{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"GN MENEYU","gend":1,"add":" ELAD 2021ES EUNEVA","city":"ROANOKE                  ","state":"VA","zip":"24013-9998","dob":"1949-12-31","age":"","mstatus":"","insh":"10110735","cliId":"","pno":"1304510522","cno":"","email":"","ename":"","eno":"","pphy":"RHEA, RANDALL R","ppno":5409836700,"pcpadd":"415 S POLLARD ST,","pcpcity":"Vinton","pcpstate":"VA","pcpzip":241792502,"pcpcounty":"","pcpid":"","pcpname":"CARILION FAMILY MEDICINE PARKWAY PHYSICIANS VINT","plan":"VPHP","program":"MEDICARE","lob":"DSNP","region":"ROANOKE ALLEGHANY","aligned":"Y","ano":"","add2":"                                                  ","add3":"","madd1":"1202 DALE AVENUE SE","madd2":"                                                  ","madd3":"","mcity":"ROANOKE                  ","mstate":"VA","mzip":"24013-9998","pcpfaxno":"","pcpnpi":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["ASIAN\/PACIFIC"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["H35.363","H40.013","I48.0","I49.5","Z51.81","Z79.01","Z95.0","Z79.899","Z45.010","I47.1","R94.31","U07.1","R06.2","R50.9","R05.9","J45.901","I10","Z79.51","Z79.82","Z87.891","I71.2","H40.1132","H25.12","H25.812","J20.9","R06.02","E78.5","K21.9","J45.909","Z20.822","I77.1","J40","H66.002","H26.9","I48.91","I67.1","E04.2","I65.22","R05","R07.89","R07.9","Z01.810","I77.810","M54.9","I70.0","M47.816","M51.36","M54.5","R30.0","Z20.828","I35.1","I72.3","I12.9","N18.30","I71.4","R13.10","R06.00","R49.0","Z53.20","J98.4","K83.8","Z23","N18.31","S33.5XXS","E01.0","R53.1","H60.91","Z87.39","Z74.09","I71.9","J44.1","R51.9","S39.012A","R07.81","X58.XXXA","R42","R09.1","N18.9","M43.9","Z68.20","J06.9","B97.89","J20.8","J30.9","R06.1","E04.9","J38.6","E05.90","R63.4","E04.0","J30.89","G47.30","I69.30","I72.8","I60.9","M54.50","W19.XXXA","R06.89","Z74.3","N17.9","J45.40","Z86.73","R55","H04.123","H40.023","Z86.79","R06.01","G43.909","D64.9","E78.00","E89.0","F32.A","R09.02","N39.0","R11.10","R19.7","A41.9","J18.9","K22.89","M25.78","K22.4","I11.0","I50.9","E05.00","R11.2","R53.83","Z98.890","I49.1","I16.1","M54.89","R91.8","Z01.89","Z01.818","I77.811","N28.9","R93.41","K82.8","M54.6","Z09","K31.9","R10.13","K74.60","I72.9","I72.5","J90","K29.70","R11.0","E04.1","R77.8","D72.829","J81.1","G93.40","E87.2","I74.11","Z90.81","G45.9","I71.01","B96.81","I50.33","E87.1","E03.9","I51.3","I21.A1","I50.31","E87.70","K30","I51.7","I71.6","R10.9","R93.89","Z87.11","I49.8","E86.0","I08.3","K29.50","E83.42","I50.32","I13.0","I95.9","K85.00","R74.8","D53.9","G44.1","M79.89","I69.098","I25.10","Z79.891","E87.6","Y95","J15.9","J96.01","I74.10","J98.11","Q21.1","Z87.19","J81.0","R93.2","E05.20","D34","J45.20","H53.2","Z87.820","Z96.1","E43","B95.2","D50.9","I73.9","K29.60","S09.90XA","I49.3","G47.33","J38.01","R22.2","Q25.49","M54.2","I25.2","Z01.812","H35.3131","I65.23"],"date":["2022-01-05","2022-01-05","2022-09-09","2022-08-26","2022-01-14","2022-05-23","2022-09-27","2022-06-09","2022-07-27","2022-01-14","2022-09-27","2022-02-13","2022-02-13","2022-02-13","2022-08-30","2022-02-13","2022-08-19","2022-05-25","2022-07-26","2022-08-26","2022-09-15","2021-11-12","2021-03-16","2021-09-01","2022-03-21","2022-08-14","2022-08-26","2022-06-09","2022-08-26","2022-09-30","2021-08-06","2022-03-21","2021-08-11","2022-05-25","2022-07-26","2022-09-09","2022-08-11","2022-06-01","2021-09-11","2021-09-11","2022-08-22","2022-09-27","2020-10-10","2022-07-14","2021-11-12","2020-10-10","2020-10-10","2020-12-13","2022-06-01","2020-11-27","2021-10-11","2021-10-11","2022-08-26","2022-08-26","2022-08-26","2022-04-13","2022-08-16","2021-10-11","2021-10-11","2021-10-11","2021-10-11","2021-11-10","2022-09-09","2020-10-15","2022-05-17","2022-06-01","2021-11-10","2021-11-12","2021-11-12","2022-09-27","2021-11-16","2022-06-09","2020-11-27","2020-11-27","2020-11-27","2022-06-13","2020-11-27","2022-07-27","2020-12-13","2020-12-13","2022-02-13","2022-02-13","2022-03-28","2022-03-28","2022-05-09","2022-05-09","2022-04-06","2022-08-22","2022-08-26","2022-04-06","2022-04-06","2022-04-06","2022-05-25","2022-05-25","2022-06-14","2022-05-22","2022-06-09","2022-05-22","2022-05-17","2022-08-14","2022-08-19","2022-08-26","2022-05-18","2022-06-07","2022-06-07","2022-09-09","2022-04-13","2022-08-26","2022-05-21","2022-08-26","2022-09-09","2022-06-01","2022-05-23","2022-08-14","2022-06-09","2022-06-01","2022-05-07","2022-08-14","2022-05-09","2022-05-09","2022-05-09","2022-08-17","2022-08-17","2022-05-09","2022-07-19","2022-05-23","2022-05-21","2022-07-08","2022-07-09","2022-07-05","2022-08-30","2022-05-21","2022-09-30","2022-06-01","2022-06-01","2022-06-01","2022-06-01","2022-07-06","2022-07-28","2022-07-28","2022-07-28","2022-06-21","2022-06-09","2022-05-17","2022-09-15","2022-06-14","2022-07-05","2022-06-14","2022-08-15","2022-07-18","2022-08-16","2022-07-11","2022-07-11","2022-07-05","2022-05-25","2022-06-13","2022-07-21","2022-07-27","2022-07-21","2022-07-21","2022-08-26","2022-07-20","2022-08-14","2022-07-16","2022-07-15","2022-07-05","2022-09-15","2022-07-06","2022-06-01","2022-06-01","2022-06-20","2022-07-08","2022-06-09","2022-08-17","2022-07-05","2022-07-06","2022-07-20","2022-07-16","2022-07-16","2022-06-09","2022-06-09","2022-06-09","2022-06-01","2022-07-11","2022-06-01","2022-09-15","2022-06-01","2022-07-18","2022-07-05","2022-07-09","2022-07-09","2022-07-05","2022-07-05","2022-07-05","2022-07-05","2022-07-10","2022-06-09","2022-07-26","2022-08-11","2022-07-26","2022-08-26","2022-08-26","2022-08-30","2022-08-14","2022-08-14","2022-08-14","2022-08-14","2022-07-27","2022-06-09","2022-07-23","2022-09-27","2022-09-15","2022-09-15","2022-09-15","2022-09-09","2022-09-09","2022-09-30","2022-09-06","2022-09-27"],"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":[["","50458057830","XARELTO","TAB 15MG","30","Select","Select",""],["","70377002711","ATORVASTATIN","TAB 10MG","90","Select","Select",""],["","69097014260","ALBUTEROL","AER HFA","6.7","Select","Select",""],["","00603533831","PREDNISONE","PAK 10MG","48","Select","Select",""],["","53746010901","HYDROCO\/APAP","TAB 5-325MG","12","Select","Select",""],["","24208063110","NEO\/POLY\/HC","SOL 1% OTIC","10","Select","Select",""],["","59310057922","PROAIR","AER ","8.5","Select","Select",""],["","65162044210","MECLIZINE","TAB 25MG","12","Select","Select",""],["","31722070090","LOSARTAN","TAB 25MG","90","Select","Select",""],["","65862050320","AMOX\/K","TAB 875-125","20","Select","Select",""],["","00093106101","SOTALOL","TAB 80MG","60","Select","Select",""],["","55111015810","OMEPRAZOLE","CAP 20MG","90","Select","Select",""],["","59746000103","METHYLPRED","TAB 4MG","21","Select","Select",""],["","60505056000","OFLOXACIN","DRO 0.3% OP","5","Select","Select",""],["","60758011910","PREDNISOLONE","SUS 1% OP","10","Select","Select",""],["","47335022090","KETOROLAC","SOL 0.005","5","Select","Select",""],["","00168005646","BETAMETH","OIN 0.0005","45","Select","Select",""],["","24658031205","DOXYCYCL","TAB 100MG","14.00","Select","Select",""],["","50742061510","METOPROL","TAB 25MG ER","90.00","Select","Select",""],["","68180065208","DOXYCYC","CAP 100MG","14.00","Select","Select",""],["","67877021660","CEFUROXIME","TAB 500MG","20.00","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":""}]}]}