{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"WILLIE   R ARRINGTON","gend":0,"add":"846 WHITAKER LN","city":"NORFOLK","state":"VA","zip":"23510-9998","dob":"1974-10-26","age":"","mstatus":"","insh":"900035972*01","cliId":"","pno":"757\/581-7685","cno":"","email":"","ename":"","eno":"","pphy":"LOVELL JR, CHARLES F MD","ppno":"757\/623-3038","pcpadd":"142 W YORK ST #905","pcpcity":"NORFOLK","pcpstate":"VA","pcpzip":23510,"pcpcounty":"","pcpid":"","pcpname":"CHARLES F LOVELL MD","plan":"OHP","program":"MEDICARE","lob":"DSNP","region":"TIDEWATER","aligned":"Y","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"757\/623-0101","pcpnpi":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["Z79.899","M25.512","G80.9","G81.11","I82.402","M43.06","E78.2","R31.9","E55.9","R60.0","S62.356A","Z86.718","Z79.01","Z87.891","Z98.1","Z88.5","Z91.011","M79.641","M79.609","R60.9","N39.0","E78.5","I73.9","I82.509","G81.91","J44.9","L85.1","G60.8","B35.3","G80.8","M79.89","S69.91XA","M79.622","S62.350A","Z96.642","R53.1","G80.1","I82.90","R31.29","I82.91","Z12.5","R51.","M20.11","M20.12","L60.3","G80.0","I95.0","I82.401","M79.604","R26.89","M47.816","M89.8X1","G89.29","Z99.3","M79.602","S62.326A","E65.","F80.9"],"date":["2020-01-30","2020-08-19","2021-08-03","2021-05-06","2021-05-06","2021-05-06","2021-11-08","2020-10-28","2021-08-02","2021-07-07","2021-07-07","2021-07-07","2021-07-07","2021-07-07","2021-07-07","2021-07-07","2021-07-07","2021-07-07","2021-07-07","2021-07-07","2021-08-02","2021-08-03","2021-08-03","2021-08-03","2021-08-03","2021-11-08","2021-11-18","2021-11-18","2021-11-18","2021-11-18","2020-12-06","2020-12-06","2020-08-19","2020-12-09","2020-12-06","2020-12-06","2021-01-29","2021-05-03","2021-05-25","2021-11-08","2020-10-23","2019-11-17","2021-03-04","2021-03-04","2021-03-04","2019-09-27","2019-09-27","2020-02-19","2019-11-02","2020-02-05","2020-06-10","2020-06-10","2020-06-10","2020-08-19","2020-08-19","2021-07-07","2020-04-24","2021-05-03"],"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":[]}]},{"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":[["","00832105415","BACLOFEN                                                              ","10MG","270","Select","Select",""],["","57237011901","WARFARIN SODIUM                                                       ","1MG","30","Select","Select",""],["","58160081552","TWINRIX                                                               ","","1","Select","Select",""],["","65162083366","DICLOFENAC SODIUM                                                     ","1%","500","Select","Select",""],["","58160084252","BOOSTRIX                                                              ","","0","Select","Select",""],["","49281041950","FLUZONE QUADRIVALENT 2019-2020                                        ","2019-20","0","Select","Select",""],["","72205000530","ROSUVASTATIN CALCIUM                                                  ","40MG","30","Select","Select",""],["","42858010201","OXYCODONE\/ACETAMINOPHEN                                               ","5-325MG","4","Select","Select",""],["","74312006470","VITAMIN B COMPLEX                                                     ","COMPLEX","30","Select","Select",""],["","00591352530","LIDOCAINE                                                             ","5%","30","Select","Select",""],["","50458057990","XARELTO                                                               ","20MG","90","Select","Select",""],["","68382032010","POTASSIUM CHLORIDE ER                                                 ","10MEQ ER","90","Select","Select",""],["","69238115403","EZETIMIBE                                                             ","10MG","30","Select","Select",""],["","81131000720","D3                                                                    ","2000UNIT","30","Select","Select",""],["","54766077260","NAFTIN                                                                ","2%","60","Select","Select",""],["","80681017401","VITAMIN D3                                                            ","50000UNT","12","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":""}]}]}