{"version":"0.4","data":[{"t":"Demographics","q":[{"name":" J YEROCYLEVARG","gend":0,"add":"UAL 571RD LER","city":"MARTINSVILLE","state":"VA","zip":"24112-9998","dob":"1985-09-03","age":"","mstatus":"","insh":"10111625","cliId":"","pno":"3667289542","cno":"","email":"","ename":"","eno":"","pphy":"ISERNIA, JAMES M","ppno":2766660070,"pcpadd":"319 Hospital Dr Ste 19, ","pcpcity":"Martinsville","pcpstate":"VA","pcpzip":241121948,"pcpcounty":"","pcpid":"","pcpname":"PRIMARY CARE ASSOCIATES","plan":"VPHP","program":"MEDICARE","lob":"DSNP","region":"ROANOKE ALLEGHANY","aligned":"Y","ano":"","add2":"","add3":"","madd1":"175 LAUREL DR","madd2":"","madd3":"","mcity":"MARTINSVILLE","mstate":"VA","mzip":"24112-9998","pcpfaxno":"","pcpnpi":""},{"a":{"indx":["","1","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["G89.4","G47.00","M54.9","E66.01","K59.00","K29.70","R10.9","J44.9","R73.03","I10","G47.30","K29.60","G47.33","R60.9","E66.9","R00.8","N18.9","I49.9","R53.1","F41.0","J45.902","F17.200","I49.8","H60.313","I83.892","F17.210","J45.909","L60.9","L50.9"],"date":["2022-03-23","2022-03-02","2021-08-30","2022-03-23","2022-03-23","2021-04-15","2021-04-15","2021-04-15","2021-04-15","2022-02-22","2021-04-15","2021-04-15","2022-02-22","2021-05-10","2021-05-10","2021-05-20","2022-02-22","2022-02-22","2021-04-15","2022-03-23","2020-09-28","2022-02-22","2021-11-17","2021-12-07","2020-08-26","2020-08-26","2020-08-26","2022-03-23","2022-02-02"],"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":[["","00228203150","ALPRAZOLAM","TAB 1MG","60","Select","Select",""],["","65862020299","LOSARTAN","TAB 50MG","90","Select","Select",""],["","10702005601","OXYCODONE","TAB 10MG","60","Select","Select",""],["","00054429731","FUROSEMIDE","TAB 20MG","90","Select","Select",""],["","31722052101","HYDRALAZINE","TAB 50MG","60","Select","Select",""],["","00228212810","CLONIDINE","TAB 0.2MG","90","Select","Select",""],["","00093106101","SOTALOL","TAB 80MG","90","Select","Select",""],["","00781185220","AMOX\/K","TAB 875-125","20","Select","Select",""],["","00121087316","LACTULOSE","SOL 10GM\/15","300","Select","Select",""],["","00002143380","TRULICITY","INJ 0.75\/0.5","2","Select","Select",""],["","00054001925","PREDNISONE","TAB 50MG","10","Select","Select",""],["","60505265501","TRAZODONE","TAB 150MG","90","Select","Select",""],["","69315030805","CIPROFLOXACN","SOL 0.3% OP","5","Select","Select",""],["","65862053750","LEVOFLOXACIN","TAB 500MG","7","Select","Select",""],["","65862085901","FAMOTIDINE","TAB 20MG","20","Select","Select",""],["","68382004001","PROMETHAZINE","TAB 12.5MG","15","Select","Select",""],["","00186037020","SYMBICORT","AER 160-4.5","10.2","Select","Select",""],["","53746051105","SPIRONOLACT","TAB 25MG","30","Select","Select",""],["","80777027399","MODERNA","INJ COVID-19","0.25","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":""}]}]}