{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"P L LIRPADRAHCTIR","gend":1,"add":"     ENAL NOILLATS   1821                         ","city":"MONETA                   ","state":"VA","zip":"24121-5527","dob":"1998-05-24","age":"","mstatus":"","insh":"10117219","cliId":"","pno":"9304535313","cno":5404204570,"email":"","ename":"","eno":"","pphy":"COX, BRANDON K","ppno":5402977181,"pcpadd":"4830 RUCKER RD,","pcpcity":"Moneta","pcpstate":"VA","pcpzip":241215281,"pcpcounty":"","pcpid":"","pcpname":"VILLAGE FAMILY PHYSICIANS INC","plan":"VPHP","program":"MEDICARE","lob":"DSNP","region":"ROANOKE ALLEGHANY","aligned":"Y","ano":"","add2":"APT 6                                             ","add3":"","madd1":"1281   STALLION LANE                              ","madd2":"APT 6                                             ","madd3":"","mcity":"MONETA                   ","mstate":"VA","mzip":"24121-5527","pcpfaxno":"","pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["R32","F84.0","S90.30XA","R10.9","K29.70","R11.10","R10.11","S90.31XA","U07.1","M79.10","R06.02","R00.0","J45.909","G40.909","Z79.899","G40.B09","R09.89","R05.9","R56.9","I10","Z91.14","R73.9"," ","J10.1","R10.13","R10.84","R11.2","R10.10","R10.30","G40.901","R45.7","R55","R06.89","R07.0","Z28.310","Z20.822","R94.31","K82.0","R50.9","M79.18","K59.00","K21.9","R19.00","M51.36"],"date":["2022-11-17","2022-11-17","2022-04-25","2022-09-12","2022-09-12","2022-09-12","2022-09-09","2022-04-25","2022-07-21","2022-07-21","2022-11-12","2022-11-12","2022-11-12","2022-11-12","2022-11-12","2022-09-08","2022-07-21","2022-11-11","2022-10-13","2022-10-13","2022-10-13","2022-10-13","2022-11-17","2022-11-12","2022-11-12","2022-11-11","2022-11-10","2022-11-10","2022-11-10","2022-10-13","2022-10-13","2022-11-11","2022-11-11","2022-11-11","2022-11-11","2022-11-11","2022-11-12","2022-11-10","2022-11-11","2022-11-11","2022-11-11","2022-11-11","2022-11-10","2022-11-10"],"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":[["","00378668910","PANTOPRAZOLE","TAB 40MG","180","Select","Select",""],["","00093221001","SUCRALFATE","TAB 1GM","360","Select","Select",""],["","00185067405","HYDROXYZ","CAP 25MG","15","Select","Select",""],["","68180011707","LEVETIRACETA","TAB 500MG ER","180","Select","Select",""],["","65862039010","ONDANSETRON","TAB 4MG ODT","10","Select","Select",""],["","23155002405","BUSPIRONE","TAB 10MG","90","Select","Select",""],["","00456120130","LINZESS","CAP 145MCG","30","Select","Select",""],["","591079410","DICYCLOMINE","CAP 10MG","56","Select","Select",""],["","47781047013","OSELTAMIVIR","CAP 75MG","10","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":""}]}]}