{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"O NAIRAMTRAHED ","gend":1,"add":"TSDNIW 8TC MAER","city":"RADFORD                  ","state":"VA","zip":"24141-9998","dob":"1972-07-29","age":"","mstatus":"","insh":"10114559","cliId":"","pno":"9304593422","cno":"","email":"","ename":"","eno":"","pphy":"JORDAN, CHRISTINE D","ppno":5409516070,"pcpadd":"3698 S MAIN ST,STE 1100","pcpcity":"Blacksburg","pcpstate":"VA","pcpzip":240607015,"pcpcounty":"","pcpid":"","pcpname":"LEWIS GALE PHYSICIANS LLC","plan":"VPHP","program":"MEDICARE","lob":"DSNP","region":"ROANOKE ALLEGHANY","aligned":"Y","ano":"","add2":"","add3":"","madd1":"8 WINDSTREAM CT","madd2":"","madd3":"","mcity":"RADFORD                  ","mstate":"VA","mzip":"24141-9998","pcpfaxno":"","pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["F31.81","J22","G47.9","L03.032","G51.0","G44.219","R29.810","M54.50","M62.81","G89.29","F31.9","Z20.822","I10","N30.00","R35.0","Z12.31","D72.829","J30.1","L03.90","L90.5","F43.10","F41.1","F10.14","Z79.899","R60.0","L08.9","G43.009","Z68.34","E66.09","L03.039","B35.1","K21.9","N32.81","N95.9"],"date":["2022-11-01","2022-10-24","2022-08-16","2022-11-10","2022-04-27","2022-04-27","2022-04-27","2022-08-29","2022-04-27","2022-08-29","2022-10-18","2022-10-24","2022-10-18","2022-12-19","2022-12-19","2022-09-30","2022-08-16","2022-07-06","2022-10-03","2022-06-13","2022-10-12","2022-10-12","2022-10-12","2022-10-12","2022-11-10","2022-10-07","2022-08-25","2022-10-18","2022-10-18","2022-10-19","2022-10-19","2022-12-09","2022-06-22","2022-06-22"],"priorHcc":["","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","",""]}}]},{"t":"Covid Screening","q":[{"a":[]}]},{"t":"Self-Assessment and Social History","q":[{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"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":[["","43598029290","PREGABALIN","CAP 50MG","90","Select","Select",""],["","68462039130","ESOMEPRA MAG","CAP 40MG DR","60","Select","Select",""],["","60505083305","AZELASTINE","SPR 0.001","30","Select","Select",""],["","27241009809","DULOXETINE","CAP 30MG","60","Select","Select",""],["","00093083205","CLONAZEPAM","TAB 0.5MG","30","Select","Select",""],["","43547026910","ROPINIROLE","TAB 0.5MG","90","Select","Select",""],["","57664049983","MIRTAZAPINE","TAB 15MG","60","Select","Select",""],["","68462010630","ONDANSETRON","TAB 8MG","30","Select","Select",""],["","68462053253","CLOBETASOL","SOL 0.0005","50","Select","Select",""],["","70710122600","AMITRIPTYLIN","TAB 25MG","30","Select","Select",""],["","65162084009","VALSARTAN","TAB 320MG","30","Select","Select",""],["","68180030260","CEFUROXIME","TAB 250MG","20","Select","Select",""],["","65862057490","MONTELUKAST","TAB 10MG","30","Select","Select",""],["","69097014260","ALBUTEROL","AER HFA","6.7","Select","Select",""],["","65862049301","QUETIAPINE","TAB 200MG","60","Select","Select",""],["","00093342210","CYCLOBENZAPR","TAB 10MG","30","Select","Select",""],["","33342007710","VALSART\/HCTZ","TAB 320-12.5","30","Select","Select",""],["","00054327099","FLUTICASONE","SPR 50MCG","16","Select","Select",""],["","31722070430","VALACYCLOVIR","TAB 500MG","60","Select","Select",""],["","00228212750","CLONIDINE","TAB 0.1MG","100","Select","Select",""],["","65862023060","LAMOTRIGINE","TAB 200MG","30","Select","Select",""],["","68180012202","CEPHALEXIN","CAP 500MG","30","Select","Select",""],["","63402030830","LATUDA","TAB 80MG","30","Select","Select",""],["","00469260230","MYRBETRIQ","TAB 50MG","30","Select","Select",""],["","00169413212","OZEMPIC","INJ 2\/1.5ML","6","Select","Select",""],["","63304069301","CLINDAMYCIN","CAP 300MG","28","Select","Select",""],["","45802014167","CICLOPIROX","SOL 0.08","6.6","Select","Select",""],["","58160082311","SHINGRIX","INJ 50\/0.5ML","1","Select","Select",""],["","00527193206","CLARITHROMYC","TAB 500MG","20","Select","Select",""],["","00781713454","ESTRADIOL","DIS 0.06MG","12","Select","Select",""],["","00006000530","BELSOMRA","TAB 5MG","30","Select","Select",""],["","70461032203","FLUCLVX QUAD","INJ 2022-23","0.5","Select","Select",""],["","59267030402","PFIZER BIVAL","INJ BA4\/BA5","0.3","Select","Select",""],["","00597007541","SPIRIVA","CAP HANDIHLR","30","Select","Select",""],["","60432046400","LIDOCAINE","SOL 2% VISC","100","Select","Select",""],["","65862001501","AMOXICILLIN","TAB 875MG","14","Select","Select",""],["","13668000705","ZOLPIDEM","TAB 5MG","30","Select","Select",""],["","00093005805","TRAMADOL HCL","TAB 50MG","7","Select","Select",""],["","65862086001","FAMOTIDINE","TAB 40MG","30","Select","Select",""],["","76385012450","METHOCARBAM","TAB 750MG","30","Select","Select",""],["","53489011905","DOXYCYCL HYC","CAP 100MG","14","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":["",""],"sub":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"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":""}]}]}