{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"ROBIN   D LINK","gend":1,"add":"5025 ORCUTT LN","city":"RICHMOND","state":"VA","zip":"23224-9998","dob":"1972-03-22","age":"","mstatus":"","insh":"20057539*01","cliId":"","pno":"804\/638-7262","cno":"","email":"","ename":"","eno":"","pphy":"GIUNTA, SUZANNE M MD","ppno":"804\/230-7777","pcpadd":"4730 N SOUTHSIDE PLAZA","pcpcity":"RICHMOND","pcpstate":"VA","pcpzip":23224,"pcpcounty":"","pcpid":"","pcpname":"MCV ASSOCIATED PHYSICIANS","plan":"OHP","program":"MEDICAID","lob":"OHCC","region":"CENTRAL","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"804\/230-2071","pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["I25.10","K70.30","F10.239","K72.90","M62.84","R41.0","R45.1","V54.17","V58.89","R29.6","F10.20","D69.6","E83.42","R00.1","G82.50","U07.1","NO DATA","J96.01","I95.9","I85.10","D63.8","F32.9","G47.00","E43.","F10.99","D64.9","Z48.02","Z98.890","Z96.1","F10.10","R09.02","K74.60","Z04.9","E87.1","B19.20","Z87.891","R94.31","S32.512A","S42.035A","S20.212A","F10.129","S42.002A","W10.8XXA","K70.31","F10.21","F41.8","F17.210","Z01.810","S12.100A","S12.120A","Z91.81","K59.00","F09.","K62.5","K76.6","R18.8","K76.9","R10.9","R06.02","R74.8","R16.0","R93.3","D68.9","F10.120","R69.","J44.9","B18.2","E80.6","K21.9","I85.00","K31.89","E87.6","K44.9","R79.89","S13.130A","E83.51","W19.XXXA","G93.40","R94.5","R31.9","E53.8","I08.1","I87.8","J90.","R09.89","M54.2","W18.30XA","K74.69","R11.2","E46.","R64.","R00.0","F17.200","Z98.1","H25.811","H26.492","H25.11","R06.03","I50.9","F41.1","R52.","W17.89XA","Z20.822","F39.","K72.10","Z68.1","Z23.","S12.200A","W01.0XXA","Z87.19","E72.20","F10.929","R10.84","E44.0","S22.43XA","S32.592A","J81.1","S42.032A","S20.219A","S42.122A","F10.229","Z90.49","S42.021A","R41.82","S12.101A","I49.9","R06.00","F99.","R53.1","L60.0","Z79.899","H26.493","H04.129","Z48.810","J06.9","Z53.8","J96.91","A41.89","G95.20","F10.231","J95.89","J98.11","N39.0","H25.041","L03.115","K70.40","D68.4","I95.89","I86.4","D69.59","R60.1","R60.0","E83.39","E87.3","E86.1","I95.1","R19.7","S81.811A","L03.119","H54.7","K70.9","E63.8","B19.9","J81.0","L03.116","R68.81","G89.29","M54.5","R60.9","E87.8","S81.801A","Z68.20","R07.9","H00.011","F17.211","F12.10","Z79.82","K82.8","I36.1","J40.","S12.100K","L03.111","Z86.59","R91.8","Z59.8","Z59.1","K76.89","H25.812","I10.","F12.20","H25.813","H52.223","H04.123","M94.0","Z91.14","V58.69"],"date":["2020-12-17","2021-11-02","2021-10-27","2021-11-10","2020-12-28","2021-01-26","2021-01-03","2021-01-05","2021-08-26","2021-01-05","2021-08-26","2021-11-11","2021-12-15","2021-01-05","2021-01-16","2021-01-28","2021-10-30","2021-11-10","2021-11-03","2021-11-05","2021-10-27","2021-10-05","2021-05-14","2021-11-10","2021-02-15","2021-11-04","2021-02-15","2021-02-23","2021-10-27","2021-11-04","2021-12-15","2021-11-16","2021-10-12","2021-11-05","2021-11-04","2021-11-02","2021-11-02","2021-11-15","2021-11-10","2021-11-10","2021-11-15","2021-11-14","2021-11-15","2021-12-15","2021-12-15","2021-12-15","2021-12-15","2020-09-24","2021-01-28","2021-01-14","2021-01-14","2021-10-05","2021-10-05","2021-10-05","2021-11-10","2021-11-12","2021-10-12","2021-10-27","2021-10-15","2021-11-11","2021-11-11","2021-11-11","2021-11-11","2021-11-11","2021-10-22","2021-11-01","2021-11-02","2021-11-01","2021-11-04","2021-11-02","2021-11-02","2021-11-10","2020-03-27","2020-12-24","2020-12-30","2020-12-29","2021-01-13","2021-05-14","2021-05-14","2021-05-14","2021-05-14","2021-10-29","2021-10-29","2021-11-12","2021-11-12","2020-12-18","2020-12-17","2020-12-17","2020-12-18","2020-12-18","2020-12-18","2021-10-26","2021-11-10","2021-01-17","2021-06-03","2021-06-03","2021-07-28","2021-10-29","2021-11-01","2021-11-02","2021-11-10","2021-11-10","2021-11-10","2021-10-12","2021-10-12","2021-11-10","2021-10-27","2020-12-17","2020-12-17","2020-12-18","2020-12-21","2021-06-30","2021-10-26","2021-10-27","2021-11-10","2021-11-10","2021-11-10","2021-11-10","2021-11-10","2021-11-10","2021-11-10","2021-11-10","2021-11-15","2020-12-21","2020-12-22","2021-01-16","2021-04-06","2021-08-26","2021-06-30","2021-08-26","2021-10-29","2021-09-16","2021-09-16","2021-09-16","2020-03-02","2020-03-27","2020-12-17","2020-12-17","2020-12-17","2020-12-17","2020-12-17","2020-12-17","2020-12-17","2021-07-28","2019-06-14","2019-07-18","2019-07-21","2019-07-30","2019-07-21","2019-07-21","2019-07-24","2019-10-09","2019-05-01","2019-05-01","2019-05-01","2019-05-01","2019-05-21","2019-05-01","2019-06-10","2019-07-24","2019-06-27","2019-06-27","2019-05-17","2019-05-17","2019-05-17","2019-05-17","2019-05-17","2019-05-17","2019-05-17","2019-05-17","2019-05-17","2019-05-17","2019-07-03","2019-11-14","2019-11-14","2019-06-08","2019-06-08","2019-07-21","2019-05-21","2019-05-23","2019-05-23","2019-06-08","2019-06-08","2019-07-21","2019-07-21","2019-07-21","2019-05-17","2019-11-19","2019-07-08","2019-07-24","2019-10-02","2019-08-21","2019-10-02","2019-06-08","2019-06-08","2019-06-08"],"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":[["","50383077932","LACTULOSE","SOL 10GM\/15","480","Select","Select",""],["","00527293437","PREDNISONE","TAB 20MG","5","Select","Select",""],["","64980051505","OFLOXACIN","DRO 0.3% OP","5","Select","Select",""],["","60505132101","MIDODRINE","TAB 5MG","120","Select","Select",""],["","61314063710","PREDNISOLONE","SUS 1% OP","10","Select","Select",""],["","74312001380","VITAMIN","TAB 1000MCG","90","Select","Select",""],["","00603020922","MAG","TAB 400MG","60","Select","Select",""],["","57237001760","DULOXETINE","CAP 20MG","30","Select","Select",""],["","00172409660","BACLOFEN","TAB 10MG","180","Select","Select",""],["","16729017201","AMITRIPTYLIN","TAB 25MG","90","Select","Select",""],["","65162036110","FOLIC","TAB 1MG","90","Select","Select",""],["","53746051405","SPIRONOLACT","TAB 50MG","180","Select","Select",""],["","00597007541","SPIRIVA","CAP HANDIHLR","30","Select","Select",""],["","65862069790","VENLAFAXINE","CAP 150MG ER","90","Select","Select",""],["","59310057922","PROAIR","AER ","8","Select","Select",""],["","65862056099","PANTOPRAZOLE","TAB 40MG","90","Select","Select",""],["","69097052444","DICLOFENAC","GEL 0.01","100","Select","Select",""],["","00054429931","FUROSEMIDE","TAB 40MG","90","Select","Select",""],["","00597008717","ATROVENT","AER 17MCG","13","Select","Select",""],["","00281032630","NITRO-BID","OIN 0.02","30","Select","Select",""],["","10702001801","OXYCODONE","TAB 5MG","11","Select","Select",""],["","00054060313","DESVENLAFAX","TAB 25MG ER","30","Select","Select",""],["","65162062710","TRAMADOL","TAB 50MG","11","Select","Select",""],["","00832532411","POT  CL MICRO","TAB 10MEQ ER","180","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":""}]}]}