{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"BRANDY   L BYRNES","gend":1,"add":"3019 E SOMME AVE","city":"NORFOLK","state":"VA","zip":"23509-9998","dob":"1984-05-19","age":"","mstatus":"","insh":"1978252*01","cliId":"","pno":"757\/776-3406","cno":"","email":"","ename":"","eno":"","pphy":"GUNTHER, ALTHEA O 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":"MEDICAID","lob":"M4","region":"TIDEWATER","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"757\/446-5196","pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["H93.8X3","R26.89","R42.","H92.01","R41.3","F41.9","F32.9","L23.7","H90.3","H72.91","H90.2","Z20.828","R41.89","R06.83","F98.8","F43.10","Z65.8","Z82.0","R10.9","Z88.0","Z88.1","Z91.012","Z87.891","R21.","H90.41","G47.33","H90.71","H90.8","H53.61","H04.123","N91.2","Z32.01","F43.23","H74.03","H69.83","H69.93","Z20.822","S99.922A","Z86.69","H60.509","R14.0","K59.00","H73.21","M54.2","Z86.718","R43.1","F81.9","M54.5","R20.2","H92.09","R53.83","H90.11","H92.03","G56.01","G56.02","R29.818","E66.01","Z87.898","M25.561","Z01.818","K13.79","G47.10","G47.30","R35.1","G47.9","G56.00","E55.9","R09.81","L20.9","V23.82","O34.219","G43.909","Z3A.16","K02.9","K90.41","R35.0","Z11.3","R32.","L25.5","M72.2","H66.90","R55.","N64.4","F33.9","R20.0"],"date":["2020-04-20","2020-04-20","2020-06-08","2021-07-07","2021-04-26","2021-06-04","2021-06-04","2020-06-22","2021-04-13","2021-08-30","2021-08-30","2021-03-17","2020-12-30","2021-08-30","2020-12-30","2021-01-28","2021-01-28","2021-01-28","2021-02-03","2020-12-04","2020-06-14","2020-12-04","2020-12-04","2020-07-06","2020-06-26","2020-11-11","2020-06-26","2020-06-26","2021-06-03","2021-06-03","2021-07-07","2021-07-07","2021-12-09","2021-08-30","2021-08-30","2021-08-30","2021-09-29","2019-09-18","2019-09-18","2021-08-10","2021-02-08","2021-02-08","2020-12-04","2020-12-04","2020-12-04","2021-02-08","2021-04-13","2019-01-16","2019-01-16","2021-04-26","2020-08-07","2020-10-07","2020-10-07","2021-05-04","2021-05-04","2021-05-11","2021-05-11","2021-07-19","2021-07-29","2020-09-22","2020-09-22","2021-06-04","2021-06-04","2020-09-25","2021-01-18","2021-04-26","2021-04-26","2021-08-10","2021-08-10","2021-09-07","2021-09-07","2021-09-07","2021-09-07","2020-10-06","2021-02-03","2019-04-01","2021-06-04","2019-04-01","2019-06-12","2019-06-12","2019-09-30","2019-02-08","2019-02-08","2021-05-10","2021-05-10"],"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":[["","","IRON"," IRON ","30","Select","Select",""],["","","HEPARIN"," HEPARIN ","25","Select","Select",""],["","","ENOXAPARIN"," ENOXAPARIN ","4","Select","Select",""],["","","CLOTRIM\/BETA"," CLOTRIM\/BETA ","45","Select","Select",""],["","","PRENATAL"," PRENATAL ","30","Select","Select",""],["","","NAPROXEN"," NAPROXEN ","60","Select","Select",""],["","","FERROUS"," FERROUS ","30","Select","Select",""],["","","EQ"," EQ ","60","Select","Select",""],["","","IBUPROFEN"," IBUPROFEN ","30","Select","Select",""],["","","EPINEPHRINE"," EPINEPHRINE ","2","Select","Select",""],["","","CLOBETASOL"," CLOBETASOL ","60","Select","Select",""],["","","FLUTICASONE"," FLUTICASONE ","16","Select","Select",""],["","","CIPRODEX"," CIPRODEX ","8","Select","Select",""],["","","BENZONATATE"," BENZONATATE ","15","Select","Select",""],["","","AZITHROMYCIN"," AZITHROMYCIN ","6","Select","Select",""],["","","PREDNISONE","TAB 20MG","","Select","Select",""],["","","TRIAMCINOLON","OIN 0.005","","Select","Select",""],["","","CETIRIZINE","TAB 10MG","","Select","Select",""],["","","VENLAFAXINE","CAP 75MG ER","","Select","Select",""],["","","POLYETH","POW 3350 NF","","Select","Select",""],["","","HYDROCO\/APAP","TAB 5-325MG","","Select","Select",""],["","","CIPRO","SUS OTIC","","Select","Select",""],["","","CLINDAMYCIN","CAP 300MG","","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":""}]}]}