{"version":"0.4","data":[{"t":"Demographics","q":[{"name":" P XELAROLYAT","gend":0,"add":"          RD DOOWKRAP 243                         ","city":"GALAX                    ","state":"VA","zip":"24333-9998","dob":"1940-02-07","age":"","mstatus":"","insh":"00113884","cliId":"","pno":"3267219066","cno":"","email":"","ename":"","eno":"","pphy":"LLAVORE, JOANNE","ppno":2762365181,"pcpadd":"544 E STUART DR STE D,STE 3","pcpcity":"Galax","pcpstate":"VA","pcpzip":243332231,"pcpcounty":"","pcpid":"","pcpname":"CARILION MEDICAL ASSOCIATES FAMILY PRACTICE GALAX","plan":"VPHP","program":"MEDICARE","lob":"DSNP","region":"SOUTHWEST","aligned":"Y","ano":"","add2":"                                                  ","add3":"","madd1":"342 PARKWOOD DR                                   ","madd2":"                                                  ","madd3":"","mcity":"GALAX                    ","mstate":"VA","mzip":"24333-9998","pcpfaxno":"","pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["F33.3","C61","Z79.899","E55.9","I10","D64.9","E78.2","I25.10","I20.9","N32.81","D50.9","R73.09"," "],"date":["2022-10-13","2022-11-29","2022-12-05","2022-12-05","2022-04-19","2022-12-05","2022-12-05","2022-04-19","2022-04-19","2022-04-14","2022-08-19","2022-12-05","2022-12-05"],"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":[["","21922000909","DICLOFENAC","GEL 0.01","300","Select","Select",""],["","62332000191","FAMOTIDINE","TAB 20MG","180","Select","Select",""],["","57237010199","METOPROL","TAB 50MG","180","Select","Select",""],["","67877019810","AMLODIPINE","TAB 5MG","90","Select","Select",""],["","16729021716","SERTRALINE","TAB 100MG","180","Select","Select",""],["","43975035003","PALIPERIDONE","TAB ER 3MG","90","Select","Select",""],["","00093083205","CLONAZEPAM","TAB 0.5MG","270","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":""}]}]}