{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"W LEHCARNNAGAM ","gend":1,"add":"        DR OROBSNOOB 7215                         ","city":"LYNCHBURG                ","state":"VA","zip":"24503-9998","dob":"1949-02-19","age":"","mstatus":"","insh":"10114787","cliId":"","pno":"2243466211","cno":"","email":"","ename":"","eno":"","pphy":"MEADOWS, JAMES","ppno":4342003908,"pcpadd":"125 NATIONWIDE DR,","pcpcity":"Lynchburg","pcpstate":"VA","pcpzip":245024272,"pcpcounty":"","pcpid":"","pcpname":"CMG NATIONWIDE LYNCHBURG INTERNAL MEDICINE","plan":"VPHP","program":"MEDICARE","lob":"DSNP","region":"CHARLOTTESVILLE WESTERN","aligned":"Y","ano":"","add2":"                                                  ","add3":"","madd1":"5127 BOONSBORO RD                                 ","madd2":"                                                  ","madd3":"","mcity":"LYNCHBURG                ","mstate":"VA","mzip":"24503-9998","pcpfaxno":"","pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["Z95.1","I25.10","J43.9","E11.9","I10","E78.5","R42","F17.200","E11.65","H04.123","H40.013","H18.513","E11.42","Z79.84","Z79.4","Z71.89","R07.89","R10.11","R20.2","R25.2","M79.646","F17.210","Z72.0","E04.2","M25.549","H90.3","R35.0","J44.9","K63.5","H00.015","J40","J44.1","M54.5","E11.36","K21.9","F41.1","J45.909","M81.0","E03.9","G43.909","H81.11","Z87.891","Z79.82","E11.40","H52.4","L03.211","R07.9","M79.672","M79.671","L60.3","B35.1","L85.3","M47.816","M51.36","M54.59"," ","J06.9","E78.00"],"date":["2021-10-28","2022-11-25","2021-10-28","2021-11-30","2022-04-21","2022-10-25","2021-12-23","2021-10-28","2022-09-28","2022-04-19","2022-04-19","2022-04-19","2022-09-14","2022-11-25","2022-04-06","2021-11-30","2022-04-09","2022-04-09","2022-04-09","2022-04-21","2022-04-09","2022-11-25","2022-04-21","2021-11-09","2022-04-21","2022-01-10","2021-06-21","2021-10-11","2021-08-23","2022-04-25","2022-11-25","2021-06-10","2021-06-21","2021-06-07","2021-06-07","2021-06-07","2021-06-07","2021-06-07","2021-06-07","2021-06-07","2022-01-10","2021-10-28","2021-10-28","2022-11-25","2021-04-06","2022-02-25","2022-04-09","2022-06-20","2022-06-20","2022-08-23","2022-08-23","2022-06-20","2022-10-04","2022-10-04","2022-10-04","2022-11-25","2022-11-21","2022-11-25"],"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":[["","69680013300","POT  CHLORIDE","TAB 10MEQ ER","90","Select","Select",""],["","68645056054","MONTELUKAST","TAB 10MG","90","Select","Select",""],["","00173088710","TRELEGY","AER ELLIPTA","60","Select","Select",""],["","59310057922","PROAIR","AER ","8.5","Select","Select",""],["","68180051701","LISINOPRIL","TAB 40MG","30","Select","Select",""],["","08496320101","EASY","MIS 32GX5MM","100","Select","Select",""],["","53885027150","ONETOUCH","TES VERIO","250","Select","Select",""],["","31722061290","PREGABALIN","CAP 75MG","30","Select","Select",""],["","65862006299","METOPROL","TAB 25MG","30","Select","Select",""],["","16714015901","ONDANSETRON","TAB 4MG","30","Select","Select",""],["","00093317431","ALBUTEROL","FAT E","8.5","Select","Select",""],["","57599000101","FREESTYLE    KIT SENSOR","KIT SENSOR","2","Select","Select",""],["","55111032101","GLIMEPIRIDE","TAB 2MG","60","Select","Select",""],["","16571066101","MECLIZINE","TAB 25MG","30","Select","Select",""],["","60505014201","GLIPIZIDE","TAB 10MG","120","Select","Select",""],["","00006027754","JANUVIA","TAB 100MG","30","Select","Select",""],["","00186504031","NEXIUM","CAP 40MG","60","Select","Select",""],["","00023916360","RESTASIS","EMU 0.0005","180","Select","Select",""],["","70954006020","PREDNISONE","TAB 20MG","7","Select","Select",""],["","76282066339","DICLOFENAC","GEL 0.01","100","Select","Select",""],["","65862000899","METFORMIN","TAB 500MG","60","Select","Select",""],["","00169431413","RYBELSUS","TAB 14MG","30","Select","Select",""],["","00143211250","DOXYCYCL","TAB 100MG","20","Select","Select",""],["","16714066202","GABAPENTIN","CAP 300MG","30","Select","Select",""],["","61314063006","NEO\/POLY\/DEX","SUS 0.1% OP","5","Select","Select",""],["","65862017760","CEFDINIR","CAP 300MG","14","Select","Select",""],["","00173069700","ADVAIR","AER 500\/50","60","Select","Select",""],["","49281012165","FLUZONE","INJ 2021-22","0.7","Select","Select",""],["","65862078430","ESOMEPRA","CAP 40MG DR","10","Select","Select",""],["","67877021905","CEPHALEXIN","CAP 500MG","30","Select","Select",""],["","68462019001","NAPROXEN","TAB 500MG","20","Select","Select",""],["","70010075401","METHOCARBAM","TAB 500MG","90","Select","Select",""],["","68382005105","MELOXICAM","TAB 15MG","10","Select","Select",""],["","69097084615","CYCLOBENZAPR","TAB 10MG","7","Select","Select",""],["","43598075205","BUPROPION","TAB 150MG SR","30","Select","Select",""],["","51672130100","AMMONIUM","CRE 0.12","385","Select","Select",""],["","00143122701","DICYCLOMINE","TAB 20MG","25","Select","Select",""],["","57599000200","FREESTYLE    MIS READER","MIS READER","1","Select","Select",""],["","00088221905","LANTUS","INJ 100\/ML","15","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":""}]}]}