{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"NIYA P TAYLOR","gend":1,"add":"1431 COMMERCE ST","city":"CHESAPEAKE","state":"VA","zip":"23324-9998","dob":"1983-03-04","age":"","mstatus":"","insh":"9653694*01","cliId":"","pno":7572288068,"cno":7572288068,"email":"","ename":"","eno":"","pphy":"MAGNO, ELIZABETH MD","ppno":7574244442,"pcpadd":"6632 INDIAN RIVER RD,","pcpcity":"VIRGINIA BEACH","pcpstate":"VA","pcpzip":"23464-9998","pcpcounty":"","pcpid":"","pcpname":"Nowcare Volvo","plan":"OHP","program":"MEDICAID","lob":"M4","region":"TIDEWATER","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":7575230632,"pcpnpi":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["I20.8","R06.89","I10.","R01.1","R73.03","E78.00","R00.2","R93.89","Z09.","J98.59","K76.0","Z85.43","C56.2","G47.9","K21.9","E32.0","B34.9","B02.9","R07.89","J06.9","G47.33","R06.81","J40.","Z11.52","J32.9","G89.29","M54.42","M54.2","E78.5","R22.2","E55.9","H40.9","G43.909","K46.9","Z87.891","Z90.722","Z90.710","Z83.3","Z82.61","Z82.49","Z80.3","Z83.49","Z84.89","Z80.8","Z84.1","R05.9","K05.30","R10.31","R10.9","R14.0","G47.00","N64.4","I07.1","Z01.419","G47.419","F51.04","N76.89","N95.1","Z79.899","R30.9","Z11.3","R10.2","U07.1","M54.10","I36.1","Z80.0","R76.8","A04.8","Z20.822","Z12.11","K57.30","Z90.721","F32.1","F43.10","F41.9","G47.30","B96.81","E32.9","R91.8","R41.3","R46.89","R05.1","R04.0"],"date":["2023-03-17","2023-03-17","2023-08-11","2023-03-17","2023-05-12","2023-05-24","2023-03-17","2021-09-07","2021-09-09","2023-01-13","2022-05-02","2022-05-02","2023-09-26","2022-12-16","2023-08-11","2023-03-17","2021-10-15","2022-06-28","2022-12-02","2022-12-07","2023-05-24","2023-01-23","2023-08-30","2021-08-10","2022-04-19","2023-02-21","2023-02-21","2023-02-21","2023-08-11","2021-01-21","2022-01-26","2023-05-24","2021-01-21","2021-01-21","2023-05-24","2021-09-08","2021-01-21","2021-01-21","2021-01-21","2023-05-24","2021-01-21","2021-01-21","2021-01-21","2021-01-21","2021-01-21","2021-12-12","2021-12-12","2022-04-25","2022-04-25","2022-04-25","2023-03-10","2022-11-09","2022-12-02","2023-03-01","2021-04-13","2021-04-13","2021-07-07","2021-07-07","2021-09-08","2021-09-09","2021-09-09","2021-09-09","2022-01-26","2022-04-28","2022-12-02","2023-07-18","2023-04-11","2023-07-18","2021-10-15","2023-05-24","2023-05-24","2023-05-24","2023-06-12","2023-06-12","2023-08-11","2023-05-12","2023-05-12","2023-05-12","2023-05-12","2023-05-12","2023-05-12","2023-08-30","2023-09-26"],"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":[["","45802013970","METRONIDAZOL","GEL 0.75%VAG","70","Select","Select",""],["","50383070016","FLUTICASONE","SPR 50MCG","16","Select","Select",""],["","65862052890","VENLAFAXINE","CAP 75MG ER","30","Select","Select",""],["","64380073706","VITAMIN D","2 1250 MCG","4","Select","Select",""],["","55111064505","OMEPRAZOLE","40 MG","30","Select","Select",""],["","16729018201","HYDROCHLOROT","TAB 12.5MG","30","Select","Select",""],["","67877019805","AMLODIPINE","TAB 5MG","30","Select","Select",""],["","00143924920","AMOX\/K CLAV","TAB 875-125","20","Select","Select",""],["","57237000511","FLUCONAZOLE","TAB 150MG","1","Select","Select",""],["","72647033104","METHYLPRED","TAB 4MG","21","Select","Select",""],["","65862039010","ONDANSETRON","TAB 4MG ODT","4","Select","Select",""],["","59310057922","PROAIR HFA","AER ","8","Select","Select",""],["","69238110005","DOXYCYCL HYC","CAP 100MG","14","Select","Select",""],["","68382005105","MELOXICAM","15 MG","14","Select","Select",""],["","00093117401","PENICILLN VK","TAB 500MG","30","Select","Select",""],["","00832059011","DIPHEN\/ATROP","TAB ","6","Select","Select",""],["","42806071401","BENZONATATE","100 MG","30","Select","Select",""],["","65862044930","VALACYCLOVIR","TAB 1GM","30","Select","Select",""],["","31722099601","HYDROCO\/APAP","TAB 5-325MG","10","Select","Select",""],["","59746017506","PREDNISONE","20 MG","18","Select","Select",""],["","69367031101","SOD FLUORIDE","PST 0.011","100","Select","Select",""],["","42192060716","BROM\/PSE\/DM","SYP 2\/30\/10","120","Select","Select",""],["","65862052790","VENLAFAXINE HCL ER","37.5 MG","90","Select","Select",""],["","00527193206","CLARITHROMYCIN","500 MG","28","Select","Select",""],["","50383070016","FLUTICASONE PROPIONATE","50 MCG","16","Select","Select",""],["","31722071390","PANTOPRAZOLE SODIUM","40 MG","90","Select","Select",""],["","00093310953","AMOXICILLIN","500 MG","56","Select","Select",""],["","57896044101","BISACODYL","5 MG","4","Select","Select",""],["","11822029233","LAXATIVE","5 MG","4","Select","Select",""],["","45802086802","POLYETHYLENE GLYCOL","3350 17 G\/DOSE","238","Select","Select",""],["","11822393550","LAXATIVE PEG","3350 17 G\/DOSE","238","Select","Select",""],["","65862005190","SIMVASTATIN","10 MG","90","Select","Select",""],["","55111064505","OMEPRAZOLE CAP","40MG","30","Select","Select",""],["","64380073706","VITAMIN D CAP","50000UNT","4","Select","Select",""],["","72647033104","METHYLPRED TAB","4MG","21","Select","Select",""],["","50383070016","FLUTICASONE SPR","50MCG","16","Select","Select",""],["","57237000511","FLUCONAZOLE TAB","150MG","1","Select","Select",""],["","16729018201","HYDROCHLOROT TAB","12.5MG","30","Select","Select",""],["","00143924920","AMOX\/K CLAV TAB","875-125","20","Select","Select",""],["","59746017506","PREDNISONE TAB","20MG","18","Select","Select",""],["","31722099601","HYDROCO\/APAP TAB","5-325MG","10","Select","Select",""],["","65862044930","VALACYCLOVIR TAB","1GM","30","Select","Select",""],["","69367031101","SOD FLUORIDE PST","1.1%","100","Select","Select",""],["","42192060716","BROM\/PSE\/DM SYP","2\/30\/10","120","Select","Select",""],["","65162046650","IBUPROFEN","800 MG","21","Select","Select",""],["","68180096301","ALBUTEROL SULFATE HFA","90 MCG","8.5","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":""}]}]}