{"version":"0.4","data":[{"t":"Demographics","q":[{"name":" ALUAPTRAH A","gend":1,"add":"        TS SATNOHACOP 026                         ","city":"GLASGOW                  ","state":"VA","zip":"24555-9998","dob":"1992-05-29","age":"","mstatus":"","insh":"10116637","cliId":"","pno":"1804531437","cno":5408177363,"email":"","ename":"","eno":"","pphy":"HARRIS, MARCIA A","ppno":5409836700,"pcpadd":"415 S POLLARD ST,  ","pcpcity":"Vinton","pcpstate":"VA","pcpzip":241792502,"pcpcounty":"","pcpid":"","pcpname":"CARILION FAMILY MEDICINE PARKWAY PHYSICIANS VINTON","plan":"VPHP","program":"MEDICARE","lob":"DSNP","region":"ROANOKE ALLEGHANY","aligned":"Y","ano":"","add2":"                                                  ","add3":"","madd1":"620 POCAHONTAS ST                                 ","madd2":"                                                  ","madd3":"","mcity":"GLASGOW                  ","mstate":"VA","mzip":"24555-9998","pcpfaxno":"","pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["J45.901","R06.02","Z20.822","Z87.891","R05","R09.81","R05.9","S32.10XA","M25.571","R53.0","M54.50","J45.41","J20.9","J98.01","I45.89","R06.2","H66.93","Z72.0","I45.19","R94.31","R07.89","M79.604","M79.10","R07.9","R00.2","R11.2","Z01.818","O26.899","R10.2","O03.4","Z3A.00","R91.8","J02.9","R06.89","Z79.899","Z79.51","F17.210","I51.9","J45.31","J18.9","N39.0","F41.9","J45.40","Z71.3","Z71.82","R10.9","Z3A.10","N71.9","R10.30","R11.0","J45.909","J45.20","R07.81","S29.9XXA","R06.9","R10.13","J44.1","R51.9","Z33.1","Z03.818","R30.0","L29.9","I49.9","R00.0","R00.1","N10","J20.8","J01.11","I51.7","J02.8","Z86.16","Z82.49","R20.2","M25.511","Z23","O23.41","Z3A.01","U07.1","W19.XXXA","I45.10","R09.02","F41.8","N93.9","H65.06","H73.23","O03.39","R50.9","R42","R10.84","M54.9","Z34.91","R33.8","I51.89","M79.601","N32.81","N39.46","R35.0","J01.10","O04.5","F32.A","F17.200","D72.829","Z09","M79.671","B34.9","B08.4","R20.0","B96.20","H66.004","J06.9","R82.71","O73.1","R10.31","R25.1","R11.10","W10.9XXA","Y93.89","Y92.89","R06.82","R53.83","I95.1","R79.1","M53.3","R06.00","Z87.09","G44.209","Z30.09","Z28.310"],"date":["2022-05-13","2022-05-11","2022-06-25","2022-04-21","2021-08-31","2022-06-25","2022-08-02","2022-01-21","2022-01-18","2022-01-18","2022-01-18","2022-05-28","2022-05-10","2021-05-28","2021-06-22","2022-08-03","2021-06-08","2021-06-08","2022-02-01","2022-02-01","2021-10-09","2021-10-09","2021-10-25","2021-10-09","2021-04-08","2022-08-02","2021-05-08","2022-04-15","2022-04-15","2022-04-22","2022-04-15","2022-05-11","2022-04-21","2022-03-29","2022-05-11","2022-05-11","2022-05-11","2022-02-01","2022-05-12","2022-05-12","2022-05-12","2022-05-12","2022-05-17","2022-05-17","2022-05-17","2022-06-06","2022-02-25","2022-04-22","2022-04-22","2022-04-22","2022-05-08","2021-08-25","2021-08-31","2021-07-14","2021-07-14","2021-08-31","2021-07-14","2022-05-13","2022-03-04","2022-08-03","2022-05-08","2022-05-08","2021-05-28","2022-08-03","2021-04-13","2022-06-06","2021-11-01","2021-06-02","2021-02-01","2022-04-21","2021-04-13","2021-06-22","2021-10-15","2021-10-15","2022-02-25","2022-02-25","2022-02-23","2021-02-06","2022-01-18","2021-07-10","2022-05-11","2022-03-25","2021-03-02","2021-03-02","2021-09-28","2022-04-22","2022-04-22","2022-04-22","2022-04-22","2022-02-22","2022-02-22","2021-10-26","2021-04-08","2021-10-11","2022-07-07","2022-07-07","2022-07-07","2021-11-12","2022-04-22","2022-05-11","2022-03-25","2022-05-11","2022-04-23","2022-01-18","2021-10-25","2021-09-21","2021-10-11","2022-05-11","2022-06-25","2022-06-25","2022-02-22","2022-04-22","2022-04-22","2022-04-22","2021-10-25","2022-01-18","2022-01-18","2022-01-18","2021-02-01","2021-12-12","2022-02-01","2021-02-01","2022-01-18","2021-06-22","2021-06-22","2021-02-01","2022-07-01","2022-04-20"],"priorHcc":["","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","",""]}}]},{"t":"Covid Screening","q":[{"a":[]}]},{"t":"Self-Assessment and Social History","q":[{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"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":[["","00054418625","DEXAMETHASON","TAB 6MG","2","Select","Select",""],["","00054327099","FLUTICASONE","SPR 50MCG","16","Select","Select",""],["","42806016005","HYDROXYZ","TAB 25MG","60","Select","Select",""],["","00378932132","WIXELA","AER 250\/50","60","Select","Select",""],["","68180065208","DOXYCYC","CAP 100MG","20","Select","Select",""],["","00378064205","PREDNISONE","TAB 20MG","8","Select","Select",""],["","00093317431","ALBUTEROL","FAT E","8.5","Select","Select",""],["","16571020106","DICLOFENAC","TAB 75MG DR","14","Select","Select",""],["","00093310905","AMOXICILLIN","CAP 500MG","40","Select","Select",""],["","51991081403","AZELASTINE","SPR 0.001","90","Select","Select",""],["","24658031205","DOXYCYCL","TAB 100MG","20","Select","Select",""],["","59310057922","PROAIR","AER ","8.5","Select","Select",""],["","69097015807","MELOXICAM","TAB 7.5MG","15","Select","Select",""],["","00173069500","ADVAIR","AER 100\/50","60","Select","Select",""],["","59746000103","METHYLPRED","TAB 4MG","21","Select","Select",""],["","13668013601","ESCITALOPRAM","TAB 10MG","30","Select","Select",""],["","68180030360","CEFUROXIME","TAB 500MG","14","Select","Select",""],["","24208063562","NEO\/POLY\/HC","SUS 1% OTIC","10","Select","Select",""],["","68180016011","AZITHROMYCIN","TAB 250MG","6","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":["",""],"sub":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"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":""}]}]}