{"version":"0.4","data":[{"t":"Demographics","q":[{"name":" L   YMASERALOS","gend":1,"add":"TTAC 6334NL MAHGNI","city":"VIRGINIA BEACH","state":"VA","zip":"23456-9998","dob":"1970-05-10","age":"","mstatus":"","insh":"1030610*03","cliId":"","pno":"56\/7578886-0","cno":"757\/431-1448","email":"","ename":"","eno":"","pphy":"JOHNSON, ANDREW P PA","ppno":"757\/275-9331","pcpadd":"2088 INDEPENDENCE BLVD STE 103","pcpcity":"VIRGINIA BEACH","pcpstate":"VA","pcpzip":23453,"pcpcounty":"","pcpid":"","pcpname":"BAYVIEW PHYSICIAN SERVICES PC","plan":"OHP","program":"ACA","lob":"Small Group","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":["B35.1","Z79.899","I83.892","I83.812","T14.8XXA","Z23.","Z09.","I87.2","I83.893","R31.9","I83.813","M79.89","I87.393","L57.0","S82.64XA","M79.662","D48.5","D22.5","L81.4","I83.891","Z11.52","Z01.419","Z12.12","M25.471","S82.64XD","M25.473","L53.9","Z12.31","R21.","M25.571","I83.12","I87.322","I83.811","I83.11","I87.321","R52.","N39.0","I82.409","M23.242","M23.212","L82.0","L81.8","Z98.82","Z48.812","L82.1","R60.0","I87.1","S83.242A","S76.111A","S83.242D","M62.50","M23.90","M25.569","L73.9","Z00.00","S83.212A","Z12.39","R07.89","S83.282A","Z12.11","M99.51","M99.71","M51.24","Z98.1","R53.1","M23.8X2","M65.9","L30.9","M54.2","G89.29","M50.21","M50.221","M50.222","M48.02","R22.9","B07.0","M79.18","M99.08","I77.1","M76.892"],"date":["2021-01-13","2021-01-13","2021-06-01","2021-06-01","2021-05-20","2021-05-20","2022-01-04","2022-01-04","2022-01-04","2021-03-09","2021-04-15","2021-04-15","2021-07-15","2021-07-21","2021-11-16","2021-05-27","2021-01-13","2021-01-13","2021-01-13","2022-01-11","2021-07-06","2021-10-26","2021-10-26","2021-11-16","2021-12-28","2021-05-14","2021-05-14","2021-07-27","2021-09-05","2021-11-16","2021-12-16","2021-12-16","2021-05-25","2021-12-21","2021-12-21","2021-03-09","2021-03-09","2021-05-14","2020-01-28","2020-01-28","2020-05-13","2020-05-13","2020-07-21","2019-09-04","2019-07-03","2019-10-29","2019-10-02","2020-01-22","2020-01-14","2020-01-14","2020-01-14","2020-01-14","2020-01-14","2019-03-05","2020-11-20","2020-01-22","2020-09-15","2020-11-13","2020-01-22","2020-12-24","2019-03-30","2019-03-30","2019-03-30","2019-03-30","2019-03-30","2020-01-22","2020-01-22","2020-03-21","2019-04-05","2019-03-20","2019-03-30","2019-03-30","2019-03-30","2019-03-30","2019-04-02","2019-04-02","2019-04-05","2019-04-05","2019-10-29","2020-01-09"],"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":[["","00187540008","JUBLIA","SOL 0.1","24","Select","Select",""],["","45802014167","CICLOPIROX","SOL 0.08","7","Select","Select",""],["","67877021901","CEPHALEXIN","CAP 500MG","40","Select","Select",""],["","65862007930","TERBINAFINE","TAB 250MG","90","Select","Select",""],["","68382004101","PROMETHAZINE","TAB 25MG","20","Select","Select",""],["","65162062710","TRAMADOL","TAB 50MG","15","Select","Select",""],["","16714069301","FLUCONAZOLE","TAB 200MG","-29","Select","Select",""],["","45802006435","TRIAMCINOLON","CRE 0.001","60","Select","Select",""],["","59746017306","PREDNISONE","TAB 10MG","14","Select","Select",""],["","50383066730","LIDO\/PRILOCN","CRE 2.5-2.5%","60","Select","Select",""],["","00143924920","AMOX\/K","TAB 875-125","14","Select","Select",""],["","65162027210","SMZ\/TMP","TAB 800-160","6","Select","Select",""],["","72647033104","METHYLPRED","TAB 4MG","21","Select","Select",""],["","00093101042","MUPIROCIN","OIN 0.02","22","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":[]}},{"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":""}]}]}