{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"F SEMAJNREVOL ","gend":0,"add":"           NL REDINS 9691                         ","city":"PULASKI                  ","state":"VA","zip":"24301-9998","dob":"1952-04-29","age":"","mstatus":"","insh":"10115874","cliId":"","pno":"0204551750","cno":"","email":"","ename":"","eno":"","pphy":"STEWART, KNOTRESHA F","ppno":5408350500,"pcpadd":"2832 TOWN CENTER DR,","pcpcity":"DUBLIN","pcpstate":"VA","pcpzip":240846069,"pcpcounty":"","pcpid":"","pcpname":"RIVER VALLEY HEALTHCARE ASSOCIATES PC","plan":"VPHP","program":"MEDICARE","lob":"DSNP","region":"ROANOKE ALLEGHANY","aligned":"Y","ano":"","add2":"                                                  ","add3":"","madd1":"1969 SNIDER LN                                    ","madd2":"                                                  ","madd3":"","mcity":"PULASKI                  ","mstate":"VA","mzip":"24301-9998","pcpfaxno":"","pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["R53.82","E03.9","Z79.899","I10","F32.9","N28.9","M54.2","M79.643","M25.552","M25.551","K27.9","J30.2","R73.9","D64.9","F11.20","L03.90","A48.52","L02.92","F41.9","F43.20","C44.90","F43.9","R56.9","M19.012","H90.5","E29.1","E78.5","M54.9","R42","H53.9","F32.A","Z00.8","W54.0XXA","R07.81","R30.0","S20.212A","R05.9","W19.XXXA","E07.9","Z79.890","W01.10XA","R09.89","R53.83","E55.9"," "],"date":["2021-01-22","2022-09-22","2022-09-22","2022-09-22","2021-12-07","2021-09-21","2021-09-21","2022-09-22","2021-09-21","2021-09-21","2021-09-21","2021-09-21","2022-09-22","2021-09-21","2022-12-06","2021-06-04","2021-07-23","2021-07-23","2021-07-23","2022-09-22","2020-08-20","2020-08-20","2020-12-22","2020-08-20","2021-11-18","2022-09-22","2022-09-22","2022-09-22","2022-09-22","2022-09-22","2022-09-22","2022-02-14","2022-05-16","2022-05-20","2022-05-17","2022-05-20","2022-08-29","2022-05-20","2022-05-20","2022-05-20","2022-05-20","2022-08-29","2022-09-22","2022-09-22","2022-12-06"],"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":[["","50111032801","HYDRALAZINE","TAB 50MG","30","Select","Select",""],["","00378181377","LEVOTHYROXIN","TAB 125MCG","90","Select","Select",""],["","16714099204","CLOBETASOL","CRE 0.0005","60","Select","Select",""],["","65162046550","IBUPROFEN","TAB 600MG","60","Select","Select",""],["","76385011250","CARVEDILOL","TAB 12.5MG","60","Select","Select",""],["","52817018210","CLONIDINE","TAB 0.3MG","90","Select","Select",""],["","65862069201","PHENYTOIN","CAP 100MG","120","Select","Select",""],["","69097052444","DICLOFENAC","GEL 0.01","100","Select","Select",""],["","70436005901","BUPROPION","TAB 150MG SR","180","Select","Select",""],["","57237001401","TAMSULOSIN","CAP 0.4MG","30","Select","Select",""],["","69238110002","DOXYCYCL","CAP 100MG","7","Select","Select",""],["","55111018015","TIZANIDINE","TAB 4MG","60","Select","Select",""],["","55111068301","IBU","TAB 600MG","60","Select","Select",""],["","16714068203","SIMVASTATIN","TAB 10MG","30","Select","Select",""],["","58657067601","CIPROFLOXACN","TAB 500MG","14","Select","Select",""],["","43547039910","CYCLOBENZAPR","TAB 5MG","60","Select","Select",""],["","29300012510","MELOXICAM","TAB 15MG","30","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":""}]}]}