{"version":"0.4","data":[{"t":"Demographics","q":[{"name":" YNOHTNAENAL R  ","gend":0,"add":"NUS 8291RD ESIR ","city":"VIRGINIA BEACH","state":"VA","zip":"23455-9998","dob":"1962-01-10","age":"","mstatus":"","insh":"80300210*06","cliId":"","pno":"74\/7570688-0","cno":"","email":"","ename":"","eno":"","pphy":"ANDERSON, ROBIN N MD","ppno":"757\/318-6900","pcpadd":"2017 PLEASURE HOUSE ROAD","pcpcity":"VIRGINIA BEACH","pcpstate":"VA","pcpzip":23455,"pcpcounty":"","pcpid":"","pcpname":"SMG - Sentara Family Medicine Physicians - Thoroughgood","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":["M54.2","E78.5","J41.0","M79.5","G89.29","F31.32","H66.91","H72.91","F17.210","F41.9","H93.13","L30.9","Z20.828","B34.9","J06.9","R13.10","J30.1","Z72.0","J01.00","J01.90","R11.0","H60.91","J30.89","J45.20","R20.8","H66.001","J32.0","Z23.","R05.","H69.80","R03.0","L98.9","H92.03","H66.92","R09.82","R22.9","J20.9","K21.9","R13.12","Z00.01","I10.","R79.89","L23.7","L08.9","L25.9","Z87.891","H61.21","H69.93","L25.5","S61.432A","J01.91","J40."],"date":["2021-02-11","2019-07-16","2019-07-16","2019-07-16","2019-07-16","2020-12-28","2021-02-11","2021-02-11","2021-02-11","2021-03-09","2021-03-08","2021-04-15","2021-07-26","2021-07-26","2021-10-07","2021-03-10","2021-02-14","2021-04-04","2021-01-31","2021-07-16","2020-07-31","2021-04-04","2021-04-04","2021-04-04","2019-04-17","2019-12-14","2020-01-01","2020-11-03","2021-01-31","2020-03-17","2020-03-17","2020-06-04","2021-08-05","2021-10-03","2021-10-03","2019-02-04","2019-01-02","2019-01-08","2021-03-10","2019-12-02","2019-12-02","2019-12-02","2021-10-29","2021-11-09","2021-11-09","2020-11-03","2020-11-03","2021-04-09","2021-10-29","2019-05-08","2019-09-03","2019-09-03"],"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":[["","","LORAZEPAM"," LORAZEPAM ","28","Select","Select",""],["","","LEVOFLOXACIN"," LEVOFLOXACIN ","5","Select","Select",""],["","","CLONAZEPAM"," CLONAZEPAM ","28","Select","Select",""],["","","METHOCARBAM"," METHOCARBAM ","20","Select","Select",""],["","","ATROVENT"," ATROVENT ","13","Select","Select",""],["","","PROVENTIL"," PROVENTIL ","7","Select","Select",""],["","","VENTOLIN"," VENTOLIN ","18","Select","Select",""],["","","FLUTICASONE"," FLUTICASONE ","16","Select","Select",""],["","","AZITHROMYCIN"," AZITHROMYCIN ","6","Select","Select",""],["","","AMOX\/K"," AMOX\/K ","14","Select","Select",""],["","","PROAIR"," PROAIR ","8","Select","Select",""],["","","CEPHALEXIN"," CEPHALEXIN ","40","Select","Select",""],["","","SMZ\/TMP"," SMZ\/TMP ","20","Select","Select",""],["","","APAP\/CODEINE","TAB 300-30MG","","Select","Select",""],["","","OMEPRAZOLE","TAB 20MG","","Select","Select",""],["","","MOMETASONE","SPR 50MCG","","Select","Select",""],["","","DOXYCYCL","TAB 100MG","","Select","Select",""],["","","LIDOCAINE","SOL 2% VISC","","Select","Select",""],["","","METHYLPRED","TAB 4MG","","Select","Select",""],["","","ONDANSETRON","TAB 4MG ODT","","Select","Select",""],["","","ACETAMIN","TAB 500MG","","Select","Select",""],["","","DICLOFENAC","TAB 75MG DR","","Select","Select",""],["","","ETODOLAC","TAB 400MG","","Select","Select",""],["","","DOXYCYC","CAP 100MG","","Select","Select",""],["","","MUCINEX","TAB 600MG ER","","Select","Select",""],["","","MUCUS","TAB 600MG ER","","Select","Select",""],["","","ALLEGRA","TAB 180MG","","Select","Select",""],["","","PREDNISONE","TAB 50MG","","Select","Select",""],["","","FEXOFENADINE","TAB 180MG","","Select","Select",""],["","","FLONASE","SPR 50MCG","","Select","Select",""],["","","CEFUROXIME","TAB 250MG","","Select","Select",""],["","","ALBUTEROL","AER HFA","","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":""}]}]}