{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"H YRAMSIRRA","gend":1,"add":"KRAP 19NL YAW","city":"NORTH","state":"VA","zip":"23128-9998","dob":"1940-05-20","age":"","mstatus":"","insh":"10113233","cliId":"","pno":"8340879064","cno":"","email":"","ename":"","eno":"","pphy":"ASHWORTH, JOEL THOMAS","ppno":8044352651,"pcpadd":"9460 Amberdale Dr, Ste A","pcpcity":"North Chesterfield","pcpstate":"VA","pcpzip":232361259,"pcpcounty":"","pcpid":"","pcpname":"BON SECOURS KILMARNOCK PRIMARY CARE","plan":"VPHP","program":"MEDICARE","lob":"DSNP","region":"CENTRAL","aligned":"Y","ano":"","add2":"","add3":"","madd1":"91 PARKWAY LN","madd2":"","madd3":"","mcity":"NORTH","mstate":"VA","mzip":"23128-9998","pcpfaxno":"","pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["R69","S91.109D","S91.109A","K11.20","I13.0","N18.1","N18.4","I50.9","Z85.528","Z90.5","N39.41","M62.81","R15.9","J44.9","L30.4","B02.29","J32.8","I10","M26.622","J32.3","H57.12","N18.32","R35.0","M47.896","M54.5","K56.41","K59.00","N18.30","Z79.01","Z79.82","Z79.899","B01.9","B02.9","H93.90","Z79.891","S98.131A","S98.111A","M21.622","M79.672","R26.2","H90.3","H93.13","Z95.0","I49.5","S91.301D","M79.674","M79.89","A41.9","R60.9","J96.91","N17.9","J98.11","M86.8X8","E78.00","E78.5","I48.91","E66.9","Z68.30","K11.21","R10.9","R26.89","R53.1","Z91.81","M75.51","D48.5","D22.9","J34.89","J34.2","Z00.00","M75.101","I11.0","I50.22","J45.909","G25.81","I48.0","Z68.29","I44.7","Z98.890","I44.1","Z86.79","I12.9","F33.0","L29.9","M47.816","M48.061","M46.1","H61.002","G89.29","K59.03","R10.84","M25.511","M25.611","Z99.89","E11.9","Z01.810","A41.01","R07.81","E83.42","E87.6","Z47.89","Z89.411","M86.071","B95.62","I25.10","N18.3","I25.2","Z45.2","Z79.2","R26.9","R73.9","I11.9","E55.9","M24.111","Z20.822","J32.9","Z23","S91.105S","I50.42","Z87.81","N30.00","R30.0","Z71.3","J31.0","J96.01","M86.171","Z20.828","R51","M54.59","Z12.31","Z01.818","I51.7","W19.XXXA","N39.42","R06.00","M51.36","S91.109S","N18.9","R51.9","B37.2","G47.00","Z48.00","S91.104D","Z87.39","S40.851A","T81.507A","X58.XXXA","S91.101A","H35.033","Z96.1","G62.9","S92.342D","S92.352D"],"date":["2022-04-01","2021-03-25","2021-02-10","2021-07-29","2021-10-31","2021-04-19","2021-04-19","2021-10-31","2021-10-25","2021-10-25","2022-04-18","2022-04-18","2022-04-18","2022-04-18","2021-10-07","2021-07-29","2020-09-23","2022-03-01","2020-09-15","2021-01-19","2020-09-15","2021-11-09","2021-10-25","2022-03-08","2021-09-07","2021-10-31","2021-10-31","2021-10-31","2021-10-31","2021-10-31","2021-10-31","2021-11-02","2021-11-02","2021-11-02","2022-03-08","2020-12-11","2020-12-11","2020-12-11","2021-01-12","2020-12-11","2022-02-14","2022-02-14","2021-11-15","2021-09-13","2021-02-23","2021-02-23","2021-02-23","2021-03-09","2021-03-09","2021-03-04","2021-03-08","2021-03-04","2021-03-04","2021-04-19","2021-11-15","2021-11-15","2021-03-04","2021-03-04","2021-03-08","2021-04-19","2020-12-03","2021-04-15","2021-04-15","2021-08-03","2021-08-23","2021-08-23","2020-11-06","2021-01-19","2021-11-15","2022-03-14","2021-11-15","2021-11-15","2021-11-15","2021-11-15","2021-06-29","2021-06-29","2021-06-29","2021-02-19","2021-05-24","2021-06-29","2021-05-24","2021-04-12","2020-12-21","2020-08-24","2022-03-08","2022-04-04","2021-10-07","2021-09-07","2021-10-31","2021-10-31","2021-01-11","2020-11-05","2020-12-03","2021-02-19","2021-03-05","2021-03-16","2021-04-19","2021-08-05","2021-04-19","2020-05-11","2020-05-11","2021-04-15","2020-05-11","2020-05-11","2020-09-03","2021-04-15","2020-05-11","2020-05-11","2020-06-01","2021-08-05","2021-08-05","2021-08-05","2020-09-14","2021-09-22","2020-10-05","2020-10-05","2021-01-15","2021-06-29","2021-04-15","2020-08-21","2020-08-21","2020-10-13","2021-01-19","2021-03-09","2020-05-04","2020-08-13","2020-08-14","2021-12-07","2021-12-29","2021-03-04","2021-03-04","2021-04-19","2021-04-28","2021-06-29","2021-07-01","2021-02-10","2021-03-04","2021-03-25","2021-08-05","2021-08-05","2021-02-14","2021-02-14","2021-02-19","2020-05-04","2020-05-04","2020-05-04","2020-06-25","2021-07-13","2021-07-13","2020-11-19","2020-12-23","2020-12-23"],"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":[["","68382009405","CARVEDILOL","TAB 12.5MG","90","Select","Select",""],["","69238148901","BUMETANIDE","TAB 0.5MG","15","Select","Select",""],["","00832125030","RAMELTEON","TAB 8MG","30","Select","Select",""],["","67877025145","TRIAMCINOLON","CRE 0.001","454","Select","Select",""],["","65862019430","FLUOXETINE","CAP 40MG","90","Select","Select",""],["","65862059805","TAMSULOSIN","CAP 0.4MG","90","Select","Select",""],["","50458057830","XARELTO","TAB 15MG","30","Select","Select",""],["","00487950125","ALBUTEROL","NEB 0.00083","75","Select","Select",""],["","68462031465","NYSTAT\/TRIAM","CRE ","60","Select","Select",""],["","60505082901","FLUTICASONE","SPR 50MCG","16","Select","Select",""],["","00781808926","AZITHROMYCIN","TAB 250MG","6","Select","Select",""],["","65862053502","AMOX\/K","SUS 600\/5ML","200","Select","Select",""],["","51672402504","AMIODARONE","TAB 200MG","30","Select","Select",""],["","53746011005","HYDROCO\/APAP","TAB 10-325MG","90","Select","Select",""],["","00832046560","NYAMYC","POW 100000","60","Select","Select",""],["","58160082311","SHINGRIX","INJ 50\/0.5ML","1","Select","Select",""],["","57237000511","FLUCONAZOLE","TAB 150MG","4","Select","Select",""],["","65162074510","PROMETHAZINE","TAB 12.5MG","30","Select","Select",""],["","64380086107","POT  CHLORIDE","TAB 10MEQ ER","30","Select","Select",""],["","00168004046","BETAMETH","CRE 0.001","45","Select","Select",""],["","68462015713","ONDANSETRON","TAB 4MG ODT","20","Select","Select",""],["","59310057922","PROAIR","AER ","8.5","Select","Select",""],["","67877022305","GABAPENTIN","CAP 300MG","60","Select","Select",""],["","00527409537","BUT\/APAP\/CAF","CAP ","10","Select","Select",""],["","00093077198","PRAVASTATIN","TAB 10MG","90","Select","Select",""],["","00378064110","PREDNISONE","TAB 10MG","21","Select","Select",""],["","00378580793","VALSARTAN","TAB 40MG","90","Select","Select",""],["","50484001030","SANTYL","OIN 250\/GM","30","Select","Select",""],["","69547035302","NARCAN","SPR ","2","Select","Select",""],["","50111056003","TRAZODONE","TAB 50MG","180","Select","Select",""],["","33342002607","FAMCICLOVIR","TAB 500MG","21","Select","Select",""],["","59762330403","NITROGLYCERN","SUB 0.4MG","25","Select","Select",""],["","65862009620","CEFPODOXIME","TAB 200MG","10","Select","Select",""],["","00378210001","LOPERAMIDE","CAP 2MG","30","Select","Select",""],["","69315031228","PROCTO-MED","CRE HC 2.5%","28.00","Select","Select",""],["","65862001501","AMOXICILLIN","TAB 875MG","20","Select","Select",""],["","00093506110","HYDROXYZ","TAB 25MG","60","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":""}]}]}