{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"JOSEPH   P RUSSO","gend":0,"add":"801 BOUSH ST","city":"NORFOLK","state":"VA","zip":"23513-9998","dob":"1958-08-11","age":"","mstatus":"","insh":"900040304*01","cliId":"","pno":"757\/625-6161","cno":"","email":"","ename":"","eno":"","pphy":"HUMADI, SAHIRA 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":["K57.32","F84.0","E61.1","F31.81","F70.","F42.2","I85.00","K31.7","K31.811","R19.5","E11.9","F42.9","F79.","G47.33","Z88.8","Z79.4","Z79.899","Z86.010","K31.819","K74.60","K75.81","K76.6","L12.0","L21.9","D64.9","K63.5","F41.1","N30.01","I10.","Z23.","R19.7","Z20.828","Z01.812","D72.819","E11.65","K76.9","I85.10","R16.1","Z12.11","D12.3","K64.1","K57.30","K31.89","K76.0","K21.9","K92.1","Z99.89","Z59.3","E11.51","B35.3","B35.1","N39.0","R31.9","I95.9","F81.9","K57.92","N20.0","K86.2","R07.9","R53.81","Z74.3","A41.9","Z11.59","R25.1","G47.39","L01.00","F41.9","F32.9","D61.818","E78.00","D73.1","R10.9","R32.","R39.81","Z79.84","R80.9","Z00.00","Z13.31","H61.23","D10.30","D10.39","D72.818"],"date":["2020-09-17","2021-12-10","2021-12-20","2021-11-15","2021-11-15","2021-11-15","2021-09-29","2020-10-19","2020-10-19","2020-10-19","2021-12-02","2021-12-10","2021-11-08","2021-11-08","2021-09-29","2020-10-19","2020-10-19","2021-09-29","2020-10-19","2021-11-08","2021-01-26","2021-11-08","2021-11-08","2021-08-17","2021-12-13","2021-09-30","2021-12-10","2021-11-10","2021-12-02","2021-12-02","2021-12-02","2021-03-23","2020-10-15","2021-01-04","2021-11-19","2021-08-11","2021-11-08","2021-08-11","2021-09-29","2021-09-29","2021-09-29","2021-09-29","2021-09-29","2021-11-08","2021-09-29","2020-10-19","2021-06-04","2021-03-17","2021-10-13","2021-10-13","2021-10-13","2021-11-24","2021-11-08","2021-11-08","2021-11-08","2020-09-29","2021-07-27","2021-07-27","2021-11-08","2021-11-08","2021-11-08","2021-11-24","2020-08-14","2021-03-05","2021-06-04","2020-10-29","2021-11-08","2021-03-19","2021-11-08","2021-11-08","2021-11-08","2020-09-17","2020-10-27","2020-10-27","2021-05-11","2021-07-19","2020-11-16","2020-11-16","2021-10-27","2021-01-04","2021-10-27","2021-10-27"],"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":[["","16837061024","MYLANTA                                                               ","","710","Select","Select",""],["","55111015810","OMEPRAZOLE                                                            ","20MG","28","Select","Select",""],["","68180051303","LISINOPRIL                                                            ","5MG","28","Select","Select",""],["","68180065208","DOXYCYCLINE MONOHYDRATE                                               ","100MG","56","Select","Select",""],["","51672129802","KETOCONAZOLE                                                          ","2%","30","Select","Select",""],["","65862007701","CIPROFLOXACIN HYDROCHLORIDE                                           ","500MG","20","Select","Select",""],["","43547034350","RISPERIDONE                                                           ","3MG","28","Select","Select",""],["","62559016001","FLUVOXAMINE MALEATE                                                   ","100MG","56","Select","Select",""],["","50111033402","METRONIDAZOLE                                                         ","500MG","20","Select","Select",""],["","16729000517","SIMVASTATIN                                                           ","20MG","28","Select","Select",""],["","23155010410","METFORMIN HYDROCHLORIDE                                               ","1000MG","56","Select","Select",""],["","68382009305","CARVEDILOL                                                            ","6.25MG","28","Select","Select",""],["","68462010910","TOPIRAMATE                                                            ","100MG","56","Select","Select",""],["","00591046105","GLIPIZIDE                                                             ","10MG","56","Select","Select",""],["","08290320119","BD PEN NEEDLE\/MINI\/ULTRA-FINE\/31G X 5MM                               ","31GX5MM","100","Select","Select",""],["","00597014030","TRADJENTA                                                             ","5MG","28","Select","Select",""],["","69315090510","LORAZEPAM                                                             ","1MG","84","Select","Select",""],["","50383026650","CLOBETASOL PROPIONATE                                                 ","0.05%","50","Select","Select",""],["","80681001900","NIACINAMIDE                                                           ","500MG","49","Select","Select",""],["","45802011222","MUPIROCIN                                                             ","2%","22","Select","Select",""],["","00029152525","BACTROBAN                                                             ","2%","30","Select","Select",""],["","45802049326","AMMONIUM LACTATE                                                      ","12%","385","Select","Select",""],["","67877012405","SILVER SULFADIAZINE                                                   ","1%","50","Select","Select",""],["","00002771559","BASAGLAR KWIKPEN                                                      ","100UNIT","15","Select","Select",""],["","58657047806","SELENIUM SULFIDE                                                      ","2.25%","180","Select","Select",""],["","43386009019","GAVILYTE-G                                                            ","","4000","Select","Select",""],["","08496280801","EASY TOUCH LANCETS 28G\/PRESSURE ACTIVATED                             ","LANC\/28G","100","Select","Select",""],["","00832046515","NYAMYC                                                                ","100000","15","Select","Select",""],["","00168041630","TACROLIMUS                                                            ","0.10%","30","Select","Select",""],["","16714039501","CEFPODOXIME PROXETIL                                                  ","200MG","20","Select","Select",""],["","52268001201","SUPREP BOWEL PREP KIT                                                 ","PREP KIT","354","Select","Select",""],["","80777027398","MODERNA COVID-19 VACCINE                                              ","COVID-19","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":""}]}]}