{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"AINODELECAERROC C ","gend":1,"add":"       TS DOOWHCNARB 3181                         ","city":"NORFOLK                  ","state":"VA","zip":"23518-9998","dob":"1937-10-13","age":"","mstatus":"","insh":"00111994","cliId":"","pno":"9675737398","cno":"","email":"","ename":"","eno":"","pphy":"PARAGAS, FLORENCE","ppno":7574245778,"pcpadd":"1200 SOUTH MILITARY HIGHWAY,STE 108","pcpcity":"CHESAPEAKE","pcpstate":"VA","pcpzip":233202251,"pcpcounty":"","pcpid":"","pcpname":"PRIMARY CARE PHYSICIANS FOR HAMPTON ROADS","plan":"VPHP","program":"MEDICARE","lob":"DSNP","region":"TIDEWATER","aligned":"Y","ano":"","add2":"                                                  ","add3":"","madd1":"1813 BRANCHWOOD ST                                ","madd2":"                                                  ","madd3":"","mcity":"NORFOLK                  ","mstate":"VA","mzip":"23518-9998","pcpfaxno":"","pcpnpi":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["D64.89","D51.9","C18.7","C18.9","J32.0","J32.2","J32.1","J33.8","I10","J44.9","D50.9","K21.9","E78.00","Z91.048","Z85.118","Z85.038","Z87.891","Z79.899","Z01.810","C18.2","I51.7","D64.9","N95.1","Z00.00","R79.89","K59.00","R73.01","C34.90","Z23","E78.5","J12.81","R91.8","N28.1","R22.2","J92.9","J98.6","Z90.2","Z98.890","J98.4","C34.91","M19.90","E55.9","Z90.49","E11.9","E03.9","M81.0","Z12.31","Z78.0","K76.0","M47.816","K44.9","K22.8","K64.8","Z98.0","R51.9","K76.89","R51","J01.00","S00.532A","R52","X58.XXXA","Z88.9","K76.9","J32.9","J33.9","M85.88","Z98.818","Z08","I70.0","M51.36","R50.9","Z12.11","R05","R20.2","R09.89","Z86.16","U07.1","J12.82","R60.1"," "],"date":["2022-07-13","2021-06-14","2022-07-20","2022-02-02","2019-01-25","2019-01-25","2019-01-25","2019-01-23","2022-11-16","2022-11-04","2019-07-02","2022-11-16","2020-12-07","2019-01-23","2022-07-27","2022-07-27","2022-08-05","2022-07-27","2019-01-23","2019-01-23","2021-12-15","2022-08-10","2021-01-27","2022-02-02","2019-01-29","2021-06-16","2019-01-29","2022-02-02","2022-02-02","2022-11-16","2022-08-05","2022-02-04","2019-09-18","2020-06-12","2021-03-12","2021-03-12","2021-03-12","2021-03-12","2021-12-15","2020-12-29","2022-08-10","2021-11-03","2021-12-15","2022-04-04","2021-04-23","2022-11-16","2019-05-14","2021-08-09","2021-12-15","2020-06-17","2022-02-26","2020-06-17","2022-07-27","2022-07-27","2021-07-28","2019-09-18","2018-11-14","2018-11-15","2018-11-14","2018-11-14","2018-11-14","2018-11-14","2018-11-15","2018-12-14","2018-12-14","2018-12-14","2018-12-14","2021-12-15","2021-12-15","2021-12-15","2020-12-29","2022-07-27","2020-12-29","2020-12-29","2022-02-26","2022-02-26","2022-02-26","2022-02-26","2022-08-05","2022-11-16"],"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":[["","59267102504","PFIZER","INJ ADLT RTU","0.30","Select","Select",""],["","00173086910","ANORO","AER 62.5-25","60","Select","Select",""],["","68180072003","AMLODIPINE","TAB 5MG","90","Select","Select",""],["","00597015561","STIOLTO","AER 2.5-2.5","12","Select","Select",""],["","68382056401","METOPROL","TAB 25MG ER","30","Select","Select",""],["","68180046803","LOVASTATIN","TAB 20MG","90","Select","Select",""],["","62175011843","OMEPRAZOLE","CAP 20MG","90","Select","Select",""],["","65862020299","LOSARTAN","TAB 50MG","90","Select","Select",""],["","70461001903","FLUAD","INJ 2019-20","0.5","Select","Select",""],["","00116200116","CHLORHEX","SOL 0.0012","473","Select","Select",""],["","49281012065","FLUZONE","INJ PF 20-21","0.7","Select","Select",""],["","65862001705","AMOXICILLIN","CAP 500MG","21","Select","Select",""],["","55513071001","PROLIA","SOL 60MG\/ML","1","Select","Select",""],["","00781808926","AZITHROMYCIN","TAB 250MG","6","Select","Select",""],["","65862050320","AMOX\/K","TAB 875-125","20","Select","Select",""],["","00406051205","OXYCOD\/APAP","TAB 5-325MG","30","Select","Select",""],["","65862032904","ALENDRONATE","TAB 70MG","12","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":["",""]}},{"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":""}]}]}