{"version":"0.4","data":[{"t":"Demographics","q":[{"name":" HAROBEDSSERC S","gend":1,"add":"8 W 718N TS HT","city":"BIG STONE GAP            ","state":"VA","zip":"24219-2215","dob":"1956-10-29","age":"","mstatus":"","insh":"10114619","cliId":"","pno":"1267212809","cno":"","email":"","ename":"","eno":"","pphy":"WINEGAR, J B","ppno":2764312648,"pcpadd":"121 ADVANCED TECHNOLOGY DR,","pcpcity":"DUFFIELD","pcpstate":"VA","pcpzip":242440000,"pcpcounty":"","pcpid":"","pcpname":"HOLSTON MEDICAL GROUP PC","plan":"VPHP","program":"MEDICARE","lob":"DSNP","region":"SOUTHWEST","aligned":"Y","ano":"","add2":"","add3":"","madd1":"817 W 8TH ST N","madd2":"","madd3":"","mcity":"BIG STONE GAP            ","mstate":"VA","mzip":"24219-2215","pcpfaxno":"","pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["I25.5","I50.20","I25.10","I65.23","E87.6","F41.9","R29.898","M51.9","M54.16","E87.1","M79.606","R79.89","I13.0","I50.9","N18.9","D63.1","I42.9","J44.9","I70.0","I73.9","M79.605","M19.90","F11.20","M25.552","E78.5","I10","F17.210","Z79.899","M51.16","S29.9XXA","T14.90XA","N18.4","R39.81","I21.9","R29.818","I65.21","E78.00","N28.9","M54.50","I24.9","R91.8","D64.9","R07.9","N18.6","R60.9","C41.9","C34.90","M84.48XA","I21.4","I50.33","I12.9","R07.2","R60.0","R79.1","F13.20","F33.9","F17.200","R63.4","K21.9","K76.89","R06.02","R05.9","E86.0","Z53.21","Z79.01","Z20.822","R07.89","Z91.19","S72.332A","M62.81","R26.2","R26.89","Z91.81","L89.91","M79.89","R94.31","R77.8","C76.52","C79.51","Z79.02","Z79.82","S39.92XA"],"date":["2022-05-23","2022-05-23","2022-05-24","2022-03-11","2022-05-06","2022-07-07","2022-05-20","2022-06-21","2022-06-21","2022-08-10","2022-06-06","2022-08-05","2022-08-10","2022-08-10","2022-08-10","2022-08-10","2022-08-10","2022-08-10","2022-08-10","2022-08-10","2022-08-10","2022-08-10","2022-07-07","2022-08-06","2022-08-05","2022-08-05","2022-08-05","2022-07-23","2022-08-02","2022-08-07","2022-08-07","2022-07-26","2022-07-26","2022-07-26","2022-06-21","2022-05-24","2022-05-24","2022-07-12","2022-04-07","2022-04-07","2022-08-05","2022-08-06","2022-07-23","2022-07-23","2022-07-24","2022-07-14","2022-07-14","2022-07-14","2022-08-06","2022-08-06","2022-07-23","2022-07-23","2022-07-23","2022-07-23","2022-07-07","2022-07-07","2022-07-07","2022-07-07","2022-05-20","2022-07-12","2022-05-20","2022-05-20","2022-05-20","2022-05-20","2022-05-20","2022-05-20","2022-07-24","2022-05-20","2022-08-07","2022-07-26","2022-07-26","2022-07-26","2022-07-26","2022-06-22","2022-08-05","2022-08-05","2022-08-05","2022-08-05","2022-08-05","2022-08-05","2022-08-05","2022-08-07"],"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":[["","68180035202","SERTRALINE","TAB 50MG","30.00","Select","Select",""],["","29300022010","MONTELUKAST","TAB 10MG","30.00","Select","Select",""],["","65862000330","MIRTAZAPINE","TAB 30MG","30.00","Select","Select",""],["","67877019805","AMLODIPINE","TAB 5MG","30.00","Select","Select",""],["","00186037020","SYMBICORT","AER 160-4.5","10.20","Select","Select",""],["","10702000601","CYCLOBENZAPR","TAB 5MG","60.00","Select","Select",""],["","53489014310","SPIRONOLACT","TAB 25MG","30.00","Select","Select",""],["","16729028615","ROSUVASTATIN","TAB 20MG","30.00","Select","Select",""],["","43598043611","NITROGLYCERN","SUB 0.4MG","25.00","Select","Select",""],["","45963067711","METOPROL","TAB 100MG ER","30.00","Select","Select",""],["","16729021810","CLOPIDOGREL","TAB 75MG","30.00","Select","Select",""],["","69315090405","LORAZEPAM","TAB 0.5MG","30.00","Select","Select",""],["","68462012705","GABAPENTIN","TAB 800MG","120.00","Select","Select",""],["","50111039801","HYDRALAZINE","TAB 10MG","90.00","Select","Select",""],["","62175012837","ISOSORB","TAB 30MG ER","30.00","Select","Select",""],["","00254100752","ALBUTEROL","AER HFA","6.70","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":""}]}]}