{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"PATRICK   L WHITE","gend":0,"add":"2016 CHURCH ST APT 222","city":"NORFOLK","state":"VA","zip":"23504-9998","dob":"1961-08-15","age":"","mstatus":"","insh":"20041473*01","cliId":"","pno":"757\/998-9195","cno":"757\/949-6665","email":"","ename":"","eno":"","pphy":"SNELLINGS, JOHN E 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":"OHCC","region":"TIDEWATER","aligned":"","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":["I25.708","I10.","E78.5","Z72.0","F10.10","F10.220","F17.210","Z95.1","F10.120","S01.112A","S09.90XA","S20.212A","S50.312A","R07.81","F10.129","Z53.29","Z82.49","R73.9","T50.904A","I25.799","Z91.19","R41.82","R07.9","I25.10","S93.401A","M79.671","T14.90XA","F10.920","R42.","I25.118","Z66.","I11.0","I50.9","J45.909","K21.9","F41.9","Z23.","Z79.02","Z79.82","Z79.899","Z91.14","Z95.5","I25.709","E78.00","F17.200","Z86.79","I20.8","R73.09","I24.9","R00.2","F32.9","I25.110","Z09.","F19.10","K76.0","M25.571","S01.512A","R68.84","M25.512","S42.256A","I95.9","R11.2","I20.0","I25.700","R00.1","I25.5","K76.89","K04.7","K08.3","I77.1","I25.2"],"date":["2020-04-15","2021-12-10","2020-10-12","2020-04-15","2020-10-12","2021-12-10","2021-12-10","2021-12-10","2021-12-10","2020-05-03","2020-05-03","2020-05-03","2020-05-03","2020-05-03","2021-11-09","2021-11-09","2021-11-09","2021-11-09","2020-07-10","2020-10-12","2020-10-12","2021-12-10","2020-10-13","2020-10-13","2021-01-22","2021-01-22","2021-01-22","2020-07-10","2020-07-10","2020-10-12","2020-10-12","2020-10-12","2020-10-12","2020-10-12","2020-10-12","2020-10-12","2020-10-12","2020-10-12","2020-10-12","2020-10-12","2020-10-12","2020-10-12","2020-01-15","2020-01-15","2020-01-15","2020-10-12","2020-10-13","2021-11-09","2019-07-29","2019-02-07","2019-07-09","2019-07-13","2019-07-29","2019-12-03","2019-07-29","2019-06-06","2019-07-07","2019-07-07","2019-11-14","2019-12-03","2019-12-03","2019-12-03","2019-07-12","2019-07-09","2019-07-09","2019-07-09","2019-07-09","2019-07-09","2019-07-09","2019-07-09","2019-07-09"],"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":[["","59676058015","JANSSEN","INJ COVID-19","0","Select","Select",""],["","68645056259","IBUPROFEN","TAB 600MG","20","Select","Select",""],["","","RANOLAZINE","TAB 500MG ER","","Select","Select",""],["","68645051654","AMLODIPINE","TAB 10MG","30","Select","Select",""],["","65862035790","CLOPIDOGREL","TAB 75MG","90","Select","Select",""],["","65162083366","DICLOFENAC","GEL 0.01","100","Select","Select",""],["","","VITAMIN","TAB 100MG","","Select","Select",""],["","55111015930","OMEPRAZOLE","CAP 40MG","90","Select","Select",""],["","68382009405","CARVEDILOL","TAB 12.5MG","60","Select","Select",""],["","70677003201","SM","DIS 21MG\/24H","14","Select","Select",""],["","68645055154","LISINOPRIL","TAB 5MG","30","Select","Select",""],["","50742017601","ISOSORB","TAB 60MG ER","30","Select","Select",""],["","68645056854","ATORVASTATIN","TAB 40MG","30","Select","Select",""],["","49035019502","EQ","DIS 14MG\/24H","28","Select","Select",""],["","00904679480","ASPIRIN","CHW 81MG","30","Select","Select",""],["","","OXYCOD\/APAP","TAB 5-325MG","","Select","Select",""],["","","FOLIC","TAB 1MG","","Select","Select",""],["","","THERA-M","TAB ","","Select","Select",""],["","","B-1","TAB 100MG","","Select","Select",""],["","","THIAMINE","TAB 100MG","","Select","Select",""],["","","ACETAMINOPHE","TAB 325MG","","Select","Select",""],["","00536589553","NICOTINE","DIS 14MG\/24H","21","Select","Select",""],["","63481068447","VOLTAREN","GEL 0.01","100","Select","Select",""],["","57664050658","METOPROL","TAB 25MG","30","Select","Select",""],["","00116200116","CHLORHEX","SOL 0.0012","473","Select","Select",""],["","00093005805","TRAMADOL","TAB 50MG","21","Select","Select",""],["","63304069301","CLINDAMYCIN","CAP 300MG","21","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":""}]}]}