{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"KEYAUNTAY   K CO","gend":1,"add":"4524 GREY EDGE DR APT 204","city":"VIRGINIA BEACH","state":"VA","zip":"23462-9998","dob":"1983-11-14","age":"","mstatus":"","insh":"1255832*01","cliId":"","pno":"757\/409-3821","cno":"","email":"","ename":"","eno":"","pphy":"STEWART, LEAH A NP","ppno":"757\/318-6900","pcpadd":"2017 PLEASURE HOUSE RD","pcpcity":"VIRGINIA BEACH","pcpstate":"VA","pcpzip":23455,"pcpcounty":"","pcpid":"","pcpname":"SMG - Sentara Family Medicine Physicians - Thoroughgood","plan":"OHP","program":"MEDICAID","lob":"M4","region":"TIDEWATER","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"757\/318-6901","pcpnpi":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["L03.115","L03.116","R23.8","W57.XXXA","Z20.828","F41.1","J02.9","B34.9","G44.209","B02.9","G03.0","E87.6","B01.9","R51.","NO DATA","R00.0","R53.83","R68.89","R50.9","R78.81","Z09.","A41.9","J02.0","N76.89","F32.1","F41.0","F33.1","F43.10","R00.2","R42.","T38.0X5A","L81.0","B01.11","R07.9","R10.13","R51.9","M79.604","M79.605","L25.9","R21.","L29.9","L50.9","B02.7","M54.2","Z86.61","Z88.1","Z88.8","R06.02","Z03.818","A41.1","N39.0","F41.9","F32.9","I48.91","Z79.899","Z97.5","Z88.5","Z82.49","Z83.49","Z80.3","Z82.5","Z80.1","I48.0","N30.00","D72.820","B95.7","B37.3","R09.81","R10.10","N76.0","B96.89","R11.0","R19.7","R68.83","M25.50","R63.2","R10.2","L91.8","J98.01","R07.89","K21.9","B27.90","G44.89","H53.9","R76.8","J20.9","R11.2","E86.0","R53.1","R35.0","F32.0","F41.8","Z30.433","Z32.02","R10.12","L70.0","R20.8","Z20.822","D22.9","R52.","Z11.3","Z11.4","L30.9","M70.831","R10.11","L03.119","Z79.3","S80.862A","S80.861A","L29.8","R31.9","S30.0XXA","S50.811A"],"date":["2019-01-12","2019-01-12","2019-10-25","2019-03-19","2020-09-14","2021-12-14","2021-06-26","2020-09-17","2019-08-08","2019-11-05","2019-11-14","2019-11-03","2019-11-07","2020-03-22","2020-03-22","2020-03-22","2021-08-26","2020-04-25","2020-04-25","2020-04-25","2020-04-29","2020-05-07","2020-05-07","2020-10-15","2020-12-04","2021-12-14","2021-12-14","2021-12-14","2019-02-24","2019-02-24","2019-02-24","2019-04-09","2019-11-01","2020-09-14","2021-08-26","2021-08-26","2021-08-26","2021-08-26","2019-02-20","2019-03-07","2019-03-07","2019-02-21","2019-10-31","2019-11-14","2019-11-14","2020-04-20","2019-11-14","2020-04-19","2020-04-20","2020-04-20","2020-04-20","2020-04-20","2020-04-20","2020-04-20","2020-04-20","2020-04-20","2020-04-20","2020-04-20","2020-04-20","2020-04-20","2020-04-20","2020-04-20","2020-04-22","2020-04-24","2020-04-24","2020-04-24","2020-08-30","2020-11-17","2021-01-10","2021-01-10","2021-01-10","2021-01-10","2021-01-10","2021-01-10","2021-05-17","2021-08-10","2021-08-10","2019-04-19","2019-11-07","2020-02-24","2021-01-13","2021-01-13","2019-03-05","2019-03-05","2019-03-05","2019-04-22","2019-08-05","2019-08-05","2019-08-05","2019-08-13","2019-08-13","2019-10-28","2021-06-15","2021-06-15","2021-12-27","2019-01-29","2019-02-20","2021-06-26","2021-09-21","2019-02-22","2020-08-30","2019-08-27","2020-04-25","2021-05-15","2021-06-16","2019-01-09","2019-01-09","2019-01-09","2019-01-09","2019-01-09","2020-06-24","2020-10-19","2020-10-19"],"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":[]},{"a":{"indx":[false,false],"comment":["",""],"score":["",""]}},{"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":[["","","CLINDAMYCIN"," CLINDAMYCIN ","28","Select","Select",""],["","","TRETINOIN"," TRETINOIN ","45","Select","Select",""],["","","CLINDAMY\/BEN"," CLINDAMY\/BEN ","50","Select","Select",""],["","","MUPIROCIN"," MUPIROCIN ","22","Select","Select",""],["","","HYDROXYZ"," HYDROXYZ ","30","Select","Select",""],["","","ALPRAZOLAM"," ALPRAZOLAM ","30","Select","Select",""],["","","DICLOFENAC"," DICLOFENAC ","30","Select","Select",""],["","","ESCITALOPRAM"," ESCITALOPRAM ","30","Select","Select",""],["","","FAMOTIDINE"," FAMOTIDINE ","28","Select","Select",""],["","","MOMETASONE"," MOMETASONE ","45","Select","Select",""],["","","PREDNISONE"," PREDNISONE ","43","Select","Select",""],["","","BENZONATATE"," BENZONATATE ","15","Select","Select",""],["","","PROAIR"," PROAIR ","8","Select","Select",""],["","","ACYCLOVIR"," ACYCLOVIR ","35","Select","Select",""],["","","VALACYCLOVIR"," VALACYCLOVIR ","21","Select","Select",""],["","","ALBUTEROL"," ALBUTEROL ","18","Select","Select",""],["","","FLUCONAZOLE"," FLUCONAZOLE ","1","Select","Select",""],["","","NAPROXEN"," NAPROXEN ","14","Select","Select",""],["","","SALONPAS"," SALONPAS ","5","Select","Select",""],["","","BUT\/APAP\/CAF"," BUT\/APAP\/CAF ","30","Select","Select",""],["","","TRIAMCINOLON","CRE 0.001","","Select","Select",""],["","","AMOX\/K","TAB 875-125","","Select","Select",""],["","","DOXYCYCL","CAP 100MG","","Select","Select",""],["","","ELIQUIS","TAB 5MG","","Select","Select",""],["","","XARELTO","TAB 20MG","","Select","Select",""],["","","AZITHROMYCIN","TAB 500MG","","Select","Select",""],["","","PHENAZOPYRID","TAB 200MG","","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":["",""],"sub":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"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":""}]}]}