{"version":"0.4","data":[{"t":"Demographics","q":[{"name":" YSIADLLIH L","gend":1,"add":"       YWH YENNIKCM 71122                         ","city":"STONY CREEK              ","state":"VA","zip":"23882-9998","dob":"1927-06-22","age":"","mstatus":"","insh":"00119263","cliId":"","pno":"5575720526","cno":4342465903,"email":"","ename":"","eno":"","pphy":"MATHERLEE, MICHAEL D","ppno":4342466100,"pcpadd":"12454 HARTLEY ST,  ","pcpcity":"Stony Creek","pcpstate":"VA","pcpzip":238823302,"pcpcounty":"","pcpid":"","pcpname":"STONY CREEK COMMUNITY HEALTH CENTER","plan":"VPHP","program":"MEDICARE","lob":"DSNP","region":"CENTRAL","aligned":"Y","ano":"","add2":"                                                  ","add3":"","madd1":"22117 MCKINNEY HWY                                ","madd2":"                                                  ","madd3":"","mcity":"STONY CREEK              ","mstate":"VA","mzip":"23882-9998","pcpfaxno":"","pcpnpi":""},{"a":{"indx":["","1","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["I10","I11.9","R07.2","E87.5","M17.0","H40.1131","H35.353","H35.3230","Z96.1","R39.81","L22","D64.9","K62.5","R60.0","M79.604","R53.81","R55","R42","Z23","H35.3221","B35.1","Z87.19","M54.2","E78.00","M19.90","M81.0","Z79.1","Z79.52","Z79.82","Z79.899","Z83.3","Z90.49","K21.9","S16.1XXA","M54.12","X50.0XXA","X50.1XXA","Y92.009","E53.8","H91.90","I25.10","R53.83","M79.89","G62.9","M79.10","R07.9","F17.210","Z68.26","C67.9","Z87.442","L98.8","Z87.440","F41.1","K64.9","B96.81","J44.9","R07.89","M54.9","E78.5","R30.0","H26.492","M79.661","L72.3","S13.9XXA","W19.XXXA","S12.101A","I65.23","F33.0","H61.21","J92.9","R53.1","Z91.81","R00.2","K92.1","I45.10","I44.0","I51.7","H35.3111","M94.0","H91.93","H61.23","K31.89","S12.100A","Z04.3","B35.3","H35.3131","G25.81","D81.819","H91.91","M50.322","M47.892","M13.80","R63.0","S12.100S","Z68.20"],"date":["2022-07-29","2022-06-14","2022-06-14","2022-06-14","2021-01-09","2022-05-04","2022-05-04","2021-10-04","2021-10-04","2022-07-25","2022-07-25","2022-04-18","2019-03-25","2020-07-20","2020-07-20","2019-09-23","2018-07-19","2018-07-19","2021-10-22","2021-06-18","2022-02-16","2019-04-22","2022-08-02","2022-07-11","2022-07-11","2022-07-11","2022-07-11","2022-07-11","2022-07-11","2022-07-11","2022-07-11","2022-07-11","2021-10-18","2019-11-04","2019-11-04","2019-11-04","2019-11-04","2019-11-04","2022-01-24","2019-11-23","2021-09-03","2022-02-22","2020-07-20","2022-04-18","2019-11-18","2021-01-18","2019-11-23","2019-11-23","2019-11-23","2019-11-23","2019-11-23","2019-11-23","2019-11-23","2019-11-23","2019-11-23","2019-11-23","2021-02-16","2018-05-22","2021-05-19","2022-02-22","2021-01-20","2020-06-30","2022-02-02","2022-05-13","2022-05-13","2022-05-13","2022-05-13","2021-10-18","2020-03-16","2019-08-26","2021-01-04","2021-01-09","2018-05-10","2019-04-22","2022-06-14","2022-06-14","2022-06-14","2021-07-30","2019-08-23","2022-01-24","2022-01-24","2019-04-22","2022-05-13","2022-05-13","2022-02-16","2021-01-20","2021-01-09","2021-01-09","2020-03-16","2019-11-04","2019-11-04","2018-11-15","2019-10-08","2022-08-02","2022-02-16"],"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":[["","16714066202","GABAPENTIN","CAP 300MG","60","Select","Select",""],["","16729001016","PRAVASTATIN","TAB 40MG","90","Select","Select",""],["","69097022416","ALENDRONATE","TAB 70MG","4","Select","Select",""],["","67877019710","AMLODIPINE","TAB 2.5MG","90","Select","Select",""],["","61314054701","LATANOPROST","SOL 0.00005","7.5","Select","Select",""],["","23155051901","ISOSORB","TAB 30MG ER","30","Select","Select",""],["","59762330403","NITROGLYCERN","SUB 0.4MG","25","Select","Select",""],["","65862013399","HYDROCHLOROT","TAB 25MG","90","Select","Select",""],["","65862056090","PANTOPRAZOLE","TAB 40MG","90","Select","Select",""],["","00378456105","POT  CHLORIDE","TAB 10MEQ ER","90","Select","Select",""],["","68382079101","ACYCLOVIR","TAB 400MG","90","Select","Select",""],["","69097052444","DICLOFENAC","GEL 0.01","100","Select","Select",""],["","00713031788","CICLOPIROX","SOL 0.08","6.6","Select","Select",""],["","67877031815","TRIAMCINOLON","CRE 0.005","15","Select","Select",""],["","59762444002","METHYLPRED","TAB 4MG","21","Select","Select",""],["","60505100302","KETOROLAC","SOL 0.005","10","Select","Select",""],["","68382005001","MELOXICAM","TAB 7.5MG","30","Select","Select",""],["","00591544210","PREDNISONE","TAB 10MG","15","Select","Select",""],["","55111068201","IBU","TAB 400MG","30","Select","Select",""],["","61314022705","TIMOLOL","SOL 0.5% OP","5","Select","Select",""],["","60758011915","PREDNISOLONE","SUS 1% OP","15","Select","Select",""],["","51672127506","CLOTRIMAZOLE","CRE 0.01","45","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":""}]}]}