{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"L YENORYEFFUD ","gend":0,"add":"           RD ANOGARA 344                         ","city":"VINTON                   ","state":"VA","zip":"24179-9998","dob":"1971-07-02","age":"","mstatus":"","insh":"00119974","cliId":"","pno":"9704512153","cno":"","email":"","ename":"","eno":"","pphy":"SENTER, ANGEL B","ppno":5409818621,"pcpadd":"1906 BELLEVIEW AVE SE,","pcpcity":"Roanoke","pcpstate":"VA","pcpzip":240141838,"pcpcounty":"","pcpid":"","pcpname":"CARILION MEDICAL CENTER","plan":"VPHP","program":"MEDICARE","lob":"DSNP","region":"ROANOKE ALLEGHANY","aligned":"Y","ano":"","add2":"                                                  ","add3":"","madd1":"443 ARAGONA DR                                    ","madd2":"                                                  ","madd3":"","mcity":"VINTON                   ","mstate":"VA","mzip":"24179-9998","pcpfaxno":"","pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["E11.8","E55.9","Z94.0","Z79.899","Z94.83","Z98.3","B35.1","L60.1","E78.00","I10","I25.10","Z99.0","E11.42","E10.3599","H21.1X1","H43.12","H26.8","Z12.83","D18.01","L82.1","E11.39","H40.053","E11.3593","H43.13","L57.0","L81.4","D22.9","I12.9","E86.1","R00.0","R11.2","R19.7","E86.0","N17.9","N17.0","R57.1","I13.0","E10.22","E10.40","I50.9","E10.3219","K52.9","N18.9","R33.9","D63.1","I34.0","M51.36","I95.9","E10.319","R40.4","R42","R53.1","K52.89","E10.9","Z79.4","E11.319","E78.5","I42.0","R80.9","J34.2","Z87.81","K21.9","E78.2","E83.42","C11.8","L60.3","R53.83","Z00.00","E11.43","Z51.81","K31.84","Z82.49","Z83.3","Z87.891","Z88.0","E66.9","G89.29","K59.00","Z68.30","Z79.52","Z79.82","Z82.3","H35.371","H40.033","J18.9","R11.15","Z23","E10.3513","H35.82","E78.9","G47.00","H54.8","M54.9","Z68.28","Z79.83","E11.3513","H40.059","H26.9","N18.6","Z48.22","E10.21","Z71.89","E11.9","K21.0","J06.9","Z94.9","D89.9","R05","R11.10","K31.9","R11.0","G47.30","M19.90","I11.0","D64.9","Z79.84","K29.30","K29.60","U07.1","E10.3553","Z01.818","J02.9","R06.7","R09.82","K29.50","Z20.822","E10.3593","R06.09","Z98.890","N25.81","I15.1","Z71.85","Z86.16","A09","D84.9"," ","I07.1"],"date":["2022-09-09","2021-01-11","2022-10-31","2022-10-14","2022-10-14","2022-01-07","2020-01-13","2019-01-09","2021-08-06","2022-10-31","2022-04-27","2021-01-11","2020-01-13","2022-10-13","2022-01-13","2022-01-13","2022-10-13","2022-02-18","2019-01-23","2022-02-18","2022-10-13","2022-10-13","2022-08-11","2020-02-12","2022-02-18","2022-02-18","2022-02-18","2022-10-04","2019-02-22","2019-02-22","2019-02-25","2019-03-06","2019-02-25","2019-03-06","2019-02-22","2019-02-22","2021-04-08","2019-02-22","2019-02-24","2022-04-27","2019-02-22","2019-02-22","2019-02-25","2019-02-25","2019-02-22","2019-02-22","2019-02-22","2019-03-06","2019-02-24","2019-02-22","2019-02-22","2019-02-22","2019-02-25","2019-02-25","2019-02-25","2021-03-02","2021-09-10","2021-03-02","2022-10-04","2020-03-12","2020-03-12","2022-10-31","2021-07-23","2021-07-23","2019-05-10","2019-06-28","2022-07-08","2021-08-06","2022-10-31","2021-08-06","2022-10-31","2019-08-19","2019-08-19","2019-08-19","2019-08-19","2019-08-19","2019-08-19","2019-08-19","2019-08-19","2019-11-26","2019-08-19","2019-08-19","2021-08-20","2022-08-11","2018-10-01","2019-10-03","2022-10-11","2021-10-14","2022-10-13","2018-11-02","2018-11-02","2022-10-31","2018-11-02","2018-11-02","2020-11-04","2020-11-13","2020-11-13","2022-08-11","2018-11-16","2018-11-16","2018-11-16","2018-11-16","2022-04-27","2019-12-09","2021-12-23","2018-12-19","2018-12-19","2018-12-19","2018-12-19","2022-04-27","2022-04-27","2022-04-27","2022-04-27","2022-04-27","2022-04-27","2022-04-27","2022-04-27","2022-04-27","2022-07-19","2022-08-11","2022-04-22","2021-12-23","2021-12-23","2021-12-23","2022-04-27","2022-04-22","2022-10-13","2022-11-15","2022-10-31","2022-10-31","2022-10-14","2022-10-14","2022-10-14","2022-10-14","2022-10-11","2022-11-15","2022-11-15"],"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":[["","16729004201","TACROLIMUS","CAP 1MG","60","Select","Select",""],["","60505017007","PRAVASTATIN","TAB 40MG","30","Select","Select",""],["","00093733401","MYCOPHENOLAT","CAP 250MG","120","Select","Select",""],["","68382009505","CARVEDILOL","TAB 25MG","60","Select","Select",""],["","59746017206","PREDNISONE","TAB 5MG","30","Select","Select",""],["","43547035311","LISINOPRIL","TAB 10MG","30","Select","Select",""],["","16714073601","ESOMEPRA","CAP 40MG DR","30","Select","Select",""],["","17478028811","TIMOLOL","SOL 0.5% OP","10","Select","Select",""],["","19515080852","FLULAVAL","INJ 2022-23","0.5","Select","Select",""],["","60505082901","FLUTICASONE","SPR 50MCG","16","Select","Select",""],["","10702000301","PROMETHAZINE","TAB 25MG","30","Select","Select",""],["","00469064773","ASTAGRAF","CAP 0.5MG","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":["",""]}},{"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":""}]}]}