{"version":"0.4","data":[{"t":"Demographics","q":[{"name":" EIROJRAMNOSNIBOR","gend":1,"add":"      TEERTS HTIMS   1211                         ","city":"BEDFORD                  ","state":"VA","zip":"24523-3009","dob":"1955-08-19","age":"","mstatus":"","insh":"00112548","cliId":"","pno":"2404565765","cno":5406764304,"email":"","ename":"","eno":"","pphy":"LUTH, JANICE E","ppno":5402977181,"pcpadd":"4830 RUCKER RD,","pcpcity":"Moneta","pcpstate":"VA","pcpzip":241215281,"pcpcounty":"","pcpid":"","pcpname":"VILLAGE FAMILY PHYSICIANS INC","plan":"VPHP","program":"MEDICARE","lob":"DSNP","region":"ROANOKE ALLEGHANY","aligned":"Y","ano":"","add2":"                                                  ","add3":"","madd1":"1121   SMITH STREET                               ","madd2":"                                                  ","madd3":"","mcity":"BEDFORD                  ","mstate":"VA","mzip":"24523-3009","pcpfaxno":"","pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["J43.9","R69","E11.29","I10","K58.0","R39.81","J44.9","M12.9","F41.8","M15.9","E66.01","E55.9","E78.5","K21.9","R06.02","R19.7","Z23","Z68.43","T50.905A","R39.9","E10.9","Z86.11","A15.7","Z91.81","K52.9","F32.9","F41.9","R32","M17.0","E11.9","K04.7","N39.0","K08.89","R30.0","R60.0","M25.473"," "],"date":["2022-11-07","2021-08-01","2022-08-04","2022-08-04","2020-05-07","2022-11-19","2022-11-19","2022-11-19","2021-04-08","2021-04-08","2022-08-04","2022-01-05","2022-08-04","2021-04-08","2022-05-16","2020-05-07","2022-01-05","2022-01-05","2020-06-17","2021-04-08","2019-09-06","2021-04-08","2021-04-08","2021-04-08","2019-12-30","2019-12-30","2019-12-30","2019-12-30","2019-12-30","2022-08-04","2022-07-20","2022-06-27","2022-06-27","2022-06-27","2022-08-04","2022-08-04","2022-11-19"],"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":[["","70377002811","ATORVASTATIN","TAB 20MG","90","Select","Select",""],["","65862049001","QUETIAPINE","TAB 50MG","180","Select","Select",""],["","51991074790","DULOXETINE","CAP 30MG","90","Select","Select",""],["","69097083512","SERTRALINE","TAB 100MG","135","Select","Select",""],["","00093005805","TRAMADOL","TAB 50MG","120","Select","Select",""],["","00088221905","LANTUS","INJ 100\/ML","45","Select","Select",""],["","00169633910","NOVOLOG","INJ FLEXPEN","90","Select","Select",""],["","68382002401","ATENOLOL","TAB 100MG","180","Select","Select",""],["","50111043401","TRAZODONE","TAB 100MG","90","Select","Select",""],["","13107008405","LORAZEPAM","TAB 1MG","90","Select","Select",""],["","68180012202","CEPHALEXIN","CAP 500MG","40","Select","Select",""],["","55111015810","OMEPRAZOLE","CAP 20MG","90","Select","Select",""],["","47781030301","NITROFURANTN","CAP 100MG","10","Select","Select",""],["","63304069205","CLINDAMYCIN","CAP 150MG","90","Select","Select",""],["","00228202950","ALPRAZOLAM","TAB 0.5MG","60","Select","Select",""],["","68180051303","LISINOPRIL","TAB 5MG","180","Select","Select",""],["","69547035302","NARCAN","SPR ","2","Select","Select",""],["","65862042005","SMZ\/TMP","TAB 800-160","14","Select","Select",""],["","43547033906","RISPERIDONE","TAB 0.25MG","90","Select","Select",""],["","00193731401","CONTOUR","SOL LEVEL 2","1","Select","Select",""],["","98302000100","SIMPLE","MIS LANCING","1","Select","Select",""],["","98302000160","ULTRA","MIS 31G","200","Select","Select",""],["","98302000105","ALCOHOL","PAD ","200","Select","Select",""],["","98302000198","COMFORT","MIS 31GX8MM","100","Select","Select",""],["","08290320119","BD  PEN NEEDL","MIS 31GX5MM","100","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":["",""],"sub":{"indx":[["","","",""],[""],[""],[""],[""],[""]],"comment":[["","","",""],[""],[""],[""],[""],[""]],"sub":[]}}},{"a":{"indx":["1",""],"comment":["",""]}},{"a":{"indx":["","1"],"comment":["",""]}},{"a":{"indx":["1",""],"comment":["",""],"sub":{"indx":[["","",""],[""],[""],[""],[""]],"comment":[["","",""],[""],[""],[""],[""]],"sub":[]}}},{"a":{"indx":["","1"],"comment":["",""]}},{"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":""}]}]}