{"version":"0.4","data":[{"t":"Demographics","q":[{"name":" ARDNASREGLA F","gend":1,"add":"        DR NUR YENOTS 531                         ","city":"STANLEY                  ","state":"VA","zip":"22851-9998","dob":"1960-11-24","age":"","mstatus":"","insh":"00115537","cliId":"","pno":"7704576938","cno":5405192543,"email":"","ename":"","eno":"","pphy":"SWITZER, DAVID S","ppno":5407432887,"pcpadd":"135 MEMORIAL DR,STE B","pcpcity":"Luray","pcpstate":"VA","pcpzip":228351016,"pcpcounty":"","pcpid":"","pcpname":"PAGE HEALTH CARE ASSOCIATES","plan":"VPHP","program":"MEDICARE","lob":"DSNP","region":"NORTHERN & WINCHESTER","aligned":"Y","ano":"","add2":"                                                  ","add3":"","madd1":"135 STONEY RUN RD                                 ","madd2":"                                                  ","madd3":"","mcity":"STANLEY                  ","mstate":"VA","mzip":"22851-9998","pcpfaxno":"","pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["R51.9","I10","I87.9","F32.9","C18.9","N30.00","R10.9","J43.9","N39.3","N39.46","Z03.89","N93.9","D12.6","F33.9","J44.9","E78.5","E11.51","E03.9","K76.89","H60.502","R10.2","Z12.4","F41.9","R30.0","N89.8","E11.65","M19.012","G89.29","G44.209","I16.0","G47.00","E11.9","R06.00","R00.2","M51.36","M54.42","M53.3","M54.41","K05.10","R07.89","R50.9","M51.34","K13.70","E78.2","R19.7","R09.81","B34.9","Z20.822","I73.9","E03.4","R73.01","G89.4","Z87.891","E86.0","R06.02","Z80.1","R06.01","E87.6","Z23","M54.5","Z12.11","Z86.010","D12.3","I20.8","Z85.038","J43.2","Z12.31","R05","R21","R91.1","M25.512","L90.0","R00.0","R07.81","R52","M54.6","R79.89","R73.03","F33.1","Z79.891","L72.0","N95.2","J96.10","R06.09","U07.1","J02.9","Z01.411","N90.4","H60.332","N75.0","Z78.0","G93.89","R90.82","R82.5"," "],"date":["2022-08-24","2022-07-01","2022-12-05","2021-04-12","2022-11-30","2021-04-14","2021-04-14","2022-11-16","2022-11-20","2022-11-20","2020-04-20","2021-05-04","2021-08-17","2022-11-30","2022-11-16","2021-04-12","2021-04-12","2021-08-17","2021-04-14","2021-03-08","2021-03-08","2021-06-22","2020-07-13","2022-07-26","2022-07-26","2022-07-26","2021-10-08","2022-10-11","2020-10-24","2020-10-24","2022-06-14","2022-06-14","2019-11-26","2019-11-26","2021-04-09","2021-10-27","2021-04-09","2021-10-27","2021-05-14","2022-08-16","2022-08-02","2022-08-02","2021-02-08","2021-02-23","2021-09-16","2021-09-16","2021-09-16","2021-09-16","2022-04-22","2020-03-17","2019-12-06","2022-10-11","2020-07-13","2022-02-02","2020-07-13","2020-07-13","2020-07-13","2020-12-18","2020-10-07","2021-04-09","2021-08-17","2021-08-17","2021-08-17","2021-08-17","2021-08-17","2019-10-07","2022-10-11","2020-03-04","2020-03-04","2020-02-03","2021-10-27","2021-09-28","2019-11-13","2020-12-18","2022-04-01","2020-12-18","2022-08-16","2020-03-17","2022-04-22","2019-10-04","2021-05-11","2021-05-11","2022-04-22","2019-11-26","2022-02-02","2022-02-02","2021-06-22","2021-06-22","2020-03-10","2021-04-16","2020-02-12","2022-08-24","2022-08-24","2022-10-11","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":[["","00591565810","CYCLOBENZAPR","TAB 10MG","30","Select","Select",""],["","70377003012","ATORVASTATIN","TAB 80MG","90","Select","Select",""],["","00143312601","DICYCLOMINE","CAP 10MG","90","Select","Select",""],["","68382075905","METFORMIN","TAB 850MG","180","Select","Select",""],["","00597007541","SPIRIVA","CAP HANDIHLR","90","Select","Select",""],["","69097083512","SERTRALINE","TAB 100MG","180","Select","Select",""],["","50742061610","METOPROL","TAB 50MG ER","90","Select","Select",""],["","49884072501","BUSPIRONE","TAB 7.5MG","90","Select","Select",""],["","23155000810","HYDROCHLOROT","TAB 25MG","90","Select","Select",""],["","10702001150","HYDROXYZ","TAB 25MG","60","Select","Select",""],["","00054071025","METHADONE","TAB 10MG","45","Select","Select",""],["","50111043301","TRAZODONE","TAB 50MG","90","Select","Select",""],["","53746010901","HYDROCO\/APAP","TAB 5-325MG","10","Select","Select",""],["","00378181977","LEVOTHYROXIN","TAB 200MCG","90","Select","Select",""],["","00173069600","ADVAIR","AER 250\/50","180","Select","Select",""],["","00093742698","MONTELUKAST","TAB 10MG","90","Select","Select",""],["","00065853302","CIPRODEX","SUS 0.3-0.1%","7.5","Select","Select",""],["","43547040111","FUROSEMIDE","TAB 20MG","90","Select","Select",""],["","68180072103","AMLODIPINE","TAB 10MG","90","Select","Select",""],["","59310057922","PROAIR","AER ","25.5","Select","Select",""],["","43386009660","CLOBETASOL","OIN 0.0005","30","Select","Select",""],["","65862049001","QUETIAPINE","TAB 50MG","60","Select","Select",""],["","70436000203","POT  CHLORIDE","TAB 10MEQ ER","90","Select","Select",""],["","38396031776","CVS","MIS 33G","100","Select","Select",""],["","68180097903","LISINOPRIL","TAB 40MG","90","Select","Select",""],["","49281063315","FLUZONE","INJ 2020-21","0.5","Select","Select",""],["","00378877035","ESTRADIOL","CRE 0.0001","42.5","Select","Select",""],["","60505036301","OFLOXACIN","DRO 0.3%OTIC","5","Select","Select",""],["","00378064010","PREDNISONE","TAB 5MG","60","Select","Select",""],["","69547035302","NARCAN","SPR ","2","Select","Select",""],["","67877025130","TRIAMCINOLON","CRE 0.001","30","Select","Select",""],["","69097014260","ALBUTEROL","AER HFA","6.7","Select","Select",""],["","00093216568","NALOXONE","SPR ","2","Select","Select",""],["","00093310905","AMOXICILLIN","CAP 500MG","30","Select","Select",""],["","00597015330","JARDIANCE","TAB 25MG","30","Select","Select",""],["","64980050924","DEXAMETHASON","ELX 0.5\/5ML","237","Select","Select",""],["","68180071160","CEFDINIR","CAP 300MG","20","Select","Select",""],["","65862020390","LOSARTAN","TAB 100MG","90","Select","Select",""],["","60505384901","CELECOXIB","CAP 200MG","90","Select","Select",""],["","00006505506","MOLNUPIRAVIR","CAP 200MG","40","Select","Select",""],["","47781030301","NITROFURANTN","CAP 100MG","10","Select","Select",""],["","45802026937","PERMETHRIN","CRE 0.05","60","Select","Select",""],["","69097015807","MELOXICAM","TAB 7.5MG","30","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":["",""],"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":""}]}]}