{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"K ADNAMAYELGNAL ","gend":1,"add":"   DR EGDIRB YRANALF 0341                         ","city":"JONESVILLE               ","state":"VA","zip":"24263-9998","dob":"1981-05-23","age":"","mstatus":"","insh":"10115776","cliId":"","pno":"4367286876","cno":"","email":"","ename":"","eno":"","pphy":"YEARY, JOSHUA ADAM","ppno":2764454826,"pcpadd":"1446 DR THOMAS WALKER RD,","pcpcity":"Ewing","pcpstate":"VA","pcpzip":242488307,"pcpcounty":"","pcpid":"","pcpname":"WESTERN LEE COUNTY HEALTH CLINIC","plan":"VPHP","program":"MEDICARE","lob":"DSNP","region":"SOUTHWEST","aligned":"Y","ano":"","add2":"                                                  ","add3":"","madd1":"1430 FLANARY BRIDGE RD                            ","madd2":"                                                  ","madd3":"","mcity":"JONESVILLE               ","mstate":"VA","mzip":"24263-9998","pcpfaxno":"","pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["H16.223","L29.9","N91.1","Z01.419","Z12.31","N89.8","K52.9","K21.9","R14.0","G47.33","F41.9","F32.9","Z79.899","K58.2","K22.4","M79.673","Z83.3","E53.8","E55.9","S80.01XA","W19.XXXA","Z71.89","Z13.89","Z13.9","Z00.8","R00.2","M54.5","I42.1","U07.1","R05.9","E66.8","R93.1","R50.9","M54.50","J30.9","R09.81","R09.89","F32.A","M51.36","J30.2","H47.323","H52.03","H52.223","H52.4","E66.01"," "],"date":["2021-01-13","2022-01-19","2022-01-19","2022-01-19","2022-03-09","2022-01-19","2021-02-11","2022-06-10","2021-02-23","2021-02-10","2022-06-10","2021-02-11","2021-02-11","2021-07-15","2021-02-23","2021-02-23","2021-04-20","2022-12-07","2022-12-07","2021-05-21","2021-05-21","2021-07-15","2021-07-15","2021-07-15","2021-07-15","2021-11-12","2021-07-15","2021-11-12","2021-12-29","2022-06-10","2021-12-29","2022-03-04","2021-12-29","2022-01-11","2022-06-10","2022-06-10","2022-06-10","2022-06-10","2022-06-10","2022-06-10","2022-11-07","2022-11-07","2022-11-07","2022-11-07","2022-12-07","2022-12-07"],"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":[["","59651021430","AZELASTINE","SPR 0.001","30","Select","Select",""],["","00527128201","DICYCLOMINE","TAB 20MG","120","Select","Select",""],["","16714012303","OMEPRAZOLE","CAP 40MG","60","Select","Select",""],["","16714001401","AMOX\/K","TAB 875-125","20","Select","Select",""],["","45802004064","SELENIUM","LOT 0.025","120","Select","Select",""],["","58657067601","CIPROFLOXACN","TAB 500MG","20","Select","Select",""],["","16571020111","DICLOFENAC","TAB 75MG DR","60","Select","Select",""],["","65862018730","ONDANSETRON","TAB 4MG","2","Select","Select",""],["","00115521116","COLESTIPOL","TAB 1GM","60","Select","Select",""],["","59762219803","AZITHROMYCIN","TAB 250MG","6","Select","Select",""],["","59762444002","METHYLPRED","TAB 4MG","21","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":""}]}]}