{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"RODNEY   L WEBSTER","gend":0,"add":"123 SETTLERS LANDING RD APT F","city":"HAMPTON","state":"VA","zip":"23669-9998","dob":"1966-06-15","age":"","mstatus":"","insh":"20037099*01","cliId":"","pno":"757\/949-4932","cno":"","email":"","ename":"","eno":"","pphy":"HARTUNG, HILLARY M PA","ppno":"757\/446-8999","pcpadd":"SUITE 572 825 FAIRFAX AVE","pcpcity":"NORFOLK","pcpstate":"VA","pcpzip":23507,"pcpcounty":"","pcpid":"","pcpname":"EVMS Infectious Diseases","plan":"OHP","program":"MEDICAID","lob":"OHCC","region":"TIDEWATER","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"757\/446-7922","pcpnpi":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["B20.","F31.31","I10.","F31.9","E78.5","N40.0","F17.200","Z00.00","Z13.31","Z13.9","F31.60","S01.412A","Y09.","F31.13","R07.9","R00.0","Z11.3","R12.","D69.6","I26.02","I26.99","NO DATA","G40.119","I82.431","I82.441","I69.319","H54.61","D69.59","F14.10","H53.462","F17.210","Z79.82","Z79.899","Z80.0","G40.909","I82.451","R60.0","Z86.73","Z23.","Z12.5","Z13.220","Z12.11","J30.2","S01.81XA","Z79.01","M54.2","I27.20","R06.02","R79.89","Z87.891"],"date":["2021-10-29","2020-08-25","2021-08-23","2021-08-23","2021-01-19","2021-01-19","2021-10-29","2021-10-29","2021-10-29","2021-08-23","2021-05-03","2021-10-09","2021-10-09","2021-01-04","2021-07-26","2021-07-22","2021-10-29","2021-03-22","2021-10-25","2021-07-29","2021-08-23","2021-07-22","2021-07-22","2021-07-23","2021-07-23","2021-07-22","2021-07-22","2021-07-22","2021-07-22","2021-07-22","2021-07-22","2021-07-22","2021-07-22","2021-07-22","2021-07-23","2021-07-23","2021-07-26","2021-07-28","2021-10-29","2021-10-25","2021-10-25","2021-10-25","2020-06-03","2021-10-09","2021-10-09","2021-10-09","2021-07-23","2021-07-23","2019-10-22","2019-02-18"],"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":[["","59762015601","ATORVASTATIN","TAB 20MG","30","Select","Select",""],["","","AMLODIPINE"," AMLODIPINE ","30","Select","Select",""],["","","OLANZAPINE"," OLANZAPINE ","30","Select","Select",""],["","","TRIUMEQ"," TRIUMEQ ","30","Select","Select",""],["","","NICOTINE","DIS 7MG\/24HR","","Select","Select",""],["","00003089421","ELIQUIS","TAB 5MG","60","Select","Select",""],["","59267100001","PFIZER","INJ COVID-19","0","Select","Select",""],["","","CITALOPRAM"," CITALOPRAM ","30","Select","Select",""],["","","DOXEPIN","CAP 25MG","","Select","Select",""],["","","TAMSULOSIN"," TAMSULOSIN ","30","Select","Select",""],["","","LEVETIRACETA"," LEVETIRACETA ","60","Select","Select",""],["","50458057990","XARELTO","TAB 20MG","30","Select","Select",""],["","","OMRON","MIS BP MONIT","","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":""}]}]}