{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"NATHANIEL M POPE","gend":0,"add":"1001   7TH STREET","city":"PORTSMOUTH","state":"VA","zip":23704,"dob":"1965-10-14","age":"","mstatus":"","insh":4770289,"cliId":"","pno":7576107005,"cno":"","email":"","ename":"","eno":"","pphy":"HUMADI, SAHIRA A","ppno":7576107005,"pcpadd":"1701 HIGH ST FL 1,","pcpcity":"PORTSMOUTH","pcpstate":"VA","pcpzip":23704,"pcpcounty":"","pcpid":"","pcpname":"EVMS MEDICAL GROUP","plan":"VPHP","program":"MEDICAID","lob":"MLTSS","region":"TIDEWATER","aligned":"","ano":"","add2":"","add3":"","madd1":"1001 7TH STREET","madd2":"apartment D","madd3":"","mcity":"PORTSMOUTH","mstate":"VA","mzip":"23704-6739","pcpfaxno":"(757) 446-5624","pcpnpi":""},{"a":{"indx":["","1","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["N18.6","N25.81","D50.9","Z99.2","D63.1","I82.622","I12.0","I63.9","I82.C12","M79.602","M79.89","Z20.822","Z79.82","Z86.73","Z79.899","T82.9XXA","I82.90","R60.0","Y83.2","R79.89","E11.22","K21.9","J44.9","E78.00","E66.9","G43.909","T88.9XXA","Z48.812","R60.9","T82.898A","E87.79","Y84.6","F17.210","I12.9","N18.30","M10.9","T82.42XA","B18.2","Z20.828","Z49.01","Z01.810","Z01.812","Y82.8","Z01.818","Z95.828","R94.31","T82.848A","Z53.8","T82.594A","R06.02","Z78.9","T82.590A","T82.598A","T82.858A","I87.1","E55.9","F11.20","I10","E78.5","M79.609","M79.642","R00.1","R55","I26.99","I13.2","N17.9","I50.9","I95.1","E83.39","E83.52","F11.90","R42","I26.93","I95.89","Z68.24","I95.9","X50.1XXA","R19.00","R63.4","R07.9","R57.9","I26.90","S82.891A"],"date":["2022-03-15","2022-03-12","2021-12-02","2022-03-15","2021-12-02","2021-04-05","2022-03-05","2021-04-05","2021-04-05","2022-03-05","2021-04-05","2021-08-03","2021-09-26","2021-08-21","2021-07-12","2021-07-11","2021-04-05","2021-04-05","2021-08-06","2021-04-05","2022-03-12","2022-03-05","2022-03-12","2022-03-12","2021-04-05","2022-03-05","2021-04-05","2021-04-05","2021-04-06","2021-08-03","2021-12-02","2021-07-11","2022-03-05","2021-07-11","2021-07-11","2022-03-05","2021-07-12","2022-03-12","2021-07-12","2021-09-08","2021-08-03","2021-08-03","2021-08-03","2021-08-03","2021-08-03","2021-08-03","2021-08-06","2021-08-06","2021-08-21","2021-09-26","2021-08-21","2021-08-21","2021-08-21","2021-09-24","2021-09-24","2021-09-26","2022-04-01","2022-03-01","2022-03-05","2022-03-05","2022-03-05","2022-03-15","2022-03-14","2022-03-13","2022-03-12","2022-03-12","2022-03-12","2022-03-12","2022-03-12","2022-03-12","2022-03-12","2022-03-12","2022-03-12","2022-03-13","2022-03-15","2022-03-12","2022-03-12","2022-03-12","2022-03-12","2022-03-12","2022-03-15","2022-03-15","2022-03-14"],"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":[["","16714081401","SEVELAMER","16714081401 SEVELAMER ","390","Select","Select",""],["","69097041002","CINACALCET","69097041002 CINACALCET ","30","Select","Select",""],["","65862050301","AMOX\/K","TAB 875-125","13.00","Select","Select",""],["","10702001850","OXYCODONE","10702001850 OXYCODONE ","15","Select","Select",""],["","00406012305","HYDROCO\/APAP","00406012305 HYDROCO\/APAP ","18","Select","Select",""],["","67877022310","GABAPENTIN","67877022310 GABAPENTIN ","90","Select","Select",""],["","68180051301","LISINOPRIL","TAB 5MG","30","Select","Select",""],["","00168035730","LIDO\/PRILOCN","00168035730 LIDO\/PRILOCN ","30","Select","Select",""],["","67877019990","AMLODIPINE","67877019990 AMLODIPINE ","90","Select","Select",""],["","31722052201","HYDRALAZINE","31722052201 HYDRALAZINE ","90","Select","Select",""],["","65862020390","LOSARTAN","65862020390 LOSARTAN ","30","Select","Select",""],["","42858010250","OXYCOD\/APAP","42858010250 OXYCOD\/APAP ","24","Select","Select",""],["","00003089321","ELIQUIS","00003089321 ELIQUIS ","60","Select","Select",""],["","70000042001","ASPIRIN","70000042001 ASPIRIN ","30","Select","Select",""],["","51991001406","MELATONIN","TAB 3MG","30","Select","Select",""],["","68462016501","CARVEDILOL","TAB 25MG","60","Select","Select",""],["","50111043301","TRAZODONE","TAB 50MG","30","Select","Select",""],["","69097094705","ATORVASTATIN","TAB 80MG","30","Select","Select",""],["","66993001968","ALBUTEROL","AER HFA","18","Select","Select",""],["","37205070868","CHILD","CHW 81MG","30","Select","Select",""],["","00536110688","NICOTINE","DIS 7MG\/24HR","28","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":{"indx":[["","","",""],[""],[""],[""],[""],[""]],"comment":[["","","",""],[""],[""],[""],[""],[""]],"sub":[]}}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["1",""],"comment":["",""],"sub":{"indx":[["","",""],[""],[""],[""],[""]],"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":""}]}]}