{"version":"0.4","data":[{"t":"Demographics","q":[{"name":" ADNELGYELSAEB","gend":1,"add":"CB 842ENAL ","city":"STUART","state":"VA","zip":"24171-9998","dob":"1963-05-12","age":"","mstatus":"","insh":"10117548","cliId":"","pno":"2267251989","cno":"","email":"","ename":"","eno":"","pphy":"COLE, RICHARD C","ppno":2766944466,"pcpadd":"18877 JEB STUART HWY,","pcpcity":"Stuart","pcpstate":"VA","pcpzip":241715223,"pcpcounty":"","pcpid":"","pcpname":"PATRICK COUNTY FAMILY PRACTICE","plan":"VPHP","program":"MEDICARE","lob":"DSNP","region":"ROANOKE ALLEGHANY","aligned":"Y","ano":"","add2":"                                                  ","add3":"","madd1":"248 BC LANE","madd2":"                                                  ","madd3":"","mcity":"STUART","mstate":"VA","mzip":"24171-9998","pcpfaxno":"","pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["E11.65","E11.3593","H25.11","H25.12","Z00.01","J45.998","M14.60","I10","E10.8","Z79.4","J45.50","J30.9","G47.9","Z78.9","E66.9","G47.33","G45.9","M25.572","M1A.0720","K21.9","Z23","H25.13","E11.3293","H16.223","I70.90","R07.9","R06.02","Z12.31","E78.2","Z96.41","R50.9","J20.9","R11.0","Z11.52","H81.10","E11.3591","E11.3513","E11.3512","E11.3592","J45.909","E13.40","J45.901"],"date":["2022-09-01","2022-05-02","2022-01-18","2022-02-03","2021-11-22","2022-08-09","2022-05-16","2022-09-01","2021-11-16","2021-11-16","2021-08-24","2021-08-24","2021-08-24","2021-08-24","2022-09-01","2022-08-06","2022-05-23","2022-05-16","2022-05-16","2021-11-22","2022-02-21","2021-12-08","2021-12-08","2021-12-08","2021-12-16","2021-12-17","2021-12-17","2021-12-28","2022-09-01","2022-09-01","2022-07-21","2022-07-21","2022-08-09","2022-08-09","2022-07-21","2022-05-24","2022-08-29","2022-06-02","2022-05-02","2022-05-16","2022-05-16","2022-02-21"],"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":[["","50458014130","INVOKANA","TAB 300MG","30","Select","Select",""],["","76204020025","ALBUTEROL","NEB 0.00083","375","Select","Select",""],["","00310737020","BUDES\/FORMOT","AER 160-4.5","30.6","Select","Select",""],["","60505025303","CLOPIDOGREL","TAB 75MG","90","Select","Select",""],["","65862057490","MONTELUKAST","TAB 10MG","90","Select","Select",""],["","69097094312","GABAPENTIN","CAP 300MG","90","Select","Select",""],["","00781808926","AZITHROMYCIN","TAB 250MG","6","Select","Select",""],["","00591544305","PREDNISONE","TAB 20MG","15","Select","Select",""],["","51224000760","METFORMIN","TAB 500MG ER","60","Select","Select",""],["","43547035211","LISINOPRIL","TAB 5MG","30","Select","Select",""],["","52817033200","CYCLOBENZAPR","TAB 10MG","90","Select","Select",""],["","00093092610","LOVASTATIN","TAB 10MG","90","Select","Select",""],["","76204060060","IPRATROPIUM\/","SOL ALBUTER","360","Select","Select",""],["","65862056090","PANTOPRAZOLE","TAB 40MG","180","Select","Select",""],["","00310461612","BREZTRI","AER SPHERE","32.1","Select","Select",""],["","60432026415","FLUTICASONE","SPR 50MCG","16","Select","Select",""],["","08627005303","DEXCOM","MIS SENSOR","3","Select","Select",""],["","61314012605","KETOROLAC","SOL 0.005","5","Select","Select",""],["","17478071310","OFLOXACIN","DRO 0.3% OP","5","Select","Select",""],["","61314063705","PREDNISOLONE","SUS 1% OP","5","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":""}]}]}