{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"C YERBUAREKRAB ","gend":0,"add":"BAHER HTLAEH ELLIVSNITRAM                         ","city":"MARTINSVILLE             ","state":"VA","zip":"24112-5814","dob":"1958-07-07","age":"","mstatus":"","insh":"10115197","cliId":"","pno":"2667233539","cno":2766293533,"email":"","ename":"","eno":"","pphy":"DUTY, HEATHER K","ppno":2768896311,"pcpadd":"2336 COAL TIPPLE HOLW,","pcpcity":"LEBANON","pcpstate":"VA","pcpzip":24266,"pcpcounty":"","pcpid":"","pcpname":"ADVANCED PRACTICE PRIMARY CARE LLC","plan":"VPHP","program":"MEDICARE","lob":"DSNP","region":"ROANOKE ALLEGHANY","aligned":"Y","ano":"","add2":"1607 SPRUCE STREET EXT                            ","add3":"","madd1":"MARTINSVILLE HEALTH REHAB                         ","madd2":"1607 SPRUCE STREET EXT                            ","madd3":"","mcity":"MARTINSVILLE             ","mstate":"VA","mzip":"24112-5814","pcpfaxno":"","pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["F25.1","Z01.810","I10","R11.0","R23.1","G93.41","R56.9","E55.9","F60.0","G47.00","G92","R55","T43.505A","E11.9","F32.9","F20.0","Z87.820","E78.5","F17.210","M19.90","Z79.1","Z79.4","Z79.899","L03.116","R60.0","F20.9","Z86.19","Z87.891","M62.81","R26.9","R29.6","M25.561","R19.7","R41.0","T43.595A","R07.9","R40.20","R40.4","R09.02","R40.0","R22.42","M79.662","K59.00","L21.0","T18.128A","R13.10","T17.228A","R11.2","G62.9","N40.0","M17.11","M17.12","R09.89","R22.43","H61.23","F39","E86.0","R41.82","M25.569","I95.9","J44.9","I11.0","I50.9","J81.1","J69.0","J96.01","Z99.11","I50.32","F25.8","G62.89","G89.29","R06.02","R26.2","R26.81","Z46.82","Z45.2","R06.00","J90","R05.9","A41.9","J18.9","R65.21","R13.12","F32.A","B19.20","R00.1","M15.9","R53.1","E11.42","F25.9","S31.000A","L89.152","E87.0","F51.01","F03.918","R63.4","F34.89","R41.841","R41.89","Z87.09"," ","R06.89","A41.89","N39.0","Z74.01"],"date":["2022-11-18","2022-10-16","2022-11-08","2021-12-30","2021-12-30","2021-07-05","2021-05-19","2022-10-15","2021-05-19","2022-01-13","2021-07-05","2021-07-05","2021-07-05","2022-10-20","2021-07-05","2022-11-01","2022-11-01","2022-10-20","2022-06-27","2022-11-01","2021-07-04","2021-12-30","2021-07-04","2021-06-11","2021-06-11","2022-10-18","2021-12-30","2021-12-30","2022-11-01","2022-05-20","2022-05-20","2022-05-20","2022-08-15","2021-07-04","2021-07-04","2022-06-27","2021-07-04","2021-07-04","2021-07-04","2021-07-04","2021-06-11","2021-06-11","2022-06-02","2021-11-04","2022-06-27","2022-10-21","2022-06-27","2022-06-27","2021-12-16","2022-10-20","2021-10-28","2021-10-28","2022-06-27","2022-03-24","2022-03-24","2022-02-24","2022-10-25","2022-10-15","2022-06-02","2022-10-13","2022-08-15","2022-10-15","2022-08-15","2022-10-15","2022-11-01","2022-10-18","2022-10-18","2022-11-01","2022-10-11","2022-11-01","2022-11-01","2022-10-11","2022-10-19","2022-11-01","2022-10-17","2022-10-16","2022-10-15","2022-10-20","2022-10-20","2022-10-15","2022-10-15","2022-10-15","2022-11-01","2022-10-15","2022-10-15","2022-10-20","2022-10-10","2022-11-01","2022-10-19","2022-10-28","2022-10-28","2022-10-19","2022-10-07","2022-11-18","2022-11-18","2022-10-20","2022-11-01","2022-11-01","2022-11-01","2022-10-19","2022-11-18","2022-10-13","2022-10-15","2022-10-15","2022-10-25"],"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":[["","08489816210","PEN  NEEDLES","MIS 31GX1\/4\"","100","Select","Select",""],["","43547035311","LISINOPRIL","TAB 10MG","18","Select","Select",""],["","67877051405","ATORVASTATIN","CAL CIUM ORAL","30","Select","Select",""],["","65162062711","TRAMADOL","TAB 50MG","120","Select","Select",""],["","68382080510","TRAZODONE","TAB 50MG","30","Select","Select",""],["","59762136401","PREGABALIN","CAP 300MG","60","Select","Select",""],["","65162075750","DIVALPROEX","TAB 500MG ER","120","Select","Select",""],["","00054429731","FUROSEMIDE","TAB 20MG","30","Select","Select",""],["","65862059805","TAMSULOSIN","CAP 0.4MG","30","Select","Select",""],["","27241000550","RISPERIDONE","TAB 3MG","30","Select","Select",""],["","16729022517","SPIRONOLACT","TAB 25MG","30","Select","Select",""],["","29300012410","MELOXICAM","TAB 7.5MG","60","Select","Select",""],["","00169369619","NOVOLOG","INJ FLEXPEN","15","Select","Select",""],["","65862053750","LEVOFLOXACIN","TAB 500MG","5","Select","Select",""],["","62559049001","DIPHEN\/ATROP","TAB 2.5MG","30","Select","Select",""],["","67877021905","CEPHALEXIN","CAP 500MG","20","Select","Select",""],["","00093317431","ALBUTEROL","FAT E","8.5","Select","Select",""],["","57237023305","SMZ-TMP","TAB 800-160","14","Select","Select",""],["","60758018805","GENTAMICIN","SOL 0.3% OP","5","Select","Select",""],["","57237007710","ONDANSETRON","TAB 4MG ODT","20","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":["",""],"sub":{"indx":[["","",""],[""],[""],[""],[""]],"comment":[["","",""],[""],[""],[""],[""]],"sub":[]}}},{"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":""}]}]}