{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"R YMMITYCATS ","gend":0,"add":"AOR KROF SRETSEL DLO 0631                        D","city":"GRUNDY                   ","state":"VA","zip":"24614-5469","dob":"1967-08-30","age":"","mstatus":"","insh":"10118458","cliId":"","pno":"1367274292","cno":2763129247,"email":"","ename":"","eno":"","pphy":"ABROKWAH, JAMES","ppno":2768351122,"pcpadd":"163 NUMBER TEN ST,","pcpcity":"Clinchco","pcpstate":"VA","pcpzip":242268694,"pcpcounty":"","pcpid":"","pcpname":"FULL CARE MEDICAL CENTER","plan":"VPHP","program":"MEDICARE","lob":"DSNP","region":"SOUTHWEST","aligned":"Y","ano":"","add2":"                                                  ","add3":"","madd1":"1360 OLD LESTERS FORK ROAD                        ","madd2":"                                                  ","madd3":"","mcity":"GRUNDY                   ","mstate":"VA","mzip":"24614-5469","pcpfaxno":"","pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["M54.17","I10","K21.9","Z79.899","J41.8","M25.521","F17.290","M75.52","E78.2","Z13.29","F34.1","G56.32","G62.9","M79.622","F17.210","R07.9","E07.9","Z79.82","M54.2","R20.2","M53.82","S63.521A","W19.XXXA","S69.91XA","Z12.5"," ","R31.9","R10.30","M54.50","S16.1XXA","W13.9XXA","S16.9XXA","S29.012A","S00.93XA","S10.83XA","S09.90XA","J44.1","R31.0","N28.89","R10.31"],"date":["2022-11-23","2022-11-26","2022-11-14","2022-01-13","2022-09-28","2022-02-10","2022-02-10","2022-02-10","2022-11-23","2022-08-30","2022-08-30","2021-11-16","2021-11-16","2021-11-16","2022-11-26","2021-11-16","2021-11-16","2022-08-27","2021-11-16","2021-11-18","2022-06-06","2022-08-27","2022-08-27","2022-08-27","2022-08-30","2022-11-26","2022-11-11","2022-11-11","2022-11-11","2022-11-26","2022-11-26","2022-11-26","2022-11-26","2022-11-26","2022-11-26","2022-11-26","2022-11-14","2022-11-11","2022-11-11","2022-11-11"],"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":[["","65862056099","PANTOPRAZOLE","TAB 40MG","30","Select","Select",""],["","68462019005","NAPROXEN","TAB 500MG","60","Select","Select",""],["","42806034805","BUPROPN","TAB 150MG XL","30","Select","Select",""],["","00378395305","ATORVASTATIN","TAB 80MG","30","Select","Select",""],["","00378459510","METOPROL","TAB 25MG ER","30.00","Select","Select",""],["","65862052301","GABAPENTIN","TAB 600MG","45","Select","Select",""],["","50111043402","TRAZODONE","TAB 100MG","60","Select","Select",""],["","66993001968","ALBUTEROL","AER HFA","18.00","Select","Select",""],["","43547035611","LISINOPRIL","TAB 40MG","30.00","Select","Select",""],["","10702005650","OXYCODONE","TAB 10MG","90","Select","Select",""],["","59762330403","NITROGLYCERN","SUB 0.4MG","25.00","Select","Select",""],["","67877032105","IBUPROFEN","TAB 800MG","90","Select","Select",""],["","16729021810","CLOPIDOGREL","TAB 75MG","30","Select","Select",""],["","93031401","KETOROLAC","TAB 10MG","20","Select","Select",""],["","57664050318","TIZANIDINE","TAB 4MG","30","Select","Select",""],["","70954005920","PREDNISONE","TAB 10MG","21","Select","Select",""],["","00781808926","AZITHROMYCIN","TAB 250MG","11","Select","Select",""],["","00093227434","AMOX\/K","TAB 500-125","20","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":""}]}]}