{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"RODNEY   O JAMES","gend":0,"add":"3320 TOANO DR APT B","city":"TOANO","state":"VA","zip":"23168-9998","dob":"1968-04-18","age":"","mstatus":"","insh":"20029815*01","cliId":"","pno":"757\/634-7681","cno":"757\/634-7681","email":"","ename":"","eno":"","pphy":"MAYER, BRUCE MD","ppno":"757\/566-2045","pcpadd":"7151 RICHMOND ROAD SUITE 403","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":23188,"pcpcounty":"","pcpid":137637,"pcpname":"","plan":"OHP","program":"MEDICAID","lob":"OHCC","region":"TIDEWATER","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"757\/741-2735","pcpnpi":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["H02.054","NO DATA","H16.223","M31.6","I10.","F32.9","E11.9","G90.9","Z23.","J44.9","R94.2","J30.9","F17.219","J41.0","R07.9","Z68.36","R05.","R06.00","E10.65","F17.210","D72.829","E78.00","Z82.49","Z88.8","R51.","Z88.5","E11.42","G89.29","M54.9","R60.9","J41.1","R73.9","Z72.0","Z20.828","R06.02","R07.89","R53.1","H25.813","H35.033","H43.813","E11.65","F17.211","Z68.37","M47.816","Z98.1","M51.26","M43.26"],"date":["2020-02-05","2021-08-24","2020-02-05","2020-02-27","2021-10-25","2020-02-27","2021-10-25","2021-10-25","2021-09-27","2021-01-25","2021-01-25","2021-01-25","2020-11-09","2020-11-09","2020-11-09","2020-11-09","2021-01-25","2021-01-25","2020-03-02","2020-03-02","2020-02-25","2020-02-25","2020-02-25","2020-02-25","2020-02-25","2020-02-25","2020-02-25","2021-08-24","2020-02-25","2020-08-31","2021-10-25","2020-02-26","2020-02-26","2020-10-21","2020-10-21","2020-10-21","2020-10-21","2021-03-25","2021-03-25","2021-03-25","2020-02-24","2021-01-25","2021-01-25","2021-08-24","2021-08-24","2021-10-12","2021-11-09"],"priorHcc":["","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","",""]}},{"a":[]}]},{"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":[]}]},{"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":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Allergies \/ Medications","q":[{"a":[]},{"a":{"comment":"","sub":[["","68645051654","AMLODIPINE ","10MG","30","Select","Select",""],["","10702001801","OXYCODONE ","5MG","28","Select","Select",""],["","00054001925","PREDNISONE ","50MG","30","Select","Select",""],["","68462043518","ACAMPRO ","333MG","90","Select","Select",""],["","00088502005","LANTUS ","100\/ML","15","Select","Select",""],["","08496310101","EASY ","31GX3\/16","100","Select","Select",""],["","29300013701","CLONIDINE ","0.3MG","60","Select","Select",""],["","72205001690","PREGABALIN ","200MG","60","Select","Select",""],["","59310057922","PROAIR ","","17","Select","Select",""],["","70377000415","SIMVASTATIN ","40MG","30","Select","Select",""],["","00378932132","WIXELA ","250\/50","60","Select","Select",""],["","64380073706","VITAMIN ","50000UNT","4","Select","Select",""],["","50742061701","METOPROL ","100MG ER","30","Select","Select",""],["","00173069600","ADVAIR ","250\/50","60","Select","Select",""],["","16714004110","ALLOPURINOL ","100MG","30","Select","Select",""],["","00597016061","SPIRIVA ","1.25MCG","4","Select","Select",""],["","00193658621","MICROLET ","LANCETS","100","Select","Select",""],["","00193654621","BAYER ","LANCETS","100","Select","Select",""],["","56151014701","TRUPLUS ","33G","100","Select","Select",""],["","00023916360","RESTASIS ","0.05%","60","Select","Select",""],["","53885004601","ONETOUCH ","ULTRA 2","1","Select","Select",""],["","08317570050","GLUCOCARD ","EXPRESSI","50","Select","Select",""],["","00169413212","OZEMPIC ","2\/1.5ML","2","Select","Select",""],["","68645056354","IBUPROFEN ","800MG","15","Select","Select",""],["","42858010201","OXYCOD\/APAP ","5-325MG","5","Select","Select",""],["","68382075810","METFORMIN ","500MG","30","Select","Select",""],["","66993001968","ALBUTEROL ","HFA","54","Select","Select",""],["","00310737020","BUDES\/FORMOT ","160-4.5","10","Select","Select",""],["","00186037020","SYMBICORT ","160-4.5","10","Select","Select",""],["","00409121501","NALOXONE ","0.4MG\/ML","1","Select","Select",""],["","69238110005","DOXYCYCL ","100MG","14","Select","Select",""],["","43598075205","BUPROPION ","150MG SR","60","Select","Select",""],["","59267100002","PFIZER ","COVID-19","0","Select","Select",""],["","29300013701","CLONIDINE","0.3MG","60","Select","Select",""],["","68645051654","AMLODIPINE","10MG","30","Select","Select",""],["","59310057922","PROAIR","","17","Select","Select",""],["","68462043518","ACAMPRO","333MG","90","Select","Select",""],["","00378064110","PREDNISONE","10MG","20","Select","Select",""],["","64380073706","VITAMIN","50000UNT","4","Select","Select",""],["","10702001801","OXYCODONE","5MG","28","Select","Select",""],["","72205001690","PREGABALIN","200MG","60","Select","Select",""],["","50742061701","METOPROL","100MG ER","30","Select","Select",""],["","70377000415","SIMVASTATIN","40MG","30","Select","Select",""],["","00597016061","SPIRIVA","1.25MCG","4","Select","Select",""],["","08317570050","GLUCOCARD","EXPRESSI","50","Select","Select",""],["","00023916360","RESTASIS","0.05%","60","Select","Select",""],["","53885024510","ONETOUCH","ULTRA BL","100","Select","Select",""],["","00088502005","LANTUS","100\/ML","15","Select","Select",""],["","08496310101","EASY","31GX3\/16","100","Select","Select",""],["","56151014701","TRUPLUS","33G","100","Select","Select",""],["","42858010201","OXYCOD\/APAP","5-325MG","5","Select","Select",""],["","00193658621","MICROLET","LANCETS","100","Select","Select",""],["","00193654621","BAYER","LANCETS","100","Select","Select",""],["","00173069600","ADVAIR","250\/50","60","Select","Select",""],["","00378932132","WIXELA","250\/50","60","Select","Select",""],["","00310737020","BUDES\/FORMOT","160-4.5","10","Select","Select",""],["","00186037020","SYMBICORT","160-4.5","10","Select","Select",""],["","00169413212","OZEMPIC","2\/1.5ML","2","Select","Select",""],["","68382075810","METFORMIN","500MG","30","Select","Select",""],["","00409121501","NALOXONE","0.4MG\/ML","1","Select","Select",""],["","68645056354","IBUPROFEN","800MG","15","Select","Select",""],["","66993001968","ALBUTEROL","HFA","54","Select","Select",""],["","43598075205","BUPROPION","150MG SR","60","Select","Select",""],["","59267100002","PFIZER","COVID-19","0","Select","Select",""],["","16714004110","ALLOPURINOL","100MG","30","Select","Select",""],["","69238110005","DOXYCYCL","100MG","14","Select","Select",""],["","00093534356","SILDENAFIL ","TAB 100MG","10","Select","Select",""]]}},{"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":[]}]},{"t":"Pain","q":[{"a":[]}]},{"t":"Vital Signs","q":[{"a":[]},{"a":[]}]},{"t":"Exam Review","q":[{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Screenings Needed","q":[[["Yes","Select","","","","","Select","",""],["Yes","Select","","","","","Select","",""],["N\/A","Select","","","","","Select","",""],["Yes","Select","","","","","Select","",""],["N\/A","Select","","","","","Select","",""],["N\/A","Select","","","","","Select","",""],["Yes","Select","","","","","Select","",""]]]},{"t":"Mini-Cog","q":[{"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":""}]}]}