{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"RODNEY M DAVIS","gend":0,"add":"850 E VIRGINIA BEACH BLVD APT 504","city":"NORFOLK","state":"VA","zip":"23504-9998","dob":"1953-12-01","age":"","mstatus":"","insh":"900038744*01","cliId":"","pno":7575598308,"cno":7572350359,"email":"","ename":"","eno":"","pphy":"LAYNE, MICHAEL MD","ppno":"757\/446-5955","pcpadd":"825 FAIRFAX AVE SUITE 118","pcpcity":"NORFOLK","pcpstate":"VA","pcpzip":23507,"pcpcounty":"","pcpid":"","pcpname":"EVMS Ghent Family Medicine","plan":"OHP","program":"MEDICARE","lob":"DSNP","region":"TIDEWATER","aligned":"Y","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"757\/446-5196","pcpnpi":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["M05.79","M17.12","Z79.899","C61.","I10.","Z13.820","Z79.52","M48.062","M51.36","M51.26","M54.17","M54.5","M25.562","M06.9","E11.65","R07.9","R06.89","I35.8","R01.1","I11.9","I51.7","Z23.","N40.1","N13.8","K62.5","K21.9","Z00.00","Z13.31","E11.9","M16.11","K13.79","E11.40","W19.XXXA","R60.9","E66.9","M54.50","H04.121","R39.12","R39.89","H31.322","E11.36","H25.13","Z96.641","Z87.891","Z88.6","Z88.5","Z88.8","B35.1","L85.3","M53.3","D63.8","R53.81","D86.0","Z01.30"],"date":["2021-10-21","2021-12-17","2021-12-17","2021-11-05","2021-11-17","2021-03-25","2021-03-25","2021-12-17","2021-12-17","2021-12-17","2021-12-17","2021-08-20","2021-12-17","2021-12-17","2021-11-17","2021-03-29","2021-03-29","2021-03-29","2021-03-29","2021-03-29","2021-03-29","2021-11-17","2021-08-05","2021-08-05","2020-02-11","2020-02-11","2021-08-09","2021-08-09","2021-08-09","2021-10-21","2020-06-15","2020-07-08","2021-03-01","2021-05-28","2021-05-28","2021-12-17","2020-12-07","2020-12-08","2020-12-08","2021-07-07","2021-07-07","2021-07-07","2021-07-07","2021-07-07","2021-07-07","2021-07-07","2021-07-07","2021-02-23","2021-02-23","2021-03-17","2021-03-17","2021-03-17","2020-03-12","2020-11-09"],"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":[["","00555057202","METHOTREXATE ","2.5MG","-120","Select","Select",""],["","00116200116","CHLORHEXIDINE GLUCONATE ","0.12%","473","Select","Select",""],["","43598072101","HYDROXYCHLOROQUINE SULFATE ","200MG","60","Select","Select",""],["","11534016503","FOLIC ACID ","1MG","30","Select","Select",""],["","00406012501","HYDROCODONE\/ACETAMINOPHEN ","10-325MG","120","Select","Select",""],["","00591505210","PREDNISONE ","5MG","30","Select","Select",""],["","72205000490","ROSUVASTATIN CALCIUM ","20MG","30","Select","Select",""],["","68382013201","TAMSULOSIN HYDROCHLORIDE ","0.4MG","90","Select","Select",""],["","68645058259","METFORMIN HYDROCHLORIDE ","500MG","90","Select","Select",""],["","50742061510","METOPROLOL SUCCINATE ER ","25MG ER","30","Select","Select",""],["","68180012202","CEPHALEXIN ","500MG","1","Select","Select",""],["","68682010510","NIFEDIPINE ER ","30MG ER","90","Select","Select",""],["","31722094301","HYDROCODONE BITARTRATE\/ACETAMINOPHEN ","10-325MG","120","Select","Select",""],["","59746000103","METHYLPREDNISOLONE DOSE PACK ","4MG","21","Select","Select",""],["","50228018005","GABAPENTIN ","300MG","90","Select","Select",""],["","43598043611","NITROGLYCERIN ","0.4MG","25","Select","Select",""],["","16729048601","METHOTREXATE SODIUM ","2.5MG","120","Select","Select",""],["","00591352530","LIDOCAINE ","5%","60","Select","Select",""],["","00574200802","NYSTOP ","100000","60","Select","Select",""],["","72205001030","SILODOSIN ","8MG","90","Select","Select",""],["","68645054154","FINASTERIDE ","5MG","90","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":""}]}]}