{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"   ICARTSNHOJ M","gend":1,"add":"L SETAG 0065DAOR GNIDNA","city":"VIRGINIA BEACH","state":"VA","zip":"23464-9998","dob":"1970-02-08","age":"","mstatus":"","insh":"71000210*13","cliId":"","pno":"26\/7573404-1","cno":"","email":"","ename":"","eno":"","pphy":"SAWYER, LINDA NP","ppno":"757\/466-8683","pcpadd":"5900 LAKE WRIGHT DRIVE","pcpcity":"NORFOLK","pcpstate":"VA","pcpzip":23502,"pcpcounty":"","pcpid":"","pcpname":"USO - Virginia Oncology Associates - Brock Cancer Center","plan":"OHP","program":"MEDICAID","lob":"OHCC","region":"TIDEWATER","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"","pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["H25.811","F34.1","F90.9","C79.51","C50.412","C50.212","M32.9","G62.0","M06.9","K21.9","D64.9","Z79.899","Z88.5","Z88.0","Z92.3","Z17.0","M89.9","C50.119","K76.89","D73.89","J90.","Z92.21","Z85.3","Z90.710","R07.89","NO DATA","R51.9","R50.9","Z20.828","B34.9","R05.","R07.0","Z51.11","Z01.810","H26.9","G45.9","F41.8","R91.8","R22.2","C50.919","G43.909","Z51.0","R06.09","R91.1","R53.83","Z13.29","Z13.0","Z13.21","Z90.13","Z42.1","J01.00","M54.9","H25.813","H04.123","M25.551","M25.561","M25.552","M25.562","G89.29","R93.89","J39.8","R59.0","R59.9","J98.09","S61.011A","T45.1X5A"],"date":["2020-01-14","2021-12-07","2021-12-07","2021-12-06","2021-11-05","2021-11-05","2021-11-05","2021-11-05","2021-11-05","2021-11-05","2021-11-05","2021-11-05","2021-11-05","2021-11-05","2021-11-05","2021-12-17","2021-11-05","2021-12-17","2021-11-01","2021-11-01","2021-11-01","2021-11-01","2021-11-01","2021-11-01","2020-04-15","2020-10-08","2020-10-08","2020-10-08","2020-10-08","2020-10-08","2020-10-08","2020-10-08","2021-12-17","2020-01-09","2020-01-09","2020-01-09","2020-01-09","2021-10-20","2021-04-05","2021-11-16","2021-11-16","2021-12-06","2019-03-26","2019-03-26","2019-03-26","2019-03-26","2019-03-26","2019-03-26","2019-01-21","2019-01-21","2019-02-15","2019-06-21","2019-12-02","2019-12-02","2019-12-06","2019-12-06","2019-12-06","2019-12-06","2019-12-06","2019-04-24","2019-04-24","2019-04-24","2019-04-02","2019-04-02","2019-09-29","2019-09-29"],"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":[["","65162046650","IBUPROFEN","TAB 800MG","20","Select","Select",""],["","11822300230","ACETAMIN","TAB 500MG","30","Select","Select",""],["","59651018030","LETROZOLE","TAB 2.5MG","90","Select","Select",""],["","68382080701","TRAZODONE","TAB 150MG","30","Select","Select",""],["","10702010101","METHYLPHENID","TAB 10MG","90","Select","Select",""],["","16729017001","ESCITALOPRAM","TAB 20MG","30","Select","Select",""],["","80777027398","MODERNA","INJ COVID-19","0","Select","Select",""],["","00093005401","BUSPIRONE","TAB 10MG","60","Select","Select",""],["","65862018830","ONDANSETRON","TAB 8MG","30","Select","Select",""],["","00406012301","HYDROCO\/APAP","TAB 5-325MG","20","Select","Select",""],["","00069068803","IBRANCE","TAB 125MG","21","Select","Select",""],["","65862019105","CYCLOBENZAPR","TAB 10MG","30","Select","Select",""],["","65162083366","DICLOFENAC","GEL 0.01","100","Select","Select",""],["","63481068447","VOLTAREN","GEL 0.01","100","Select","Select",""],["","43547040710","CLONAZEPAM","TAB 1MG","30","Select","Select",""],["","67877021620","CEFUROXIME","TAB 500MG","20","Select","Select",""],["","69452014320","BENZONATATE","CAP 100MG","30","Select","Select",""],["","17478010212","TROPICAMIDE","SOL 1% OP","15","Select","Select",""],["","54092060601","XIIDRA","DRO 0.05","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":["",""],"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":""}]}]}