{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"H J RAGDERS NORRE","gend":0,"add":"       TEERTS LEON   3352                         ","city":"NORTH CHESTERFIEL        ","state":"VA","zip":"23237-4416","dob":"1949-04-18","age":"","mstatus":"","insh":"00118692","cliId":"","pno":"6840802749","cno":"","email":"","ename":"","eno":"","pphy":"LEE, JASON PEARCE","ppno":8047641253,"pcpadd":"8200 MEADOWBRIDGE RD SUITE 306,","pcpcity":"MECHANICSVILLE","pcpstate":"VA","pcpzip":231162337,"pcpcounty":"","pcpid":"","pcpname":"BON SECOURS MEMORIAL REGIONAL MEDICAL CENTER","plan":"VPHP","program":"MEDICARE","lob":"DSNP","region":"CENTRAL","aligned":"Y","ano":"","add2":"APARTMENT 101                                     ","add3":"","madd1":"2533   NOEL STREET                                ","madd2":"APARTMENT 101                                     ","madd3":"","mcity":"NORTH CHESTERFIEL        ","mstate":"VA","mzip":"23237-4416","pcpfaxno":"","pcpnpi":""},{"a":{"indx":["","1","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["K74.60","F32.9","J44.9","Z87.891","H90.3","F17.210","Z12.2","F17.219","I70.90","I10","Z72.0","I73.9","E78.5","Z68.31","B18.2","Z21","Z68.30","Z68.29","R07.89","M25.50","Z86.79","R05","J34.89","R06.02","K76.9","Z23","C61","F17.200","G47.00","Z00.00","J43.8","Z20.822","R41.3","B20","F33.9","R07.9","Z20.828","E66.9","K08.109","Z79.82","Z85.46","Z97.2","Z08","N52.9","J20.9","E78.00","B19.20","Z79.899","R16.0","K76.6","R07.2","R93.1","R91.1","Z13.31","H11.153","S40.011A","E83.52","R11.10","R97.0","R97.8","J43.9","J43.2","K74.69","J98.11","K76.89","M79.662","K92.1","I25.10","S61.212A","W27.8XXA","Y92.015","N40.0","Z86.19","Z82.49","Z83.79","X58.XXXA","Y92.89","Y93.89","K21.9","C22.0","K08.89","R39.81","J45.909","G35","R19.5","R13.10","J40","R93.8","R73.09","K21.0","K64.8","K62.5","J45.20","R13.14","R06.09","R53.83","I86.4","J98.09","R93.89","K76.0","E66.3","J30.1","J44.1","R05.3","R93.5","Z09","C79.51","M25.78","L02.01","R00.1","R55","I11.0","E78.2","Z53.21","I73.89"," ","Z68.26","E11.9","R05.9","I12.9","N18.9"],"date":["2022-11-14","2020-07-08","2022-11-21","2022-01-27","2019-10-07","2022-10-11","2021-01-25","2022-01-27","2021-01-25","2022-11-14","2021-04-05","2022-10-11","2022-10-27","2021-04-05","2022-10-11","2022-08-02","2019-12-05","2018-09-25","2020-06-01","2019-02-20","2019-02-20","2020-04-02","2019-02-20","2022-06-07","2021-06-04","2021-10-03","2022-09-07","2022-03-07","2018-03-06","2022-09-07","2021-03-09","2022-06-07","2021-08-30","2022-10-11","2022-03-07","2022-06-17","2021-10-10","2018-03-15","2018-03-15","2018-03-15","2022-08-11","2019-10-07","2021-06-18","2021-06-18","2020-04-02","2022-10-11","2022-06-17","2021-10-03","2021-12-03","2019-10-07","2021-06-11","2020-04-22","2022-03-07","2019-05-02","2021-11-10","2021-05-27","2021-05-27","2021-05-27","2021-06-28","2022-05-04","2022-10-11","2022-08-05","2019-10-07","2018-07-21","2018-09-04","2018-09-04","2018-11-06","2022-06-21","2021-10-03","2021-10-03","2021-10-03","2021-10-03","2022-07-15","2021-10-03","2021-10-03","2021-10-03","2021-10-03","2021-10-03","2019-10-07","2022-11-14","2019-10-07","2019-10-07","2019-10-07","2019-10-07","2018-10-08","2018-11-06","2021-10-10","2018-10-23","2019-10-29","2018-11-06","2018-11-06","2018-11-06","2022-10-11","2018-11-06","2018-11-12","2018-11-12","2018-11-15","2018-11-28","2018-11-28","2021-12-03","2022-11-21","2022-01-10","2022-01-10","2022-01-10","2022-05-04","2022-05-04","2022-06-01","2022-06-01","2022-06-07","2022-06-17","2022-06-17","2022-06-17","2022-06-21","2022-06-07","2022-06-21","2022-11-21","2022-11-14","2022-10-27","2022-10-11","2022-10-11","2022-10-11"],"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":[["","43598065530","BUPROPN","TAB 150MG XL","30","Select","Select",""],["","68645055354","LISINOPRIL","TAB 20MG","90","Select","Select",""],["","42806031250","DOXYCYCL","TAB 100MG","14","Select","Select",""],["","93342510","LORAZEPAM","TAB 0.5MG","6","Select","Select",""],["","00597010061","SPIRIVA","SPR 2.5MCG","4","Select","Select",""],["","59746017310","PREDNISONE","TAB 10MG","30","Select","Select",""],["","00093206506","CILOSTAZOL","TAB 50MG","60","Select","Select",""],["","72205002790","ROSUVASTATIN","TAB 5MG","90","Select","Select",""],["","00069046956","CHANTIX","TAB 1MG","180","Select","Select",""],["","49281012165","FLUZONE","INJ 2021-22","0.7","Select","Select",""],["","64380076921","PEG-3350\/KCL","SOL \/SODIUM","4,000.00","Select","Select",""],["","143924920","AMOX\/K","TAB 875-125","20","Select","Select",""],["","59310057922","PROAIR","AER ","8.5","Select","Select",""],["","67877021905","CEPHALEXIN","CAP 500MG","28","Select","Select",""],["","51672401801","ETODOLAC","TAB 400MG","20","Select","Select",""],["","59746012106","MECLIZINE","TAB 25MG","30","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":""}]}]}