{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"L ADNERBMAHNARB ","gend":1,"add":"          DR SMAILLIW 181                         ","city":"MADISON HEIGHTS          ","state":"VA","zip":"24572-9998","dob":"1957-07-07","age":"","mstatus":"","insh":"00110628","cliId":"","pno":"0443412721","cno":"","email":"","ename":"","eno":"","pphy":"THOMAS E DOBYNS MD","ppno":4345284312,"pcpadd":"4579 S AMHERST HWY,","pcpcity":"Madison Heights","pcpstate":"VA","pcpzip":245725343,"pcpcounty":"","pcpid":"","pcpname":"THOMAS E DOBYNS FAMILY PRACTICE","plan":"VPHP","program":"MEDICARE","lob":"DSNP","region":"CHARLOTTESVILLE WESTERN","aligned":"N","ano":"","add2":"                                                  ","add3":"","madd1":"181 WILLIAMS RD                                   ","madd2":"                                                  ","madd3":"","mcity":"MADISON HEIGHTS          ","mstate":"VA","mzip":"24572-9998","pcpfaxno":"","pcpnpi":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["M79.671","M19.049","M50.320","Z68.28","M79.673","M19.90","Z78.9","G89.29","M25.571","M25.572","M19.171","Z98.1","S82.872P","Z98.890","M06.049","M77.9","Z68.31","Z79.891","M19.172","F32.9","F41.0","M79.604","Z76.89","M25.532","G89.21","R03.0","M79.606","G63","Z68.29","M76.821","M19.071","M19.072","M24.571","M54.50","L97.319","L03.115","S82.90XA","T84.228A","Z87.81","T81.42XA","I10","D64.9","K44.0","F10.10","Z90.49","Z79.899","Z88.6","Z91.041","Z81.1","S82.91XA","Z83.3","Z80.0","Z82.49"," "],"date":["2022-10-31","2019-09-16","2019-09-16","2019-09-16","2022-04-26","2019-09-25","2022-10-31","2021-11-22","2022-08-16","2021-06-04","2021-06-04","2020-02-25","2020-02-25","2022-08-25","2021-03-31","2020-01-15","2020-01-15","2022-10-31","2021-06-04","2021-03-31","2021-03-31","2022-11-30","2020-02-19","2020-02-19","2020-02-19","2020-02-19","2022-10-31","2019-10-08","2019-10-08","2021-11-15","2021-11-15","2021-11-15","2021-11-15","2021-11-22","2022-08-12","2022-08-25","2022-08-25","2022-08-25","2022-08-25","2022-08-25","2022-08-25","2022-08-25","2022-08-25","2022-08-25","2022-08-25","2022-08-25","2022-08-25","2022-08-25","2022-08-25","2022-08-25","2022-08-25","2022-08-25","2022-08-25","2022-11-30"],"priorHcc":["","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","",""]}}]},{"t":"Covid Screening","q":[{"a":[]}]},{"t":"Self-Assessment and Social History","q":[{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":{"indx":["",""],"comment":["",""],"sub":[]}},{"a":{"indx":["",""],"comment":["",""],"sub":[]}},{"a":{"indx":["",""],"comment":["",""],"sub":[]}},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":{"indx":[false,false],"comment":["",""],"score":["",""]}},{"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":[["","55111015930","OMEPRAZOLE","CAP 40MG","30","Select","Select",""],["","42858080201","MORPHINE","TAB 30MG ER","60","Select","Select",""],["","65162083366","DICLOFENAC","GEL 0.01","400","Select","Select",""],["","00591565810","CYCLOBENZAPR","TAB 10MG","60","Select","Select",""],["","00054455025","METHOTREXATE","TAB 2.5MG","24","Select","Select",""],["","00591544310","PREDNISONE","TAB 20MG","21","Select","Select",""],["","68180012202","CEPHALEXIN","CAP 500MG","30","Select","Select",""],["","69097081507","GABAPENTIN","CAP 400MG","270","Select","Select",""],["","65862050320","AMOX\/K","TAB 875-125","14","Select","Select",""],["","68382005105","MELOXICAM","TAB 15MG","30","Select","Select",""],["","00591578201","ATENOL\/CHLOR","TAB 50-25MG","30","Select","Select",""],["","69547035302","NARCAN","SPR ","2","Select","Select",""],["","00093216568","NALOXONE","SPR 4MG","2","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":["",""]}},{"a":{"indx":["1",""],"comment":["",""],"sub":{"indx":[["","","",""],[""],[""],[""],[""],[""]],"comment":[["","","",""],[""],[""],[""],[""],[""]],"sub":[]}}},{"a":{"indx":["","1"],"comment":["",""]}},{"a":{"indx":["","1"],"comment":["",""]}},{"a":{"indx":["","1"],"comment":["",""]}},{"a":{"indx":["","1"],"comment":["",""]}},{"a":{"indx":["","1"],"comment":["",""]}},{"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":""}]}]}