{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"W D KRAMDRAWDOO","gend":0,"add":" MOOR TSAE EVA YELLIG 726                       02","city":"BIG STONE GAP            ","state":"VA","zip":"24219-9998","dob":"1955-11-06","age":"","mstatus":"","insh":"10117697","cliId":"","pno":"1632405897","cno":2765230374,"email":"","ename":"","eno":"","pphy":"BURNS, LAUREN BARBARA","ppno":2765236715,"pcpadd":"323 CLOVERLEAF SQ STE 1,STE 1","pcpcity":"Big Stone Gap","pcpstate":"VA","pcpzip":242192760,"pcpcounty":"","pcpid":"","pcpname":"WELLMONT MEDICAL ASSOCIATES INC","plan":"VPHP","program":"MEDICARE","lob":"DSNP","region":"SOUTHWEST","aligned":"Y","ano":"","add2":"                                                  ","add3":"","madd1":"627 GILLEY AVE EAST ROOM 20                       ","madd2":"                                                  ","madd3":"","mcity":"BIG STONE GAP            ","mstate":"VA","mzip":"24219-9998","pcpfaxno":"","pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["J43.2","N40.0","M54.42","R64","G89.29","I10","E78.00","M47.816","G60.3","M47.812","M46.02","M79.2","M13.80","Z87.438","I95.89","Z79.899","J34.89","K13.0","F17.210","F17.200","Z87.891","Z00.00","N40.1","N13.8","K59.04","R63.4","R45.0","L98.9","R09.89","F11.20","F41.9"," "],"date":["2022-09-22","2022-11-22","2022-11-22","2022-08-22","2022-11-22","2022-08-22","2022-01-24","2021-08-11","2021-05-11","2021-08-11","2021-05-11","2021-07-12","2021-08-11","2021-08-10","2021-08-10","2022-08-23","2021-08-10","2021-08-10","2021-11-12","2022-05-20","2021-11-12","2021-12-13","2021-12-20","2021-12-20","2022-09-22","2022-03-21","2022-11-22","2022-06-21","2022-05-20","2022-09-22","2022-11-22","2022-11-22"],"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":[["","00310737020","BUDES\/FORMOT","AER 160-4.5","10.2","Select","Select",""],["","00093317431","ALBUTEROL","FAT E","8.5","Select","Select",""],["","65862014990","FINASTERIDE","TAB 5MG","30","Select","Select",""],["","57237001401","TAMSULOSIN","CAP 0.4MG","60","Select","Select",""],["","43386035701","HYDROCO\/APAP","TAB 7.5-325","120","Select","Select",""],["","69097094312","GABAPENTIN","CAP 300MG","120","Select","Select",""],["","13107015490","PAROXETINE","TAB 10MG","30.00","Select","Select",""],["","49884028901","MEGESTROL","TAB 20MG","90","Select","Select",""],["","00173069600","ADVAIR","AER 250\/50","60","Select","Select",""],["","60505265601","TRIAMT\/HCTZ","TAB 37.5-25","30","Select","Select",""],["","59651024601","MIDODRINE","TAB 2.5MG","90","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":""}]}]}