{"version":"0.4","data":[{"t":"Demographics","q":[{"name":" ATARONOHSELATSOC","gend":1,"add":"NEERG 8431NL RADEC ","city":"VIRGINIA BEACH","state":"VA","zip":"23453-9998","dob":"1949-10-13","age":"","mstatus":"","insh":"93000910*042","cliId":"","pno":"12\/7571007-7","cno":"","email":"","ename":"","eno":"","pphy":"HADEN, DAVID S MD","ppno":"757\/420-9573","pcpadd":"#101 5505 INDIAN RIVER RD","pcpcity":"VIRGINIA BEACH","pcpstate":"VA","pcpzip":23464,"pcpcounty":"","pcpid":"","pcpname":"David S Haden MD","plan":"OHP","program":"MEDICARE","lob":"MA-Non DSNP","region":"TIDEWATER","aligned":"","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":["E11.40","I69.051","J44.9","L97.511","E11.42","L60.3","L60.1","L60.0","M62.838","I69.359","M79.642","I87.2","E11.65","Z79.84","Z86.73","E11.621","Z79.4","L97.526","R94.39","I65.23","N19.","I10.","E11.9","E87.5","N18.30","N17.9","I12.9","N18.31","Z00.00","Z12.11","Z01.812","R94.31","M1A.9XX0","G81.91","E78.5","I25.10","R07.9","I63.9","I65.21","M86.10","S93.401A","I25.110","Z20.822","Z87.891","I96.","I70.293","I73.9","M19.072","Z98.890","Z89.412","I77.6","A49.8","A49.1","T81.40XA","Z16.21","N18.32","L08.9","T81.49XA","R21.","S71.101A","Z23.","R79.89","E11.59","I70.209","I70.213","Z98.62","R33.9","D22.39","L85.3","L82.0","L56.8","I69.90","I67.89","G90.09","I99.8","E07.89","I20.0","E78.2","I67.9","E11.22","I13.10","L97.521","I69.351","I69.398","M24.541","M10.9","J45.909","K59.09","R32.","M79.675","L97.524","I83.12","I87.322","S91.109A","Z01.810","E11.52","M86.372","D62.","E11.69","L97.514","I71.4","E78.00","M79.89","R19.09","E87.2","T81.41XA","S61.501A","R79.9","E07.9","Z12.31","Z12.2","N18.9","R53.1","Z74.3","R60.9","H40.023","H40.033","E11.3293","J45.20","K21.9","G31.84","G47.00","K59.00","M54.5","E04.2","M48.54XD","S91.302A","M86.172","Z01.818","Z09.","I83.892","I83.812","R79.1","I20.9","E11.51","R40.4","R41.0","R41.82","M79.673","M86.371","I97.618","T81.42XA","I25.5","M25.541","T50.905A","E11.29","H35.371","L98.9","H04.123","H43.813","Z96.1","I83.811","Z68.25","I83.891","M79.604","I13.0","I70.262","I74.5","I50.9","R19.7","K57.90","M06.9","I83.813","E78.9","F32.9","L97.529","M25.571","I71.3","M79.674","D84.9","E66.9","E87.8","L08.89","L89.329","Z89.422","D64.9","Z89.432","T81.89XA","I25.118","I83.893","I87.393","I87.392","R07.89","L97.519","M79.672","N18.6","Z44.9","R94.6","R55.","B99.9","J18.9","R41.89","N39.0","L97.509","B35.1","M54.12","I69.951","I50.42","I69.30","E55.9","W01.0XXA","I95.1","E11.622","S98.129A","T50.915A","E66.3","Z68.29","E11.43","K31.84","I70.235","I49.3","M19.90","M75.00","Z79.899","M79.605","Z00.01","Z86.16","Z74.1","R05.9"],"date":["2022-02-17","2021-09-11","2021-09-11","2022-05-02","2022-05-02","2020-10-26","2020-10-12","2020-10-12","2020-11-04","2020-11-04","2020-11-04","2021-06-01","2022-10-24","2021-05-04","2022-01-15","2022-02-17","2022-10-24","2021-05-04","2021-05-27","2021-08-17","2021-05-12","2022-05-02","2022-10-11","2021-05-27","2022-01-19","2022-01-19","2022-01-15","2022-10-24","2021-05-19","2022-05-28","2021-05-27","2021-06-02","2021-07-08","2022-06-10","2022-05-02","2022-02-03","2021-05-27","2021-11-08","2021-05-27","2021-06-17","2021-06-08","2021-07-08","2021-07-08","2022-01-19","2021-08-14","2021-06-22","2022-09-15","2021-06-27","2021-06-27","2021-06-27","2021-07-16","2021-07-16","2021-07-16","2021-07-16","2021-07-16","2022-05-02","2021-08-24","2021-08-14","2021-09-27","2021-09-27","2022-10-24","2021-11-16","2022-02-17","2021-07-04","2021-06-26","2021-06-28","2021-07-07","2021-10-12","2021-10-12","2021-10-12","2021-10-12","2021-08-22","2021-08-22","2020-12-30","2021-06-09","2021-09-27","2022-10-11","2022-01-31","2021-05-10","2022-10-11","2021-05-16","2021-12-23","2022-01-15","2021-08-17","2021-09-16","2021-10-11","2021-07-08","2021-05-16","2021-05-16","2021-05-27","2021-06-27","2021-06-01","2021-06-01","2022-01-13","2021-07-12","2021-07-21","2021-06-27","2021-07-21","2021-06-22","2021-07-02","2022-09-15","2022-01-15","2021-06-23","2021-07-04","2021-07-08","2021-08-17","2021-07-15","2022-01-17","2021-09-27","2021-12-02","2021-05-17","2021-06-09","2021-07-04","2021-07-04","2021-07-04","2020-12-23","2020-09-22","2020-10-22","2021-08-17","2020-10-22","2020-10-22","2020-10-22","2020-10-22","2020-10-22","2021-05-17","2021-05-17","2021-05-25","2021-06-18","2022-01-13","2022-01-31","2021-05-20","2021-05-20","2021-04-05","2021-05-19","2022-05-02","2021-06-28","2021-06-25","2021-06-25","2021-06-30","2021-07-02","2021-07-04","2021-07-09","2022-05-02","2021-08-17","2021-10-11","2022-02-17","2020-09-22","2020-09-22","2020-09-22","2020-06-23","2020-06-23","2020-12-08","2020-10-05","2020-12-08","2022-09-15","2022-10-24","2021-06-09","2021-06-09","2021-06-09","2021-06-09","2021-06-09","2021-06-09","2020-07-21","2020-09-22","2021-07-21","2021-06-01","2021-06-01","2021-06-16","2022-05-02","2021-07-08","2021-07-08","2021-07-08","2021-07-21","2021-07-21","2021-07-21","2022-06-23","2021-07-21","2021-09-09","2022-11-07","2021-04-20","2020-10-27","2021-04-20","2021-04-12","2022-01-15","2021-06-02","2021-07-13","2021-11-16","2022-06-10","2022-05-02","2022-01-15","2022-01-15","2022-01-18","2022-01-16","2022-02-17","2022-03-02","2022-05-26","2022-05-26","2022-10-24","2022-06-10","2022-06-10","2022-06-10","2022-01-19","2022-02-03","2022-04-12","2022-01-15","2022-01-15","2022-01-15","2022-01-15","2022-01-15","2022-02-10","2022-02-21","2022-04-04","2022-04-04","2022-06-10","2022-09-15","2022-06-10","2022-10-24","2022-10-24","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":[]},{"a":[]},{"a":[]},{"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":[["","00310653004","BYDUREON","INJ 2MG","4","Select","Select",""],["","57237010099","METOPROL","TAB 25MG","180","Select","Select",""],["","65862035790","CLOPIDOGREL","TAB 75MG","90","Select","Select",""],["","00002318280","TRULICITY","INJ 4.5\/0.5","2","Select","Select",""],["","68462020030","TELMISARTAN","TAB 40MG","-90","Select","Select",""],["","68180096301","ALBUTEROL","AER HFA","8","Select","Select",""],["","65702040810","ACCU-CHEK","TES AVIVA PL","300","Select","Select",""],["","62332000931","VENLAFAXINE","TAB 37.5MG","180","Select","Select",""],["","31722071390","PANTOPRAZOLE","TAB 40MG","90","Select","Select",""],["","16729013401","ALLOPURINOL","TAB 100MG","30","Select","Select",""],["","27808015701","ROSUVASTATIN","TAB 20MG","90","Select","Select",""],["","67877019805","AMLODIPINE","TAB 5MG","90","Select","Select",""],["","00023392102","BOTOX","INJ 200UNIT","1","Select","Select",""],["","50924097110","SOFTCLIX","MIS LANCETS","300","Select","Select",""],["","08290320119","BD  PEN NEEDL","MIS 31GX5MM","200","Select","Select",""],["","00002879959","HUMALOG","INJ 100\/ML","-15","Select","Select",""],["","00088221905","LANTUS","INJ 100\/ML","15","Select","Select",""],["","50228017701","GABAPENTIN","TAB 600MG","270","Select","Select",""],["","00832046560","NYAMYC","POW 100000","60","Select","Select",""],["","13668044201","CELECOXIB","CAP 200MG","90","Select","Select",""],["","00299595030","TRI-LUMA","CRE ","60","Select","Select",""],["","00173068220","VENTOLIN","AER ","18","Select","Select",""],["","67877025145","TRIAMCINOLON","CRE 0.001","454","Select","Select",""],["","65702028810","FASTCLIX","MIS LANCETS","306","Select","Select",""],["","00143937801","DAPTOMYCIN","INJ 500MG","10","Select","Select",""],["","08222074591","INSULIN","MIS 0.5\/31G","-100","Select","Select",""],["","65162083366","DICLOFENAC","GEL 0.01","300","Select","Select",""],["","11822316500","RA","CAP 100MG","60","Select","Select",""],["","67877024201","QUETIAPINE","TAB 25MG","30","Select","Select",""],["","13668010501","ISOSORB","TAB 60MG ER","90","Select","Select",""],["","65862059801","TAMSULOSIN","CAP 0.4MG","30","Select","Select",""],["","64380073706","VITAMIN","CAP 50000UNT","12","Select","Select",""],["","68462063945","NITROGLYCERN","SUB 0.4MG","25","Select","Select",""],["","00536104710","SODIUM","TAB 650MG","60","Select","Select",""],["","16714049401","AMOX\/K","TAB 500-125","14","Select","Select",""],["","65162027110","SMZ-TMP","TAB 400-80MG","28","Select","Select",""],["","31722099601","HYDROCO\/APAP","TAB 5-325MG","20","Select","Select",""],["","60505614704","CEFEPIME","INJ 2GM","-7","Select","Select",""],["","68382009501","CARVEDILOL","TAB 25MG","180","Select","Select",""],["","51672129801","KETOCONAZOLE","CRE 0.02","45","Select","Select",""],["","16571066401","METRONIDAZOL","TAB 500MG","30","Select","Select",""],["","31722015290","VALSARTAN","TAB 80MG","90","Select","Select",""],["","23155014201","DOXYCYCL","TAB 100MG DR","20","Select","Select",""],["","57664037708","TRAMADOL","TAB 50MG","60","Select","Select",""],["","80777027310","MODERNA","INJ COVID-19","0","Select","Select",""],["","42806071401","BENZONATATE","CAP 100MG","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":["",""],"sub":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":{"indx":[["","","",""],[""],[""],[""],[""],[""]],"comment":[["","","",""],[""],[""],[""],[""],[""]],"sub":[]}}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"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":""}]}]}