{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"D WEHTTAMNAGANARB ","gend":0,"add":"               454 XOB OP                         ","city":"PATRICK SPRINGS          ","state":"VA","zip":"24133-0454","dob":"1975-10-14","age":"","mstatus":"","insh":"00119082","cliId":"","pno":"2267281629","cno":2762297398,"email":"","ename":"","eno":"","pphy":"COLE, RICHARD C","ppno":2766944466,"pcpadd":"18877 JEB STUART HWY,","pcpcity":"Stuart","pcpstate":"VA","pcpzip":241715223,"pcpcounty":"","pcpid":"","pcpname":"PATRICK COUNTY FAMILY PRACTICE","plan":"VPHP","program":"MEDICARE","lob":"DSNP","region":"ROANOKE ALLEGHANY","aligned":"Y","ano":"","add2":"APARTMENT D3                                      ","add3":"","madd1":"PO BOX 454                                        ","madd2":"APARTMENT D3                                      ","madd3":"","mcity":"PATRICK SPRINGS          ","mstate":"VA","mzip":"24133-0454","pcpfaxno":"","pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["F22","M25.511","M54.6","M62.838","M79.10","Z00.01","I25.10","E78.5","I10","E78.00","Z12.5","R73.03","M54.5","F06.4","M54.41","M54.31","M76.50","F51.01","M76.899","M25.561","M25.562","G44.229","I69.30","S93.402A","R06.09","E78.2","E11.69","R05","T46.4X5A","M21.80","J20.9","H69.83","E78.4","E66.8","M72.2","K43.9","M79.671","M54.2","I25.111","Q72.811","F11.23","F17.210","Z86.73","Z87.898","H61.21","J30.2","J31.0","M25.552","Z11.52","U07.1","Z98.1","A69.20","E55.9","Z79.899","K21.9","F33.9","B35.1","L60.3","M79.675","M79.674","H65.03","J01.00","F41.9","M70.61","M79.672","M25.572","F51.09","S20.211A","R50.9","B34.9","R06.83","R55","E11.9","H53.8","J02.0"," ","A09"],"date":["2022-10-27","2019-07-02","2019-11-21","2019-07-02","2019-11-21","2022-05-09","2022-05-09","2022-05-09","2022-05-09","2020-09-15","2022-05-09","2020-09-15","2020-09-15","2020-09-15","2022-05-09","2022-05-09","2018-08-22","2018-08-22","2018-10-31","2019-10-08","2018-10-31","2018-10-31","2018-10-31","2020-06-05","2022-01-15","2021-08-31","2021-08-31","2021-08-31","2021-08-31","2021-08-31","2022-06-16","2018-12-26","2018-03-21","2021-12-23","2018-07-05","2021-04-13","2018-10-25","2019-11-21","2021-06-21","2021-06-21","2018-07-19","2018-07-19","2018-07-19","2018-07-19","2022-05-09","2021-07-09","2021-07-09","2019-08-21","2022-11-14","2022-06-10","2019-10-08","2022-07-07","2019-10-16","2019-10-16","2019-06-14","2020-12-21","2021-06-17","2021-06-17","2021-06-17","2021-06-17","2018-12-19","2018-12-19","2018-12-19","2018-03-28","2018-03-22","2020-06-05","2018-06-22","2019-11-19","2020-03-10","2020-03-10","2020-09-16","2020-09-16","2020-09-16","2019-12-10","2020-03-10","2022-11-14","2022-11-14"],"priorHcc":["","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","",""]}}]},{"t":"Covid Screening","q":[{"a":[]}]},{"t":"Self-Assessment and Social History","q":[{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"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":[["","33342007015","OLANZAPINE","TAB 10MG","30","Select","Select",""],["","16729004517","ATORVASTATIN","TAB 20MG","90","Select","Select",""],["","63304073430","ESOMEPRA","CAP 20MG DR","90","Select","Select",""],["","68382009810","PAROXETINE","TAB 20MG","30","Select","Select",""],["","68382080510","TRAZODONE","TAB 50MG","15","Select","Select",""],["","00456112030","VIIBRYD","TAB 20MG","30","Select","Select",""],["","68180098003","LISINOPRIL","TAB 10MG","90","Select","Select",""],["","65862059505","DIVALPROEX","TAB 500MG ER","90","Select","Select",""],["","16729035310","VILAZODONE","TAB 20MG","30","Select","Select",""],["","67877019810","AMLODIPINE","TAB 5MG","90","Select","Select",""],["","00143928501","AMOXICILLIN","TAB 875MG","20","Select","Select",""],["","60432026415","FLUTICASONE","SPR 50MCG","16","Select","Select",""],["","42806031205","DOXYCYCL","TAB 100MG","20","Select","Select",""],["","69584061150","METHOCARBAM","TAB 500MG","60","Select","Select",""],["","52817018000","CLONIDINE","TAB 0.1MG","30","Select","Select",""],["","69108530","PAXLOVID","TAB 300-100","30","Select","Select",""],["","65862049301","QUETIAPINE","TAB 200MG","90","Select","Select",""],["","55111068201","IBU","TAB 400MG","90","Select","Select",""],["","70954001910","PRAZOSIN","CAP 1MG","150","Select","Select",""],["","00591544305","PREDNISONE","TAB 20MG","15","Select","Select",""],["","59762372004","ALPRAZOLAM","TAB 0.5MG","30","Select","Select",""],["","68462024805","RANITIDINE","TAB 150MG","60","Select","Select",""],["","65162062711","TRAMADOL","TAB 50MG","28","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":["",""],"sub":{"indx":[["","","",""],[""],[""],[""],[""],[""]],"comment":[["","","",""],[""],[""],[""],[""],[""]],"sub":[]}}},{"a":{"indx":["1",""],"comment":["",""],"sub":[]}},{"a":{"indx":["1",""],"comment":["",""],"sub":{"indx":[["","","",""],[""],[""],[""],[""],[""]],"comment":[["","","",""],[""],[""],[""],[""],[""]],"sub":[]}}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["1",""],"comment":["",""],"sub":{"indx":[["","",""],[""],[""],[""],[""]],"comment":[["","",""],[""],[""],[""],[""]],"sub":[]}}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"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":""}]}]}