{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"A LEAHCIMNOSNIBOR ","gend":0,"add":"   ES TS EDISGNINROM 6141                         ","city":"ROANOKE                  ","state":"VA","zip":"24013-9998","dob":"1968-05-09","age":"","mstatus":"","insh":"00118694","cliId":"","pno":"8304567138","cno":"","email":"","ename":"","eno":"","pphy":"GREENAWALD, MARK H","ppno":5405625700,"pcpadd":"1314 PETERS CREEK ROAD,","pcpcity":"ROANOKE","pcpstate":"VA","pcpzip":240172500,"pcpcounty":"","pcpid":"","pcpname":"CARILION FAMILY MEDICINE ROANOKE SALEM","plan":"VPHP","program":"MEDICARE","lob":"DSNP","region":"ROANOKE ALLEGHANY","aligned":"Y","ano":"","add2":"                                                  ","add3":"","madd1":"1416 MORNINGSIDE ST SE                            ","madd2":"                                                  ","madd3":"","mcity":"ROANOKE                  ","mstate":"VA","mzip":"24013-9998","pcpfaxno":"","pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["M25.512","M50.20","Z12.11","M54.12","Z98.1","M54.2","M79.601","M79.602","L81.4","B07.9","E78.5","I10","F32.0","Z76.0","M48.02","S12.9XXA","M99.71","M99.51","G89.29","M50.30","M50.10","Z01.812","Z01.818","M50.13","F17.210","Z79.82","M62.81","W57.XXXA","Z00.00","F17.200","M19.012","M75.52","M75.82","Z79.899","Z02.89","L57.0","R80.9","F41.9","E66.3","Z71.89","M75.102","M47.22","Z23","F43.21","D22.9","F41.1","I25.10","F40.9","G62.9","E55.9","M54.10","M19.90","Z68.28","M48.00","M25.511","R29.898","Z68.27","Z87.39","S90.821A"," ","M99.04","M99.02","M99.00","M99.01","M99.05","M99.03","M99.06","M99.08","M99.07","Z71.3"],"date":["2019-09-30","2019-12-11","2020-02-04","2022-11-17","2022-10-03","2022-11-17","2019-02-11","2019-06-05","2022-01-31","2022-01-31","2022-07-08","2022-10-03","2021-09-28","2021-02-01","2022-11-17","2021-02-08","2019-02-11","2019-02-11","2020-10-19","2020-08-12","2021-03-12","2021-07-18","2021-07-18","2021-03-12","2022-10-03","2021-03-12","2019-06-06","2019-04-29","2022-05-20","2021-08-26","2019-09-17","2019-06-20","2019-06-20","2019-06-26","2019-07-08","2019-12-11","2019-07-08","2019-12-11","2019-07-08","2019-07-08","2019-09-17","2020-07-17","2021-08-26","2021-08-26","2021-08-26","2021-09-28","2021-09-28","2021-09-28","2020-10-19","2020-10-19","2020-10-19","2020-10-19","2020-10-19","2020-10-19","2020-10-21","2018-10-25","2019-11-27","2019-11-27","2022-05-02","2022-11-17","2022-11-17","2022-11-17","2022-11-17","2022-11-17","2022-11-17","2022-11-17","2022-11-17","2022-11-17","2022-11-17","2022-10-03"],"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":[["","76385012450","METHOCARBAM","TAB 750MG","30","Select","Select",""],["","60505384801","CELECOXIB","CAP 100MG","180","Select","Select",""],["","00591354360","BUPROPION","TAB 150MG SR","60","Select","Select",""],["","29300012810","HYDROCHLOROT","TAB 25MG","30","Select","Select",""],["","16714087703","ATORVASTATIN","TAB 80MG","30","Select","Select",""],["","43547035611","LISINOPRIL","TAB 40MG","30","Select","Select",""],["","68382002310","ATENOLOL","TAB 50MG","30","Select","Select",""],["","16714033002","GABAPENTIN","TAB 600MG","90","Select","Select",""],["","60505082901","FLUTICASONE","SPR 50MCG","16","Select","Select",""],["","45802005535","TRIAMCINOLON","OIN 0.001","15","Select","Select",""],["","59746000103","METHYLPRED","TAB 4MG","21","Select","Select",""],["","68682010301","DICLOFENAC","TAB 100MG ER","30","Select","Select",""],["","53746010901","HYDROCO\/APAP","TAB 5-325MG","28","Select","Select",""],["","68382005101","MELOXICAM","TAB 15MG","30","Select","Select",""],["","00093031401","KETOROLAC","TAB 10MG","20","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":""}]}]}