{"version":"0.4","data":[{"t":"Demographics","q":[{"name":" ARRAEDSENOJ P","gend":0,"add":"OFDEB 1071EUNEVA DR","city":"LYNCHBURG                ","state":"VA","zip":"24504-9998","dob":"1984-08-22","age":"","mstatus":"","insh":"10119403","cliId":"","pno":"8343492504","cno":2767902797,"email":"","ename":"","eno":"","pphy":"GRINOLS, JAMES R","ppno":4342003366,"pcpadd":"800 5TH ST,","pcpcity":"Lynchburg","pcpstate":"VA","pcpzip":245042848,"pcpcounty":"","pcpid":"","pcpname":"COMMUNITY ACCESS NETWORK INC","plan":"VPHP","program":"MEDICARE","lob":"DSNP","region":"CHARLOTTESVILLE WESTERN","aligned":"Y","ano":"","add2":"                                                  ","add3":"","madd1":"1701 BEDFORD AVENUE","madd2":"                                                  ","madd3":"","mcity":"LYNCHBURG                ","mstate":"VA","mzip":"24504-9998","pcpfaxno":"","pcpnpi":""},{"a":{"indx":["","1","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["K72.90","G93.41","Z20.822","K50.00","E87.0","K70.30","E86.0","G40.909","F10.229","E11.9","E53.8","I10","E87.6","K21.9","E83.42","E83.39","F41.1","E88.09","G40.919","F10.10","F10.929","R56.9","K74.60","K04.7","R51.9","R11.2","E11.65","J34.89","Z86.19","Z86.39","Z79.899","Z79.51","Z88.8","Z87.891","R41.82","Z71.1","Z72.89","E78.5","G47.33","E66.9","R53.1","G92","R40.4","E87.2","F10.20","R41.0","Y90.8","R47.01","E66.01","D64.9","Z11.59","K25.9","K86.89","R10.9","K76.0","K85.20","K85.90","Z68.34","E04.2","E78.1","K59.00","K29.70","Z72.0","R74.0","R10.13","R00.0","R93.3","R00.2","R06.02","Z79.4","R07.9","Z09","K85.80","E13.9","K86.0","K50.913","J02.0","Z91.14","K50.90","F41.9","Y90.5","K50.011","R65.10","Z68.32","Z03.818","R53.81","K92.1","R19.7","Z20.828","Z71.3","Z71.9","R40.2411","Z51.81","R11.0","K08.89","K50.10","R10.11","Y90.6","K74.69","F10.129","I16.0","N13.30","K76.89","Z87.898","R79.89","Y90.4","Z91.89","Z81.1","Z82.49","Z91.018","K70.40","Z83.3","G92.8","Y92.019","T42.6X6A","T47.3X6A","K76.9","J32.0","R90.82","G93.40","R09.02","S09.90XA","J43.9"],"date":["2022-09-15","2022-01-13","2022-09-15","2022-06-16","2022-08-07","2022-09-15","2022-01-02","2022-09-15","2022-09-10","2022-09-14","2022-01-13","2022-09-15","2022-09-15","2022-09-13","2022-09-09","2022-01-02","2022-01-02","2022-01-03","2022-01-13","2022-09-13","2022-09-14","2022-09-15","2022-09-13","2022-02-06","2022-02-06","2022-06-15","2021-03-07","2022-09-15","2021-03-07","2021-03-07","2022-08-07","2021-03-07","2022-08-07","2022-08-07","2022-09-16","2021-03-09","2021-03-09","2022-09-15","2022-09-15","2021-09-24","2021-03-09","2021-04-11","2021-09-24","2021-09-25","2022-09-09","2022-09-10","2022-09-15","2021-04-11","2021-04-10","2022-09-10","2021-04-16","2020-05-09","2020-05-09","2022-06-15","2020-05-09","2020-05-09","2020-05-11","2020-05-09","2021-09-24","2020-08-26","2020-05-11","2020-05-09","2020-05-11","2020-05-11","2020-05-10","2022-09-10","2020-05-10","2021-05-16","2022-09-05","2022-08-07","2021-05-16","2020-05-22","2020-05-22","2020-07-07","2020-07-07","2022-04-13","2020-07-26","2021-09-25","2022-08-07","2022-09-09","2020-08-05","2022-06-15","2020-12-07","2021-09-24","2020-08-05","2020-08-05","2020-08-07","2020-08-07","2020-08-18","2020-08-26","2020-09-14","2021-09-24","2020-10-15","2022-04-13","2020-11-25","2020-12-07","2020-12-07","2020-12-07","2020-12-07","2022-09-15","2020-12-07","2020-12-07","2020-12-07","2021-09-25","2022-06-15","2022-06-15","2022-02-14","2022-06-15","2022-08-07","2022-08-07","2022-08-07","2022-08-07","2022-09-15","2022-09-15","2022-09-15","2022-09-15","2022-09-13","2022-09-10","2022-09-15","2022-09-05","2022-09-15","2022-09-14","2022-09-14"],"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":[["","13668042990","PANTOPRAZOLE","TAB 40MG","90","Select","Select",""],["","64380076111","OMEGA-3-ACID","CAP 1GM","120","Select","Select",""],["","27241012004","FENOFIBRATE","CAP 200MG","90","Select","Select",""],["","55111015330","ONDANSETRON","TAB 4MG","10","Select","Select",""],["","98302000198","COMFORT","MIS 31GX8MM","100","Select","Select",""],["","00169255013","TRESIBA","INJ 200UNIT","9","Select","Select",""],["","65702071210","ACCU-CHEK","TES GUIDE","100","Select","Select",""],["","16714035502","LEVETIRACETA","TAB 500MG","60","Select","Select",""],["","64380074318","BUSPIRONE","TAB 15MG","180","Select","Select",""],["","00054001825","PREDNISONE","TAB 20MG","60","Select","Select",""],["","65702028810","FASTCLIX","MIS LANCETS","102","Select","Select",""],["","00088222033","LANTUS","INJ 100\/ML","10","Select","Select",""],["","67877019805","AMLODIPINE","TAB 5MG","90","Select","Select",""],["","56151172101","INSULIN","MIS 0.3\/30G","100","Select","Select",""],["","65862050320","AMOX\/K","TAB 875-125","30","Select","Select",""],["","08290320119","BD  PEN NEEDL","MIS 31GX5MM","100","Select","Select",""],["","00121087316","LACTULOSE","SOL 10GM\/15","900","Select","Select",""],["","00093310905","AMOXICILLIN","CAP 500MG","18","Select","Select",""],["","63304069301","CLINDAMYCIN","CAP 300MG","30","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":""}]}]}