{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"TTENREBSIWEL A","gend":1,"add":"IREH 9001KRAP EGAT","city":"ENON                     ","state":"VA","zip":"22401-9998","dob":"1963-12-03","age":"","mstatus":"","insh":"00115589","cliId":"","pno":"6304587551","cno":"","email":"","ename":"","eno":"","pphy":"STINAR, THERON R","ppno":5407858500,"pcpadd":"1129 HEATHERSTONE DR,","pcpcity":"Fredericksburg","pcpstate":"VA","pcpzip":224074828,"pcpcounty":"","pcpid":"","pcpname":"FREDERICKSBURG CHRISTIAN HEALTH CENTER","plan":"VPHP","program":"MEDICARE","lob":"DSNP","region":"CENTRAL","aligned":"Y","ano":"","add2":"APT 101","add3":"","madd1":"1009 HERITAGE PARK","madd2":"APT 101","madd3":"","mcity":"ENON                     ","mstate":"VA","mzip":"22401-9998","pcpfaxno":"","pcpnpi":""},{"a":{"indx":["","1","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["I11.9","R06.00","R55","D86.0","E11.9","F17.201","M79.606","E11.319","Z79.4","F32.9","D86.89","R05","E11.3293","H40.009","H04.123","H35.033","D86.9","Z79.899","Z96.1","N39.3","R10.33","H52.03","H52.203","H52.4","K21.9","E11.39","J47.9","E78.2","J84.10","F31.9","I70.0","M81.8","Z00.00","I10","E11.42","H81.13","E11.3291","E11.3392","M47.812","M54.2","M47.892","H54.7","Z12.31","M50.30","M41.9","E55.9","D86.1","R59.0","E78.5","K52.9","F17.211","E11.3393","J18.1","M79.604","M79.605","I16.0","R94.31","R10.9","M81.0","Z79.52","R42","H40.1110","R05.9","F33.41","J44.9","Z79.51","Z87.891","Z86.73","R10.84","R91.8","M79.81","J30.0","J30.1","E11.49","E11.3599","M79.674","R06.02","E11.41","M20.41","L84","M79.671","M54.32","R20.2","R20.3","D18.09","K21.00","H40.053","Z01.00","R59.1"],"date":["2022-11-03","2022-11-03","2022-11-03","2022-11-03","2022-11-03","2022-11-03","2022-11-03","2022-10-04","2022-10-07","2022-10-24","2022-09-01","2021-09-22","2022-10-07","2021-09-09","2022-10-07","2021-09-09","2022-10-10","2021-12-07","2022-10-07","2022-10-10","2020-03-24","2021-02-19","2021-09-09","2021-02-19","2021-06-29","2021-06-29","2021-07-16","2022-09-23","2022-10-06","2021-06-29","2021-06-29","2021-06-29","2021-07-09","2022-10-07","2020-06-10","2020-12-18","2020-09-15","2020-09-15","2021-10-11","2022-06-13","2022-02-22","2021-02-09","2022-03-25","2021-12-01","2021-12-01","2020-09-28","2021-10-28","2021-10-07","2022-11-03","2020-03-24","2020-07-16","2020-03-16","2021-07-16","2021-09-14","2021-09-14","2020-05-19","2020-05-18","2020-01-22","2020-05-04","2020-05-04","2020-05-19","2022-10-07","2022-09-01","2022-10-04","2020-05-18","2020-05-18","2020-05-18","2020-05-18","2022-07-01","2022-07-01","2022-07-01","2022-07-01","2022-07-01","2020-06-08","2020-06-08","2020-05-18","2021-04-16","2021-01-26","2021-01-26","2021-01-26","2021-01-26","2021-01-26","2021-01-26","2021-01-26","2021-01-26","2021-10-28","2022-10-07","2022-10-07","2022-10-06"],"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":[["","31722070290","LOSARTAN","TAB 100MG","90","Select","Select",""],["","65862014305","CARVEDILOL","TAB 6.25MG","180","Select","Select",""],["","65162044110","MECLIZINE","TAB 12.5MG","25","Select","Select",""],["","00597015390","JARDIANCE","TAB 25MG","90","Select","Select",""],["","00169643810","LEVEMIR","INJ FLEXTOUC","15","Select","Select",""],["","57599000101","FREESTYLE    KIT SENSOR","KIT SENSOR","2","Select","Select",""],["","60505024701","MIRTAZAPINE","TAB 15MG","30","Select","Select",""],["","68180044801","QUETIAPINE","TAB 200MG","30","Select","Select",""],["","75834021730","VENLAFAXINE","TAB 75MG ER","30","Select","Select",""],["","00024576105","SOLIQUA","INJ 100\/33","15","Select","Select",""],["","00555030202","HYDROXYZ","CAP 50MG","30","Select","Select",""],["","00185041505","BUPROPION","TAB 150MG SR","30","Select","Select",""],["","08290320109","BD  PEN NEEDL","MIS 31GX8MM","100","Select","Select",""],["","68180072103","AMLODIPINE","TAB 10MG","90","Select","Select",""],["","59762033302","LATANOPROST","SOL 0.00005","2.5","Select","Select",""],["","70377003012","ATORVASTATIN","TAB 80MG","90","Select","Select",""],["","53746051101","SPIRONOLACT","TAB 25MG","90","Select","Select",""],["","53885027210","ONETOUCH","TES VERIO","100","Select","Select",""],["","55111015930","OMEPRAZOLE","CAP 40MG","30","Select","Select",""],["","72205000530","ROSUVASTATIN","TAB 40MG","30","Select","Select",""],["","00406048410","APAP\/CODEINE","TAB 300-30MG","14","Select","Select",""],["","00310737020","BUDES\/FORMOT","AER 160-4.5","10.2","Select","Select",""],["","59746017310","PREDNISONE","TAB 10MG","60","Select","Select",""],["","67877041301","METFORMIN","TAB 500MG ER","60","Select","Select",""],["","55111018015","TIZANIDINE","TAB 4MG","30","Select","Select",""],["","33332032001","AFLURIA","INJ 2020-21","0.5","Select","Select",""],["","68382011314","RISPERIDONE","TAB 0.5MG","60","Select","Select",""],["","00597030045","SYNJARDY","TAB ","60","Select","Select",""],["","00054327099","FLUTICASONE","SPR 50MCG","16","Select","Select",""],["","00054004544","IPRATROPIUM","SPR 0.0003","30","Select","Select",""],["","27808008602","HYD","SUS 10-8\/5ML","200","Select","Select",""],["","00173068220","VENTOLIN","AER ","18","Select","Select",""],["","16571020150","DICLOFENAC","TAB 75MG DR","60","Select","Select",""],["","29300041510","CYCLOBENZAPR","TAB 10MG","15","Select","Select",""],["","00597002402","COMBIVENT","AER 20-100","4","Select","Select",""],["","57599000200","FREESTYLE    MIS READER","MIS READER","1","Select","Select",""],["","70010077001","METHOCARBAM","TAB 750MG","30","Select","Select",""],["","49281042050","FLUZONE","INJ 2020-21","0.5","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":["",""]}},{"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":""}]}]}