{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"LEONARD   J FLOYD","gend":0,"add":"3315 KANSAS AVE","city":"NORFOLK","state":"VA","zip":"23513-9998","dob":"1970-06-04","age":"","mstatus":"","insh":"900039639*01","cliId":"","pno":"757\/738-0085","cno":"","email":"","ename":"","eno":"","pphy":"SAWYER, LINDA NP","ppno":"757\/466-8683","pcpadd":"5900 LAKE WRIGHT DRIVE","pcpcity":"NORFOLK","pcpstate":"VA","pcpzip":23502,"pcpcounty":"","pcpid":"","pcpname":"USO - Virginia Oncology Associates","plan":"OHP","program":"MEDICARE","lob":"DSNP","region":"TIDEWATER","aligned":"Y","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"757\/466-8892","pcpnpi":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["H18.11","H18.839","H04.123","H04.121","H04.122","N18.6","E11.40","M20.31","M20.61","L84.","B35.1","N63.10","N63.15","Z99.2","D63.1","E13.40","N25.81","C50.421","Z17.0","C50.121","N62.","Z80.3","C50.921","I13.2","I50.32","E78.5","E11.22","K21.9","I25.10","E78.00","G47.30","E66.9","Z79.899","Z51.0","J90.","R84.6","Z86.718","Z85.038","C50.821","Z51.11","L97.511","M20.21","M20.22","C50.822","E83.39","E11.39","I42.9","J84.10","C18.9","Z01.818","Z01.811","I12.0","R94.2","J98.11","R91.1","Z98.84","Z98.890","Z23.","Z90.13","E11.3513","H33.43","H43.13","H35.372","Z00.00","D50.9","I10.","N63.11","D64.9","C50.911","T82.858A","T82.898A","I77.1","I87.1","Z71.89","Z13.220","Z28.21","Z13.6","Z68.29","C50.919","E11.3512","H43.12","E11.3521","E88.09","N18.4","G62.9","H40.042"],"date":["2021-09-16","2020-09-22","2020-12-01","2020-09-22","2020-09-22","2021-11-29","2020-11-12","2020-11-12","2020-11-12","2020-11-12","2020-11-12","2020-12-24","2020-12-29","2021-11-29","2021-04-15","2021-09-29","2021-11-29","2020-12-31","2021-11-11","2021-06-08","2021-01-22","2021-01-12","2021-09-21","2021-07-10","2021-07-10","2021-06-30","2021-07-10","2021-01-21","2021-01-21","2021-01-21","2021-01-21","2021-04-15","2021-01-21","2021-04-09","2021-04-29","2021-04-16","2021-04-15","2021-04-15","2021-11-11","2021-11-11","2020-09-10","2020-10-06","2020-09-10","2021-03-04","2021-07-10","2021-07-10","2021-07-10","2021-07-10","2021-07-10","2021-01-14","2021-01-14","2021-01-14","2021-01-14","2021-01-14","2021-01-14","2021-01-14","2021-01-14","2021-10-15","2021-09-21","2021-07-15","2021-11-18","2021-07-15","2021-07-15","2020-10-13","2021-09-29","2021-09-28","2020-12-29","2021-09-28","2021-04-15","2021-02-16","2021-02-16","2020-07-30","2021-02-16","2020-10-13","2020-10-13","2020-10-13","2020-10-13","2020-10-13","2021-01-22","2021-12-16","2021-12-16","2021-11-18","2021-10-29","2021-04-29","2020-10-06","2021-12-16"],"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":[["","68180072103","AMLODIPINE BESYLATE                                                   ","10MG","90","Select","Select",""],["","55111078927","SEVELAMER CARBONATE                                                   ","800MG","420","Select","Select",""],["","51862045504","CLONIDINE HCL                                                         ","0.3\/24HR","12","Select","Select",""],["","65862020390","LOSARTAN POTASSIUM                                                    ","100MG","90","Select","Select",""],["","49230064551","VELPHORO                                                              ","500MG","150","Select","Select",""],["","60505025103","TIZANIDINE HCL                                                        ","2MG","-90","Select","Select",""],["","49230064441","CALCIUM ACETATE                                                       ","667MG","480","Select","Select",""],["","61314063705","PREDNISOLONE ACETATE                                                  ","1% OP","5","Select","Select",""],["","17478021515","ATROPINE SULFATE                                                      ","1% OP","15","Select","Select",""],["","53489038601","MINOXIDIL                                                             ","2.5MG","360","Select","Select",""],["","65862084003","MOXIFLOXACIN HYDROCHLORIDE                                            ","HCL 0.5%","3","Select","Select",""],["","76385011350","CARVEDILOL                                                            ","25MG","60","Select","Select",""],["","10702001850","OXYCODONE HYDROCHLORIDE                                               ","5MG","10","Select","Select",""],["","00904576960","MAPAP ARTHRITIS PAIN                                                  ","650MG","20","Select","Select",""],["","16729003415","LETROZOLE                                                             ","2.5MG","30","Select","Select",""],["","23155000301","HYDRALAZINE HYDROCHLORIDE                                             ","50MG","270","Select","Select",""],["","00023921105","COMBIGAN                                                              ","0.2\/0.5%","10","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":""}]}]}