{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"D AGLEHHTIMS ","gend":1,"add":"      ES TEERTS HT21 4211                         ","city":"ROANOKE                  ","state":"VA","zip":"24013-1911","dob":"1946-09-24","age":"","mstatus":"","insh":"00113378","cliId":"","pno":"0404503260","cno":"","email":"","ename":"","eno":"","pphy":"GARDNER, JAMES H","ppno":5403454946,"pcpadd":"4461 STARKEY RD STE 201,STE 201","pcpcity":"Roanoke","pcpstate":"VA","pcpzip":240180622,"pcpcounty":"","pcpid":"","pcpname":"PHYSICIAN ASSOCIATES OF VIRGINIA","plan":"VPHP","program":"MEDICARE","lob":"DSNP","region":"ROANOKE ALLEGHANY","aligned":"Y","ano":"","add2":"                                                  ","add3":"","madd1":"1124 12TH STREET SE                               ","madd2":"                                                  ","madd3":"","mcity":"ROANOKE                  ","mstate":"VA","mzip":"24013-1911","pcpfaxno":"","pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["I26.99","I63.9","I51.7","I48.2","E78.2","N18.30","Z68.32","I10","M10.9","Z95.0","R39.81","G46.4","Z99.3","I48.20","I69.391","R13.10","I69.322","I69.351","I13.0","I50.32","I48.0","Z79.01","I70.293","B35.1","N18.4","E83.52","I12.9","R39.9","I08.0","R93.1","Q21.1","I44.0","I44.1","R94.31","R00.1","I50.33","J96.01","N17.9","N39.0","I44.2","I16.0","I48.21","I48.92","R73.9","G93.89","B96.20","I50.43","N17.8","M54.2","W19.XXXA","N18.9","I48.91","Z95.818","Z86.73","Z91.81","Z85.3","Z79.02","Z79.82","Z79.899","N18.3","R53.81","R29.6","R06.02","R91.8","R51","R53.1","I48.3","I50.30","R78.81","R82.71","M25.551","E87.2","I49.9","Z71.89","M25.561","J81.0","R29.818","R47.1","R29.91","I70.203","I69.30","M62.81","I69.891","I69.822","R41.841","E78.5","G40.89","F33.9","K21.9","E66.9","I69.332","N25.81","D50.9","F32.9","R41.89","R60.0","I67.89","I67.9","Z68.30","F41.1","M17.0","M10.00","M15.9","L60.3","Z01.810","S29.8XXA","R07.89","W18.39XA","Z68.34","I25.10","Z68.35","Z23","R29.90","R29.810","I67.6","I45.5","Z68.31","I63.532","G45.9","Z00.00"," "],"date":["2022-10-12","2021-04-16","2021-04-16","2021-01-23","2022-10-12","2022-08-23","2021-01-23","2022-10-12","2021-04-16","2022-10-12","2022-11-15","2022-11-15","2022-11-15","2021-04-16","2021-01-27","2021-01-27","2021-01-27","2021-01-27","2021-01-27","2021-01-27","2021-02-19","2021-12-13","2022-08-19","2022-08-19","2022-10-12","2020-02-03","2022-08-23","2022-08-23","2021-03-05","2020-02-06","2020-02-06","2020-02-06","2020-02-12","2020-12-19","2020-02-12","2021-12-13","2020-06-01","2020-02-11","2021-08-05","2021-12-13","2020-03-01","2020-03-09","2020-02-09","2020-02-06","2020-02-06","2020-02-09","2020-02-06","2020-02-06","2020-02-06","2020-02-07","2020-02-06","2020-08-28","2021-02-19","2021-12-13","2020-02-06","2020-04-14","2020-12-19","2020-12-19","2020-12-19","2020-07-28","2020-02-12","2022-10-12","2020-02-06","2020-02-06","2020-02-06","2020-02-06","2020-02-07","2020-02-07","2020-02-07","2020-02-07","2020-02-07","2020-02-11","2020-02-07","2020-02-07","2020-02-08","2020-02-11","2020-12-21","2020-12-20","2020-02-11","2020-02-12","2020-06-01","2020-06-01","2020-06-01","2020-06-01","2020-03-01","2020-03-01","2020-03-01","2020-03-01","2020-03-01","2020-04-14","2020-02-14","2022-08-23","2022-08-23","2020-03-03","2020-02-21","2020-03-03","2021-03-05","2020-03-09","2020-04-14","2022-10-12","2022-10-12","2020-07-28","2022-10-12","2021-04-28","2020-07-10","2020-07-23","2020-07-23","2020-07-23","2020-07-28","2022-10-12","2022-05-13","2022-10-12","2020-12-25","2020-12-20","2020-12-21","2020-12-21","2022-10-12","2020-12-22","2022-12-01","2022-05-13","2022-12-01"],"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":[["","50458057930","XARELTO","TAB 20MG","90","Select","Select",""],["","55111073005","ALLOPURINOL","TAB 300MG","90","Select","Select",""],["","76385011250","CARVEDILOL","TAB 12.5MG","180","Select","Select",""],["","55111015810","OMEPRAZOLE","CAP 20MG","90","Select","Select",""],["","65862022801","LAMOTRIGINE","TAB 100MG","90","Select","Select",""],["","00378020810","FUROSEMIDE","TAB 20MG","90","Select","Select",""],["","69097083512","SERTRALINE","TAB 100MG","90","Select","Select",""],["","68180072003","AMLODIPINE","TAB 5MG","90","Select","Select",""],["","49884093547","DICLOFENAC","GEL 0.01","100","Select","Select",""],["","68180012202","CEPHALEXIN","CAP 500MG","20","Select","Select",""],["","53746054201","POT  CHLORIDE","CAP 10MEQ ER","90","Select","Select",""],["","00093727098","PRAVASTATIN","TAB 80MG","90","Select","Select",""],["","57664050658","METOPROL","TAB 25MG","90","Select","Select",""],["","47335067181","DILTIAZEM","CAP 240MG\/24","90","Select","Select",""],["","65862035790","CLOPIDOGREL","TAB 75MG","90","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":["",""]}},{"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":""}]}]}