{"version":"0.4","data":[{"t":"Demographics","q":[{"name":" ADERFLETTOCS  ","gend":1,"add":"L 149RD MY","city":"VIRGINIA BEACH","state":"VA","zip":"23464-9998","dob":"1936-06-09","age":"","mstatus":"","insh":"13000910*004","cliId":"","pno":"55\/7577817-0","cno":" ","email":"","ename":"","eno":"","pphy":"PATTERSON, JOHN ROBERT MD","ppno":"248\/824-6003","pcpadd":"236 CLEARFIELD AVE STE 215","pcpcity":"VIRGINIA BEACH","pcpstate":"VA","pcpzip":23464,"pcpcounty":"","pcpid":"","pcpname":"VPA PC","plan":"OHP","program":"MEDICARE","lob":"DSNP","region":"TIDEWATER","aligned":"Y","ano":" ","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"","pcpnpi":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["H26.491","B30.1","M79.674","L60.0","R05.","J06.9","M16.0","E55.9","Z00.00","E53.8","L29.8","M22.41","S83.281A","S83.241A","M79.89","M85.89","M15.9","Z79.899","M79.642","J01.90","M17.11","M25.861","G89.29","R79.89","R07.9","M47.26","M48.062","Z98.1","M54.5","M79.18","Z88.6","Z91.09","M79.662","Z01.818","M48.061","M47.816","G47.33","M43.06","Z47.89","M51.36","M47.812","M50.90","E53.9","Z79.891","Z91.81","M25.562","S83.92XA","M51.16","G89.28","M96.1","Z71.89","Z71.3","E66.09","Z68.30","S43.491A","R51.","M51.24","M48.02","Z12.4","N76.0","M43.16","M54.13","R03.0","E78.00","I49.3","E16.2","G56.02","G56.03","Z68.26","J30.9","Z86.010","H90.3","R73.9","I63.9","R29.898","E78.5","M85.30","M16.10","S79.919D","G81.94","M47.813","M47.815","M53.3","R10.31","Z86.73","I08.3","I37.1","R19.7","M54.17","R20.2","Z12.31","Z98.890","M25.511","G60.3","M54.16","M46.1","M62.81","R10.30","M75.111","M75.41","M75.51","M75.21","R60.9","M75.101","M47.16","M19.011","Z23.","S90.31XD","M79.671","Z96.1","H35.373","H35.363","H43.813","M51.26","M46.86","M51.86","H69.83","R09.81","J30.1","S83.411A","J30.89","M50.10","M43.13","M79.605","M79.675","Z11.59","R91.8","R53.1","M25.551","M47.12","G45.9","Z20.828","M25.561","M75.121","M67.813","M94.211","M24.111","M51.27","M24.611","M65.4","H26.493","H43.393","H35.361","M19.90","M18.9","Z91.048","R53.83","M25.512","R68.89","M50.33","M53.2X3","J01.00","R10.2","R47.81","E87.6","Z90.710","Z88.8","Z82.3","R44.9","R29.90","M16.12","M25.50","Z00.01","K52.9","D12.5","M89.8X9","I82.402","M75.112","I20.8","R26.9","M75.42","S46.012A","Z13.820","N95.0","R06.02","R26.89","I42.0","I65.21","M43.12","M50.13","M54.12","I73.9","E66.3","Z68.29","H00.11","M54.40","J98.11","R07.89","M48.03","I83.812","I63.039","I63.033","I51.7","I50.30","Z01.810","S90.01XA","M19.071","N95.2","N95.1","H10.13","R06.89","R00.2","E78.01","R94.31","R01.1","L72.3","R21.","S46.111A","M87.811","M65.811","S43.431A","H92.01","R11.0","E78.0","M48.06","S93.401A","M79.604","Z11.1","R94.6","M25.851","M54.31","H26.492","M15.0","M54.2","K58.0","R10.33","G50.0","R13.10","Z51.81","G47.61","R79.1","I82.403","M47.27","M51.37","K59.00","I69.30","I26.93","M43.15","D64.9","I26.99","J90.","D51.0","I10.","M47.15","Z90.49","Z56.0","Z88.5","Z87.19","I47.2","I27.20","I07.1","D64.89","J30.2","R00.0","M65.332","M65.322","M61.411","Z79.01","R51.9","F03.90","Z86.711","Z99.89","K14.8","H91.8X9","T16.2XXA","M17.12"],"date":["2015-11-12","2016-02-29","2016-11-07","2020-05-27","2020-08-06","2016-12-20","2020-10-19","2022-03-21","2020-07-27","2020-10-19","2017-07-06","2021-02-09","2018-09-01","2018-09-01","2022-08-10","2019-02-16","2019-02-16","2022-02-23","2019-05-28","2019-06-14","2019-06-22","2021-02-09","2022-08-02","2020-08-21","2022-03-25","2022-08-02","2022-08-23","2022-03-01","2019-08-17","2019-09-07","2022-07-23","2022-02-23","2022-09-27","2021-08-05","2022-09-27","2022-10-02","2022-07-23","2020-08-08","2021-10-18","2022-03-21","2020-10-19","2020-09-22","2019-12-20","2021-06-29","2020-09-22","2019-03-22","2017-12-28","2021-02-16","2021-09-24","2021-11-08","2022-06-15","2021-12-17","2018-06-06","2018-06-06","2018-07-16","2018-08-11","2020-11-09","2020-11-09","2019-06-22","2019-06-22","2022-10-02","2019-10-17","2022-06-27","2022-06-27","2022-06-27","2019-09-26","2019-10-17","2021-11-09","2019-10-22","2020-08-06","2020-11-16","2022-08-24","2020-07-27","2022-06-01","2020-10-19","2022-03-21","2020-08-31","2020-08-31","2020-08-31","2020-09-22","2020-09-22","2020-09-22","2021-12-07","2020-09-22","2022-03-21","2020-11-10","2020-11-10","2021-02-01","2021-11-05","2021-11-05","2022-04-18","2022-07-04","2022-05-23","2021-11-05","2021-12-17","2022-06-15","2021-09-04","2021-09-04","2021-12-05","2022-05-23","2022-05-23","2021-12-05","2022-04-03","2021-12-05","2022-07-20","2022-02-22","2021-08-25","2016-01-18","2016-06-20","2016-02-02","2016-05-09","2016-05-09","2016-05-09","2021-08-21","2018-05-12","2021-08-21","2019-10-16","2019-10-16","2022-08-24","2018-09-01","2018-10-18","2020-10-19","2019-05-04","2022-10-04","2020-05-27","2020-07-15","2020-08-06","2022-08-02","2020-08-09","2020-12-14","2022-03-28","2020-12-14","2021-02-09","2021-12-05","2021-12-05","2021-12-05","2021-12-05","2021-08-21","2021-10-29","2022-04-21","2015-10-22","2015-10-22","2015-10-22","2020-10-19","2016-06-20","2018-08-11","2019-02-07","2019-02-07","2019-02-07","2019-08-03","2019-08-03","2020-07-27","2020-08-06","2020-08-07","2022-03-24","2022-02-23","2022-07-23","2022-03-21","2020-08-10","2020-08-06","2020-08-08","2022-07-23","2021-11-04","2020-12-18","2020-12-18","2021-02-22","2021-06-05","2021-08-27","2022-06-27","2022-06-27","2015-10-12","2015-10-12","2018-12-14","2019-07-27","2022-07-05","2020-01-18","2020-11-10","2020-11-09","2020-11-09","2020-11-09","2020-11-09","2022-06-27","2022-06-15","2021-12-17","2016-06-30","2017-01-03","2019-07-05","2019-07-05","2019-08-03","2019-09-24","2020-11-09","2020-11-10","2020-11-10","2020-11-10","2021-10-05","2015-12-28","2015-12-28","2016-10-06","2016-10-06","2019-07-03","2022-03-25","2022-04-19","2019-09-26","2022-03-25","2019-09-26","2020-02-03","2020-02-03","2021-03-06","2021-03-06","2021-12-05","2021-12-05","2021-11-14","2021-11-14","2015-12-18","2017-07-06","2015-12-18","2022-08-10","2016-10-28","2017-07-06","2017-08-14","2017-08-14","2015-12-03","2019-05-28","2019-05-28","2019-11-04","2019-11-04","2020-10-19","2022-03-21","2021-06-29","2021-07-20","2021-11-13","2022-11-02","2022-02-23","2022-02-23","2022-04-03","2022-07-20","2022-03-24","2022-07-04","2022-03-25","2022-07-20","2022-05-14","2022-03-28","2022-07-05","2022-02-23","2022-02-23","2022-02-23","2022-07-23","2022-02-23","2022-03-21","2022-03-21","2022-03-21","2022-03-21","2022-03-21","2022-03-25","2022-04-21","2022-04-21","2022-05-23","2022-07-23","2022-07-23","2022-07-23","2022-07-23","2022-07-23","2022-07-23","2022-08-24","2022-08-24","2022-10-04"],"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":[["","00143924920","AMOXICILLIN\/CLAVULANATE POTASSIUM","TAB 875-125","14","Select","Select",""],["","49884093547","DICLOFENAC SODIUM","GEL 0.01","100","Select","Select",""],["","00406012301","HYDROCODONE\/ACETAMINOPHEN","TAB 5-325MG","60","Select","Select",""],["","49884046565","CHOLESTYRAMINE","POW 4GM","-60","Select","Select",""],["","51672130406","TERCONAZOLE","CRE 0.004","45","Select","Select",""],["","00536116134","MUCUS RELIEF DM","TAB 30-600ER","30","Select","Select",""],["","00054327099","FLUTICASONE PROPIONATE","SPR 50MCG","48","Select","Select",""],["","00527143501","METAXALONE","TAB 800MG","60","Select","Select",""],["","00603459315","METHYLPREDNISOLONE DOSE PACK","TAB 4MG","21","Select","Select",""],["","00832105410","BACLOFEN","TAB 10MG","30","Select","Select",""],["","42192033901","HYOSCYAMINE SULFATE","SUB 0.125MG","45","Select","Select",""],["","50111033401","METRONIDAZOLE","TAB 500MG","14","Select","Select",""],["","00254100752","ALBUTEROL SULFATE HFA","AER HFA","7","Select","Select",""],["","50428047857","CVS EYE ITCH RELIEF","DRO 0.025%OP","10","Select","Select",""],["","08373081311","ADULT MASK LARGE","MIS LARGE","1","Select","Select",""],["","00093321992","KETOCONAZOLE","CRE 0.02","60","Select","Select",""],["","00143928501","AMOXICILLIN","TAB 875MG","20","Select","Select",""],["","50111078710","AZITHROMYCIN","TAB 250MG","6","Select","Select",""],["","00172392670","DIAZEPAM","TAB 5MG","2","Select","Select",""],["","00456074613","AEROCHAMBER PLUS FLOW-VU\/LARGE MASK","MIS LRG MASK","1","Select","Select",""],["","69452015120","VITAMIN D","CAP 50000UNT","12","Select","Select",""],["","00591292754","LEVALBUTEROL TARTRATE HFA","AER 45\/ACT","15","Select","Select",""],["","59310057922","PROAIR HFA","AER ","8","Select","Select",""],["","00093224001","CEPHALEXIN","TAB 500MG","10","Select","Select",""],["","00093101042","MUPIROCIN","OIN 0.02","22","Select","Select",""],["","31722094201","HYDROCODONE BITARTRATE\/ACETAMINOPHEN","TAB 7.5-325","60","Select","Select",""],["","68645059090","CLOPIDOGREL","TAB 75MG","-30","Select","Select",""],["","42192033801","HYOSCYAMINE SULFATE ODT","TAB 0.125MG","45","Select","Select",""],["","55111018015","TIZANIDINE HYDROCHLORIDE","TAB 4MG","45","Select","Select",""],["","55111015330","ONDANSETRON HYDROCHLORIDE","TAB 4MG","10","Select","Select",""],["","00093505698","ATORVASTATIN CALCIUM","TAB 10MG","30","Select","Select",""],["","52817036000","METOPROLOL TARTRATE","TAB 25MG","30","Select","Select",""],["","49035023814","EQ STOOL SOFTENER","CAP SOFTENER","20","Select","Select",""],["","10702025301","BUTALBITAL\/ACETAMINOPHEN\/CAFFEINE","TAB ","12","Select","Select",""],["","72205000490","ROSUVASTATIN CALCIUM","TAB 20MG","30","Select","Select",""],["","45963043963","CONSTULOSE","SOL 10GM\/15","150","Select","Select",""],["","69547035302","NARCAN","SPR ","2","Select","Select",""],["","70010075401","METHOCARBAMOL","TAB 500MG","112","Select","Select",""],["","00003089421","ELIQUIS","TAB 5MG","180","Select","Select",""],["","00093216568","NALOXONE HYDROCHLORIDE","SPR ","2","Select","Select",""],["","16714071503","OMEPRAZOLE","CAP 20MG","10","Select","Select",""],["","16714020030","ONDANSETRON ODT","TAB 4MG ODT","10","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":""}]}]}