{"version":"0.4","data":[{"t":"Demographics","q":[{"name":" YHTORODSEYAM I","gend":1,"add":"   DAOR LLEW SNAMOC 75281                         ","city":"YALE                     ","state":"VA","zip":"23897-9998","dob":"1938-03-10","age":"","mstatus":"","insh":"00117117","cliId":"","pno":"9640870351","cno":"","email":"","ename":"","eno":"","pphy":"SQUIRE, ROBERT HALL","ppno":4346346101,"pcpadd":"6 DOCTORS DR,","pcpcity":"Emporia","pcpstate":"VA","pcpzip":238471240,"pcpcounty":"","pcpid":"","pcpname":"EMPORIA MEDICAL ASSOCIATES","plan":"VPHP","program":"MEDICARE","lob":"DSNP","region":"CENTRAL","aligned":"Y","ano":"","add2":"                                                  ","add3":"","madd1":"18257 COMANS WELL ROAD                            ","madd2":"                                                  ","madd3":"","mcity":"YALE                     ","mstate":"VA","mzip":"23897-9998","pcpfaxno":"","pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["M20.41","M20.42","M79.674","M79.675","R39.81","F41.1","R21","R30.0","L74.4","L60.3","H34.8310","H40.1131","R32","M81.0","F41.9","N18.30","I10","I12.9","K21.9","H40.9","E78.5","E87.6","F32.9","N39.0","Z79.02","Z79.82","Z91.81","Z79.899","E55.9","D51.9","R44.9","L60.0","F03.90","E53.8","H91.93","R73.9","L02.11","L72.0","L08.9","Z23","F33.0","F33.9","H91.90","J30.2","H40.10X0","Z85.3","F33.1","F71","Z68.26","R06.02","R41.82","R50.9","R41.0","R53.1","W19.XXXA","R26.9","M25.561","M25.571","H61.23","M17.11","M79.672","R13.10","F17.200","F17.210","R73.03","Z00.00","R05.9","R19.7","Z20.828","D63.1","Z79.01","Z79.51"," "],"date":["2020-01-08","2020-01-08","2022-10-12","2022-10-12","2022-10-03","2022-01-25","2020-02-19","2020-02-28","2020-03-04","2020-10-28","2020-03-12","2020-03-12","2020-11-17","2022-08-01","2022-09-14","2022-09-14","2022-08-15","2022-09-14","2022-04-13","2021-04-19","2022-08-01","2021-04-19","2022-09-14","2021-04-19","2022-06-17","2022-09-14","2022-09-14","2022-07-26","2022-08-01","2022-04-13","2021-05-21","2021-07-28","2022-09-14","2019-08-23","2022-08-01","2019-08-23","2021-08-31","2021-09-16","2021-09-16","2022-10-19","2021-10-26","2020-10-27","2020-11-17","2020-11-17","2020-11-17","2020-11-17","2020-11-17","2020-11-17","2020-11-17","2020-12-27","2020-12-27","2020-12-30","2020-12-30","2020-12-27","2020-12-30","2022-07-08","2022-07-08","2022-07-08","2022-03-11","2022-03-29","2021-10-27","2022-06-17","2022-04-15","2022-06-17","2022-07-26","2022-08-01","2022-08-01","2022-08-01","2022-08-01","2022-09-14","2022-09-14","2022-09-14","2022-10-19"],"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":[["","00378003201","METOPROL","TAB 50MG","60","Select","Select",""],["","67877019710","AMLODIPINE","TAB 2.5MG","30","Select","Select",""],["","43547036209","LOSARTAN","TAB 100MG","30","Select","Select",""],["","16729000617","SIMVASTATIN","TAB 40MG","30","Select","Select",""],["","61442012110","FAMOTIDINE","TAB 20MG","30","Select","Select",""],["","65862001205","SERTRALINE","TAB 50MG","31","Select","Select",""],["","27241000350","RISPERIDONE","TAB 0.5MG","30","Select","Select",""],["","65862035705","CLOPIDOGREL","TAB 75MG","30","Select","Select",""],["","00591024010","LORAZEPAM","TAB 0.5MG","30","Select","Select",""],["","60505082901","FLUTICASONE","SPR 50MCG","16","Select","Select",""],["","50111078766","AZITHROMYCIN","TAB 250MG","6","Select","Select",""],["","00023921105","COMBIGAN","SOL 0.2\/0.5%","5","Select","Select",""],["","67877032001","IBUPROFEN","TAB 600MG","30","Select","Select",""],["","60505622500","BRIMO\/TIMOLO","SOL 0.2\/0.5%","5","Select","Select",""],["","00054001825","PREDNISONE","TAB 20MG","10","Select","Select",""],["","67877025180","TRIAMCINOLON","CRE 0.001","80","Select","Select",""],["","59267100001","PFIZER","INJ COVID-19","0.3","Select","Select",""],["","65862001905","CEPHALEXIN","CAP 500MG","20","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":""}]}]}