLOFENAC","TAB 50MG DR","60","Select","Select",""],["","70436015542","PROMETHAZINE","SOL DM","200","Select","Select",""],["","33342032915","TRIAMCINOLON","CRE 0.001","15","Select","Select",""],["","66993001968","ALBUTEROL","AER HFA","18","Select","Select",""],["","00456315467","AEROCHAMBER","MIS PLUS","1","Select","Select",""],["","50383070016","FLUTICASONE","SPR 50MCG","16","Select","Select",""],["","00781717612","NALOXONE","SPR 4MG","2","Select","Select",""],["","51660093953","CETIRIZINE","TAB 10MG","14","Select","Select",""],["","00406012510","HYDROCODONE-ACETAMINOPHEN","10MG-325MG","120","Select","Select",""],["","40093010109","B-","12 5000 MCG","90","Select","Select",""],["","56362000589","IHEALTH COVID-","19 AG HOME TEST","8","Select","Select",""],["","00469266030","VEOZAH","45 MG","30","Select","Select",""],["","45802081184","NALOXONE HCL","4 MG","2","Select","Select",""],["","33342032915","TRIAMCINOLONE ACETONIDE","0.1 %","30","Select","Select",""],["","66993001968","ALBUTEROL SULFATE HFA","90 MCG","18","Select","Select",""],["","29300022705","METRONIDAZOLE","500 MG","14","Select","Select",""],["","82607066026","FLOWFLEX COVID-","19 AG HOME TEST","8","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":""}]}]}