{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"LINDA   M LYNCH","gend":1,"add":"120 N LUNENBURG AVE APT 236","city":"SOUTH HILL","state":"VA","zip":"23970-9998","dob":"1944-11-15","age":"","mstatus":"","insh":"900034787*01","cliId":"","pno":"434\/584-9495","cno":"434\/262-5758","email":"","ename":"","eno":"","pphy":"MCDONALD, KELLY MD","ppno":"434\/584-2273","pcpadd":"1755 N MECKLENBURG AVE","pcpcity":"SOUTH HILL","pcpstate":"VA","pcpzip":23970,"pcpcounty":"","pcpid":"","pcpname":"CMH PHYSICIAN SERVICES LLC","plan":"OHP","program":"MEDICARE","lob":"DSNP","region":"CENTRAL","aligned":"Y","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"434\/584-5509","pcpnpi":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["Z12.31","Z12.39","Z78.0","Z13.820","I10.","R73.01","E78.2","R74.8","R59.0","I12.9","N18.3","E78.5","J44.9","M54.9","M35.00","E03.9","Z79.899","Z99.81","Z87.891","E66.9","H35.3211","H35.3121","H35.363","H43.813","Z96.1","G47.33","K21.9","S09.90XA","M51.37","M47.816","M43.17","S29.9XXA","M85.80","G89.29","R05.8","N17.9","K76.0","E55.9","R82.90","N18.31","M85.851","H04.123","J30.89","L71.9","Z79.84","K82.0","G47.10","R06.83","M81.0","Z00.00","R40.0","R73.02","Z23.","G47.34","R09.02","R22.1","R22.2","H35.033","N18.30","M85.50","J20.9","R05.","Z68.33","Z20.828","Z68.34","I95.1","E86.0","W01.0XXA","F17.200","R55.","Z12.6","R79.89","J94.9","G47.30","R53.83","G47.9"],"date":["2021-10-26","2021-10-26","2019-04-24","2021-10-26","2021-04-06","2021-10-18","2021-10-18","2019-12-30","2020-04-09","2021-10-04","2020-09-08","2020-01-13","2021-10-22","2021-10-04","2021-03-25","2021-10-18","2021-06-08","2021-10-18","2021-06-08","2021-10-18","2021-10-13","2021-10-13","2021-10-13","2021-10-13","2021-10-13","2021-11-04","2021-06-08","2021-09-10","2021-09-10","2021-09-10","2021-09-10","2021-09-10","2021-10-26","2021-10-04","2021-10-04","2021-10-18","2021-10-04","2021-10-26","2021-10-18","2021-10-04","2019-04-24","2019-05-28","2019-02-25","2019-02-25","2019-02-25","2019-06-10","2019-06-12","2021-04-06","2021-10-26","2019-05-06","2019-05-06","2019-05-06","2019-05-06","2019-07-19","2019-07-19","2020-03-13","2019-07-19","2020-02-14","2021-10-26","2021-03-25","2019-01-02","2019-01-02","2019-01-02","2020-08-04","2020-08-04","2021-09-10","2021-09-10","2021-09-10","2021-06-01","2021-09-11","2019-05-06","2019-06-10","2021-03-25","2021-04-13","2021-04-06","2021-04-06"],"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":[]}]},{"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":[["","00378180710","LEVOTHYROXINE SODIUM                                                  ","88MCG","90","Select","Select",""],["","00378020810","FUROSEMIDE                                                            ","20MG","90","Select","Select",""],["","00054327099","FLUTICASONE PROPIONATE                                                ","50MCG","48","Select","Select",""],["","00378932132","WIXELA INHUB                                                          ","250\/50","180","Select","Select",""],["","59651000305","OMEPRAZOLE DR                                                         ","40MG","90","Select","Select",""],["","65862052305","GABAPENTIN                                                            ","600MG","60","Select","Select",""],["","00904679480","ASPIRIN LOW DOSE                                                      ","81MG","30","Select","Select",""],["","45802065078","LORATADINE                                                            ","10MG","30","Select","Select",""],["","50428067309","CVS D3                                                                ","1000UNIT","30","Select","Select",""],["","59779027408","CVS ASPIRIN ADULT LOW DOSE                                            ","81MG","30","Select","Select",""],["","68180051201","LISINOPRIL                                                            ","2.5MG","30","Select","Select",""],["","40985027415","D3-1000                                                               ","1000UNIT","30","Select","Select",""],["","49281012065","FLUZONE HIGH-DOSE PF 2020-2021                                        ","PF 20-21","1","Select","Select",""],["","00093317431","ALBUTEROL SULFATE HFA                                                 ","HFA","26","Select","Select",""],["","00173088710","TRELEGY ELLIPTA                                                       ","ELLIPTA","60","Select","Select",""],["","33342002208","LEVOFLOXACIN                                                          ","500MG","-10","Select","Select",""],["","33332032101","AFLURIA QUADRIVALENT 2021-2022                                        ","2021-22","0","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":["",""]}},{"a":{"indx":["","1"],"comment":["",""]}},{"a":{"indx":["","1"],"comment":["",""]}},{"a":{"indx":["","1"],"comment":["",""]}},{"a":{"indx":["","1"],"comment":["",""]}},{"a":{"indx":["","1"],"comment":["",""]}},{"a":{"indx":["","1"],"comment":["",""]}},{"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":""}]}]}