{"version":"0.4","data":[{"t":"Demographics","q":[{"name":" B AIVILOYELKCOHS","gend":1,"add":"DNAR 619EVA HPLO","city":"PULASKI","state":"VA","zip":"24301-9998","dob":"1951-10-30","age":"","mstatus":"","insh":"00112069","cliId":"","pno":"3704540859","cno":"","email":"","ename":"","eno":"","pphy":"STEWART, KNOTRESHA F","ppno":5408350500,"pcpadd":"28 Town Center Dr, ","pcpcity":"Dublin","pcpstate":"VA","pcpzip":240846069,"pcpcounty":"","pcpid":"","pcpname":"LEON J BROWN JR MD","plan":"VPHP","program":"MEDICARE","lob":"DSNP","region":"ROANOKE ALLEGHANY","aligned":"Y","ano":"","add2":"APT 5","add3":"","madd1":"914 Randolph Ave Apt 6","madd2":"","madd3":"","mcity":"Pulaski","mstate":"VA","mzip":"24301-3118","pcpfaxno":"","pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["F33.0","Z12.31","I10","F41.9","F43.10","K21.9","L98.9","E55.9","N89.8","N90.4","Z13.29","F32.9","G47.00","N28.9","S62.109A","J30.2","F41.1","Z12.11","Z68.39","Z79.899","W19.XXXA","L70.0","E78.5","E83.51","R63.5","R60.0","Z71.6","Z12.39","M25.561","Z12.4","H91.90","M25.562","G89.29","J44.9","R32","M06.9","E66.8","F17.210","H26.9","Z68.38","R53.82","M17.11","Z01.419","F17.200","Z11.51"],"date":["2022-04-21","2020-06-17","2021-12-02","2021-08-13","2021-08-13","2021-08-13","2021-12-02","2021-08-13","2021-08-13","2021-12-02","2021-08-13","2021-08-13","2021-03-22","2021-03-22","2021-03-22","2021-03-22","2021-03-22","2021-12-02","2020-11-24","2021-03-22","2020-11-24","2021-03-22","2021-12-02","2021-03-22","2021-03-22","2021-03-22","2021-03-22","2021-12-02","2021-12-02","2022-03-11","2021-12-02","2022-03-11","2021-12-02","2020-06-17","2020-06-17","2020-06-17","2020-06-17","2020-06-17","2020-06-17","2020-06-17","2020-09-03","2022-03-11","2022-03-11","2022-03-11","2022-03-11"],"priorHcc":["","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","",""]}}]},{"t":"Covid Screening","q":[{"a":[]}]},{"t":"Self-Assessment and Social History","q":[{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":{"indx":["",""],"comment":["",""],"sub":[]}},{"a":{"indx":["",""],"comment":["",""],"sub":[]}},{"a":{"indx":["",""],"comment":["",""],"sub":[]}},{"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":[["","67877019905","AMLODIPINE","TAB 10MG","28","Select","Select",""],["","65862052890","VENLAFAXINE","CAP 75MG ER","6","Select","Select",""],["","68180077901","ZOLPIDEM","TAB 6.25MG","28","Select","Select",""],["","65162044110","MECLIZINE","TAB 12.5MG","28","Select","Select",""],["","00046087221","PREMARIN","CRE 0.625MG","30","Select","Select",""],["","00832532515","POT  CL MICRO","TAB 20MEQ ER","28","Select","Select",""],["","69315030660","NYSTATIN","POW 100000","30","Select","Select",""],["","43598050930","ESOMEPRA","CAP 20MG DR","28","Select","Select",""],["","23155002405","BUSPIRONE","TAB 10MG","112","Select","Select",""],["","65862001305","SERTRALINE","TAB 100MG","10","Select","Select",""],["","69097094512","ATORVASTATIN","TAB 20MG","28","Select","Select",""],["","14539067505","HYDROXYZ","CAP 50MG","28","Select","Select",""],["","43547040610","CLONAZEPAM","TAB 0.5MG","10","Select","Select",""],["","00832046530","NYAMYC","POW 100000","30","Select","Select",""],["","00173085910","BREO","INH 100-25","60","Select","Select",""],["","51672125906","CLOBETASOL","OIN 0.0005","45","Select","Select",""],["","00172572860","FAMOTIDINE","TAB 20MG","28","Select","Select",""],["","00185041505","BUPROPION","TAB 150MG SR","28","Select","Select",""],["","00006003330","BELSOMRA","TAB 10MG","30","Select","Select",""],["","60505082901","FLUTICASONE","SPR 50MCG","16","Select","Select",""],["","51672127501","CLOTRIMAZOLE","CRE 0.01","15","Select","Select",""],["","68462010230","FLUCONAZOLE","TAB 100MG","7","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":["",""]}},{"a":{"indx":["1",""],"comment":["",""]}},{"a":{"indx":["","1"],"comment":["",""]}},{"a":{"indx":["","1"],"comment":["",""]}},{"a":{"indx":["","1"],"comment":["",""]}},{"a":{"indx":["","1"],"comment":["",""],"sub":{"indx":[["","",""],[""],[""],[""],[""]],"comment":[["","",""],[""],[""],[""],[""]],"sub":[]}}},{"a":{"indx":["","1"],"comment":["",""]}},{"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":""}]}]}