{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"ETTENNADLORAH ","gend":1,"add":"LAW 708TS MAHT","city":"NORFOLK                  ","state":"VA","zip":"23523-9998","dob":"1949-02-14","age":"","mstatus":"","insh":"10118367","cliId":"","pno":"4575714005","cno":"","email":"","ename":"","eno":"","pphy":"DUKES, JASON C","ppno":7574468920,"pcpadd":"825 FAIRFAX AVE STE 445,STE 3B","pcpcity":"Norfolk","pcpstate":"VA","pcpzip":235071914,"pcpcounty":"","pcpid":"","pcpname":"EVMS MEDICAL GROUP","plan":"VPHP","program":"MEDICARE","lob":"DSNP","region":"TIDEWATER","aligned":"Y","ano":"","add2":"                                                  ","add3":"","madd1":"807 WALTHAM ST","madd2":"                                                  ","madd3":"","mcity":"NORFOLK                  ","mstate":"VA","mzip":"23523-9998","pcpfaxno":"","pcpnpi":""},{"a":{"indx":["","1","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["D63.1","D64.9","N18.4","Z91.013","I87.312","L97.822","I73.9","I12.9","N18.30","Z79.82","Z79.899","Z87.891","Z80.9","Z82.49","Z84.1","Z83.49","S80.812A","H25.11","H05.20","H40.051","H40.1133","I10","E83.9","M89.9","N19","R80.9","N18.32","N28.1","I65.29","G47.33","Z86.718","N28.89","N18.31","N18.9","I11.9","H61.20","Z13.31","Z78.9","E78.5","M85.80","M85.89","Z13.9","B35.1","Z00.00","H25.813","H40.053","H26.9","E55.9","H25.12","D50.9","G61.89","I48.91","I73.89","J30.2","M48.02","I80.209","M79.652","M89.8X6","V87.7XXA","Z23","T14.8XXA","R63.0","M79.89","I70.202","V99.XXXA","M79.662","R60.9","E87.5","R63.6","M79.605","S81.802A","Y92.410","V87.9XXD","L97.229","I70.245","Z87.2","K21.9","Z96.1","E87.2","M25.519","K59.00","M48.00","Z01.818","M43.13","M50.221","M51.34","M48.04","M62.838","M19.90","Z12.31","M50.20","M50.30"],"date":["2022-08-04","2022-07-06","2022-11-01","2022-07-06","2022-02-10","2022-01-13","2022-03-01","2022-11-01","2022-02-10","2022-01-13","2022-01-13","2022-11-01","2022-01-13","2022-01-13","2022-01-13","2022-01-13","2022-02-10","2021-08-02","2021-03-02","2021-03-02","2021-03-02","2022-11-01","2022-08-04","2022-08-04","2021-03-19","2021-03-22","2021-03-22","2021-03-22","2021-03-17","2021-03-30","2022-02-03","2021-03-19","2021-03-17","2022-08-23","2022-08-29","2022-01-28","2021-06-21","2021-03-30","2021-04-28","2021-03-30","2021-04-28","2022-01-28","2021-05-13","2022-08-15","2021-06-24","2022-08-24","2021-08-30","2022-06-07","2021-08-30","2021-10-25","2021-10-25","2021-10-25","2021-10-25","2021-10-25","2022-09-25","2021-10-25","2021-11-09","2021-12-09","2021-11-16","2021-11-09","2022-01-28","2021-11-09","2021-12-19","2021-11-19","2021-12-19","2021-12-19","2021-11-19","2022-03-23","2022-08-04","2021-12-19","2021-12-19","2021-12-19","2021-12-19","2022-03-01","2022-01-20","2022-02-03","2022-02-03","2022-08-24","2022-08-04","2022-08-15","2022-11-01","2022-11-01","2022-09-19","2022-09-25","2022-09-25","2022-09-25","2022-09-25","2022-09-28","2022-11-01","2022-10-11","2022-09-25","2022-09-25"],"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":[["","68382009501","CARVEDILOL","TAB 25MG","60","Select","Select",""],["","50742062201","NIFEDIPINE","TAB 90MG ER","90","Select","Select",""],["","13107000130","MIRTAZAPINE","TAB 7.5MG","30","Select","Select",""],["","57664037708","TRAMADOL","TAB 50MG","15","Select","Select",""],["","50111039701","HYDRALAZINE","TAB 100MG","90","Select","Select",""],["","68180063509","ATORVASTATIN","TAB 10MG","90","Select","Select",""],["","31722070290","LOSARTAN","TAB 100MG","30","Select","Select",""],["","59746021106","CYCLOBENZAPR","TAB 5MG","60","Select","Select",""],["","65162083366","DICLOFENAC","GEL 0.01","100","Select","Select",""],["","00093310953","AMOXICILLIN","CAP 500MG","21","Select","Select",""],["","60758011905","PREDNISOLONE","SUS 1% OP","5","Select","Select",""],["","29300039705","AMLODIPINE","TAB 5MG","90.00","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":["",""],"sub":{"indx":[["","","",""],[""],[""],[""],[""],[""]],"comment":[["","","",""],[""],[""],[""],[""],[""]],"sub":[]}}},{"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":""}]}]}