{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"MARY ROBINSON","gend":1,"add":"7039 BROOKING WAY ","city":"MECHANICSVILLE ","state":"VA","zip":"23111-9998","dob":"1946-04-24","age":"","mstatus":"","insh":11003032,"cliId":"3K56AA6EF88","pno":8046174427,"cno":8046174427,"email":"","ename":"","eno":"","pphy":"LAWSON JR, HAROLD V  ","ppno":8042827857,"pcpadd":"7001 Forest Ave,Ste 2500","pcpcity":"Richmond ","pcpstate":"VA","pcpzip":232301726,"pcpcounty":"","pcpid":"P0060030","pcpname":"WEST END INTERNAL MEDICINE","plan":"VPHP","program":"MEDICARE","lob":"DSNP","region":"CENTRAL","aligned":"Y","ano":"","add2":"","add3":"","madd1":"3718 Westcliffe Ave  ","madd2":"","madd3":"","mcity":"Richmond ","mstate":"VA","mzip":"23222-1945","pcpfaxno":"","pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Current Conditions \/ Suspect Codes","q":[{"a":{"diag":["M51.36","M54.5","T84.84XA","I10","Z23","Z68.28","I50.9","R69","R39.81","R06.09","R05","K21.9","M32.9","Z79.899","H35.372","M06.9","H25.13","R62.7","R13.19","M25.361","T84.022A","E55.9","M85.89","Z68.30","R76.0","Z68.26","N18.2","F32.1","N39.41","M96.1","M48.061","M25.561","M48.56XD","F32.9","G44.89","Z12.31","N63.12","M54.16","R51","M81.0","J45.20","M13.80","F41.1","M54.2","G56.03","R92.8","K22.2","K44.9","R13.10","I11.0","J44.0","J18.9","F41.8","R13.14","J44.9","M48.00","Z87.891","G47.00","T84.84XD","F43.12","M25.552","M25.562","M25.569","M25.559","N39.0","N95.2","M54.32","S32.030D","K76.9","Z11.59","Z68.24","M84.362D","M84.462D","M17.12","M11.262","S83.422A","S32.030A","M41.85","S32.030K","K80.20","R93.2","G56.02","R63.1","S89.92XD","Z68.29","M48.56XA","G89.29","M80.08XS","M54.12","T78.40XA","Z96.651","R53.1","M48.062","M43.6","R07.89","S22.20XK","R91.8","Z79.82","R07.9","M62.838","G62.9","Z68.31","M48.02","M47.812","M47.22","N28.9","M50.30","M79.2","M50.321","R39.198","R53.81","T84.098A","Z96.659","S09.90XA","W19.XXXA","Y92.89","Y93.89","W01.0XXA","Y93.K1","S80.02XA","J45.909","Z71.9","R06.00","Z91.09","T84.89XA","Z12.11","Z13.1","Z13.220","M25.669","M62.81","D50.9","E53.9","F33.9","G31.84","G47.01","H02.403","H93.13","K08.409","L57.0","L93.2","M15.9","M40.209","M41.9","M47.819","M48.07","M54.31","R00.2","R03.0","R23.3","R32","R42","Z68.25","Z79.51","Z79.83","Z91.14","Z91.81","Z97.3","Z99.89","M23.91","H25.11","H25.12","R26.9","T84.022D","Z00.00","Z71.89","Z13.89","H35.379","D50.8","G89.4","Z68.32","S32.009A","S22.080D","M43.8X5","M85.88","Z98.1","S32.031D","Z88.6","M71.21","M89.9","Z78.0","Z13.820","N32.81","M76.31","M25.551","M54.42","M76.32","J98.4","M54.9","M25.842","S63.210A","S63.212A","M25.841","R20.2","Z87.39","J44.1","M79.89","M79.661","G47.33","M17.9","R79.82","T84.84XS","F41.9","K59.1","R10.84","R11.0","R19.7","R06.02","S82.142A","S83.242A","S83.282A","K52.9","R29.3","U07.1","E87.6","J12.82","J96.91","E66.3","Z90.710","Z90.722","R09.02","M54.17","M51.37","M25.78","M41.86","M43.27","R93.7","L02.413","R21","M79.601","L08.9","Z68.27","W57.XXXA","S50.861A","F51.01","B37.0","G56.01","K20.90","K22.4","M19.90","K21.00","M19.91","Z86.16","Z01.812","Z20.822","Z88.5","J45.40"],"date":["2021-04-08","2021-05-25","2018-11-12","2021-10-26","2020-10-23","2020-08-19","2021-10-11","2021-10-01","2021-05-06","2019-11-06","2020-06-19","2021-09-15","2021-10-26","2021-10-26","2021-10-07","2021-10-07","2021-10-07","2021-06-04","2021-11-23","2018-11-12","2018-11-12","2021-10-26","2020-10-23","2019-12-03","2021-07-23","2020-11-24","2019-02-04","2021-07-14","2020-04-14","2021-11-18","2021-09-15","2020-04-16","2019-11-21","2020-10-15","2021-05-25","2021-01-14","2018-11-28","2020-12-29","2020-05-08","2021-09-15","2021-07-14","2021-06-04","2021-11-24","2020-12-09","2021-09-15","2018-12-11","2021-06-11","2021-11-23","2021-06-11","2021-08-18","2021-01-27","2021-01-23","2021-09-15","2019-12-12","2021-09-15","2019-12-12","2021-09-15","2021-01-27","2019-06-14","2021-11-24","2020-09-18","2020-05-08","2019-03-15","2018-12-21","2021-08-12","2020-01-28","2020-01-14","2020-01-29","2020-02-27","2019-01-18","2019-02-05","2019-03-15","2019-01-25","2019-03-15","2019-01-25","2019-01-25","2020-02-21","2020-01-29","2020-01-30","2019-01-31","2019-01-31","2021-09-15","2019-02-07","2019-02-07","2021-10-26","2021-04-08","2021-06-11","2021-10-26","2020-11-17","2020-02-21","2021-01-27","2021-11-28","2020-03-04","2019-03-20","2019-03-20","2019-03-20","2021-04-29","2021-09-15","2021-01-27","2019-03-26","2020-10-23","2019-05-07","2020-06-17","2020-04-03","2020-04-03","2019-04-05","2020-06-24","2020-06-17","2020-04-29","2019-05-07","2021-05-25","2019-05-07","2019-05-07","2020-05-08","2020-05-08","2020-05-08","2020-05-08","2020-05-08","2020-05-08","2020-05-08","2021-06-17","2020-06-19","2020-05-15","2020-05-15","2018-05-24","2020-09-15","2018-05-24","2018-05-24","2018-05-31","2018-05-31","2018-06-01","2018-06-01","2021-10-28","2018-06-01","2018-06-01","2018-06-01","2018-06-01","2018-06-01","2018-06-01","2018-06-01","2018-06-01","2018-06-01","2021-04-08","2018-06-01","2018-10-25","2020-10-06","2018-06-01","2018-06-01","2018-06-01","2018-06-01","2018-06-01","2021-03-15","2021-09-15","2018-06-01","2018-06-01","2020-08-27","2018-06-01","2018-06-01","2018-06-05","2018-06-06","2018-06-06","2020-06-10","2019-06-14","2021-05-25","2018-06-21","2018-06-21","2018-06-21","2018-06-21","2021-11-18","2019-09-03","2019-08-13","2019-08-13","2019-08-13","2019-09-13","2021-01-27","2019-08-13","2020-08-14","2018-08-20","2018-08-21","2020-08-27","2020-08-27","2021-08-12","2020-10-02","2020-10-06","2020-10-02","2020-10-02","2019-09-13","2021-08-12","2018-10-02","2018-10-02","2018-10-02","2018-10-02","2018-10-02","2018-10-02","2018-10-04","2020-10-23","2020-10-06","2019-10-07","2020-10-15","2018-10-24","2018-10-24","2019-10-24","2020-01-02","2020-01-02","2020-01-02","2020-01-02","2021-04-29","2019-01-08","2019-01-08","2019-01-08","2021-01-27","2021-01-21","2021-10-19","2021-01-27","2021-04-29","2021-01-27","2021-01-27","2021-01-27","2021-01-27","2021-04-29","2021-11-18","2021-03-16","2021-04-08","2021-04-08","2021-04-08","2021-04-08","2021-05-03","2021-05-03","2021-05-03","2021-05-25","2021-07-14","2021-05-25","2021-05-25","2021-07-14","2021-07-23","2021-08-18","2021-06-11","2021-06-11","2021-06-11","2021-06-11","2021-06-11","2021-06-11","2021-09-10","2021-09-10","2021-09-15","2021-10-30"],"priorHcc":["","","",null,"","","",null,"","","","",null,null,"","","","",null,"","",null,"","","","","","","",null,"","","","","","","","","","","","",null,"","","","",null,"","","","","","","","","","","",null,"","","","","","","","","","","","","","","","","","","","","","","","",null,"","",null,"","","",null,"","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","",null,"","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","",null,"","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","",null,"","","","","","","","","","","","","","","","","","","","","","","","",null]}},{"a":[]}]},{"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":{"indx":["","",""],"comment":["","",""],"sub":[]}},{"a":{"indx":["","",""],"comment":["","",""],"sub":[]}}]},{"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":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Allergies \/ Medications","q":[{"a":[]},{"a":{"comment":"","sub":[["","59310057922","PROAIR HFA","AER ","","Select","Select",""],["","51672400305","NORTRIPTYLIN","CAP 50MG","","Select","Select",""],["","65862056090","PANTOPRAZOLE","TAB 40MG","","Select","Select",""],["","16714033002","GABAPENTIN","TAB 600MG","","Select","Select",""],["","43547041911","LISINOPRIL","TAB 40MG","","Select","Select",""],["","597010061","SPIRIVA","SPR 2.5MCG","","Select","Select",""],["","378037301","HYDROXYCHLOR","TAB 200MG","","Select","Select",""],["","69097031987","BUDESONIDE","SUS 0.5MG\/2","","Select","Select",""],["","65862057490","MONTELUKAST","TAB 10MG","","Select","Select",""],["","62037099901","POT CL MICRO","TAB 20MEQ ER","","Select","Select",""],["","65162025425","RANITIDINE","TAB 300MG","","Select","Select",""],["","68382080510","TRAZODONE","TAB 50MG","","Select","Select",""],["","16714063301","ALENDRONATE","TAB 70MG","","Select","Select",""],["","143980305","DOXYCYCL HYC","CAP 100MG","","Select","Select",""],["","61703035038","METHOTREXATE","INJ 25MG\/ML","","Select","Select",""],["","487980130","IPRATROPIUM","SOL 0.02%INH","","Select","Select",""],["","68462019005","NAPROXEN","TAB 500MG","","Select","Select",""],["","13668001005","CITALOPRAM","TAB 20MG","","Select","Select",""],["","378563159","SUMATRIPTAN","TAB 50MG","","Select","Select",""],["","60432053716","NYSTATIN","SUS 100000","","Select","Select",""],["","31722070210","LOSARTAN POT","TAB 100MG","","Select","Select",""],["","59385002460","BELBUCA","MIS 450MCG","","Select","Select",""],["","8222093196","INSULIN SYRG","MIS 1ML\/30G","","Select","Select",""],["","65862075705","OLOPATADINE","DRO 0.001","","Select","Select",""],["","29033000305","SUCRALFATE","TAB 1GM","","Select","Select",""],["","173069700","ADVAIR DISKU","AER 500\/50","","Select","Select",""],["","65862042005","SMZ\/TMP DS","TAB 800-160","","Select","Select",""],["","54418425","DEXAMETHASON","TAB 4MG","","Select","Select",""],["","93365740","BUPRENORPHIN","DIS 10MCG\/HR","","Select","Select",""],["","13811071910","NITROFURANTN","CAP 100MG","","Select","Select",""],["","61314030802","AZELASTINE","DRO 0.0005","","Select","Select",""],["","54001725","PREDNISONE","TAB 10MG","","Select","Select",""],["","61314027105","OLOPATADINE H","CL 0.1% OPTH","","Select","Select",""],["","65862001905","CEPHALEXIN","CAP 500MG","","Select","Select",""],["","68382031910","TRAMADOL HCL","TAB 50MG","","Select","Select",""],["","16714029903","AMOXICILLIN","CAP 500MG","","Select","Select",""],["","49281040565","FLUZONE HD","INJ PF 19-20","","Select","Select",""],["","58160082311","SHINGRIX","INJ 50MCG","","Select","Select",""],["","406055201","OXYCODONE","TAB 5MG","","Select","Select",""],["","115164501","NITROFUR MAC","CAP 100MG","","Select","Select",""],["","52817033200","CYCLOBENZAPR","TAB 10MG","","Select","Select",""],["","55111029236","SUMATRIPTAN ","TAB 50MG","9","Select","Select",""],["","16714011001","HYDROXYCHLOR ","TAB 200MG","60","Select","Select",""],["","93081201","NORTRIPTYLIN ","CAP 50MG","30","Select","Select",""],["","93221005","SUCRALFATE ","TAB 1GM","120","Select","Select",""],["","65162025425","RANITIDINE ","TAB 300MG","60","Select","Select",""],["","8222093196","INSULIN ","MIS 1ML\/30G","12","Select","Select",""],["","16714033002","GABAPENTIN ","TAB 600MG","120","Select","Select",""],["","16714063301","ALENDRONATE ","TAB 70MG","4","Select","Select",""],["","68382080510","TRAZODONE ","TAB 50MG","30","Select","Select",""],["","43547041911","LISINOPRIL ","TAB 40MG","30","Select","Select",""],["","47335023583","METHOTREXATE ","TAB 2.5MG","24","Select","Select",""],["","59310057922","PROAIR ","AER ","8.5","Select","Select",""],["","173069700","ADVAIR ","AER 500\/50","60","Select","Select",""],["","65862056090","PANTOPRAZOLE ","TAB 40MG","60","Select","Select",""],["","487980130","IPRATROPIUM ","SOL 0.02%INH","75","Select","Select",""],["","13668001005","CITALOPRAM ","TAB 20MG","60","Select","Select",""],["","65862057490","MONTELUKAST ","TAB 10MG","30","Select","Select",""],["","69097031987","BUDESONIDE ","SUS 0.5MG\/2","120","Select","Select",""],["","31722070210","LOSARTAN ","TAB 100MG","30","Select","Select",""],["","597010061","SPIRIVA ","SPR 2.5MCG","4","Select","Select",""],["","65862075705","OLOPATADINE ","DRO 0.001","5","Select","Select",""],["","59385002460","BELBUCA ","MIS 450MCG","60","Select","Select",""],["","68462019005","NAPROXEN ","TAB 500MG","60","Select","Select",""],["","185012201","NITROFURANTN ","CAP 100MG","14","Select","Select",""],["","93365740","BUPRENORPHIN ","DIS 10MCG\/HR","4","Select","Select",""],["","16714029903","AMOXICILLIN ","CAP 500MG","14","Select","Select",""],["","60432053716","NYSTATIN ","SUS 100000","280","Select","Select",""],["","62037099901","POT  CL MICRO","TAB 20MEQ ER","7","Select","Select",""],["","143980305","DOXYCYCL ","CAP 100MG","20","Select","Select",""],["","68382031910","TRAMADOL ","TAB 50MG","30","Select","Select",""],["","406055201","OXYCODONE ","TAB 5MG","5","Select","Select",""],["","65862018601","CLINDAMYCIN ","CAP 300MG","21","Select","Select",""],["","54418425","DEXAMETHASON ","TAB 4MG","5","Select","Select",""],["","65862042005","SMZ\/TMP ","TAB 800-160","10","Select","Select",""],["","49281040565","FLUZONE ","INJ PF 19-20","0.5","Select","Select",""],["","58160082311","SHINGRIX ","INJ 50MCG","1","Select","Select",""],["","115164501","NITROFUR ","CAP 100MG","2","Select","Select",""],["","54001725","PREDNISONE ","TAB 10MG","18","Select","Select",""],["","61314030802","AZELASTINE ","DRO 0.0005","6","Select","Select",""],["","65862001905","CEPHALEXIN ","CAP 500MG","21","Select","Select",""],["","52817033200","CYCLOBENZAPR ","10MG","30","Select","Select",""],["","61442012210","FAMOTIDINE ","40MG","30","Select","Select",""],["","63402091130","BROVANA ","15MCG","120","Select","Select",""],["","00093220401","METOCLOPRAM ","5MG","90","Select","Select",""],["","08222093196","INSULIN","1ML\/30G","12","Select","Select",""],["","59310057922","PROAIR","","8.5","Select","Select",""],["","00173069700","ADVAIR","500\/50","60","Select","Select",""],["","31722070210","LOSARTAN","100MG","30","Select","Select",""],["","00143980305","DOXYCYCL","100MG","20","Select","Select",""],["","68382031910","TRAMADOL","50MG","30","Select","Select",""],["","00093220401","METOCLOPRAM","5MG","90","Select","Select",""],["","65862018601","CLINDAMYCIN","300MG","21","Select","Select",""],["","65862042005","SMZ\/TMP","800-160","10","Select","Select",""],["","49281040565","FLUZONE","PF 19-20","0.5","Select","Select",""],["","61442012210","FAMOTIDINE","40MG","30","Select","Select",""],["","63402091164","BROVANA","15MCG","120","Select","Select",""],["","00115164501","NITROFUR","100MG","2","Select","Select",""],["","67405060301","FLUCONAZOLE","150MG","3","Select","Select",""],["","00406012305","HYDROCO\/APAP","5-325MG","15","Select","Select",""],["","13107003134","MIRTAZAPINE","15MG","30","Select","Select",""],["","69097016887","ARFORMOTEROL","15\/2ML","120","Select","Select",""],["","00406012305","HYDROCO\/APAP ","TAB 5-325MG","12","Select","Select",""],["","13107003134","MIRTAZAPINE ","TAB 15MG","30","Select","Select",""],["","69097016887","ARFORMOTEROL ","NEB 15\/2ML","120","Select","Select",""],["","67405060301","FLUCONAZOLE ","TAB 150MG","3","Select","Select",""]]}},{"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":[]}]},{"t":"Pain","q":[{"a":[]}]},{"t":"Vital Signs","q":[{"a":[]},{"a":[]}]},{"t":"Exam Review","q":[{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Screenings Needed","q":[[["No","Select","","","","","Select","",""],["No","Select","","","","","Select","",""],["Yes","Select","","","","","Select","",""],["Yes","Select","","","","","Select","",""],["No","Select","","","","","Select","",""],["No","Select","","","","","Select","",""],["N\/A","Select","","","","","Select","",""]]]},{"t":"Mini-Cog","q":[{"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":""}]}]}