{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"  AHTNAMASSNIKWAH L ","gend":1,"add":"B .O.P45 XO","city":"COLEMAN FALLS                 ","state":"VA","zip":"24536-9998","dob":"1989-04-18","age":"","mstatus":"","insh":"7724214","cliId":"","pno":"1643487730","cno":"","email":"","ename":"","eno":"","pphy":"GIANAKOS, DEAN G","ppno":4342005200,"pcpadd":"2323 Memorial Ave,Ste 10","pcpcity":"Lynchburg                     ","pcpstate":"VA","pcpzip":245012652,"pcpcounty":"","pcpid":"","pcpname":"BIG ISLAND FAMILY MEDICAL CENTER","plan":"VPHP","program":"MEDICAID","lob":"VPM4","region":"ROANOKE\/ ALLEGHANY","aligned":"","ano":"","add2":"P.O. BOX 54","add3":"","madd1":"P.O. BOX 54","madd2":"","madd3":"","mcity":"COLEMAN FALLS                 ","mstate":"VA","mzip":"24536-9998","pcpfaxno":"","pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["M19.041","G35","M25.531","J02.9","M54.9","R39.11","R30.0","F32.9","Z00.01","L03.115","S80.861A","W57.XXXA","B37.3","R68.2","L03.90","F15.20","J06.9","Z20.828","J02.0","K04.7","B34.9","G95.0","F41.9","F33.2","T39.312A","T50.902A","T45.0X2A","T39.012A","T43.592A","G92","E16.2","R00.0","R33.9","F11.10","T44.3X1A","T14.91XA","T50.901A","F19.10","F33.1","E87.6","E66.9","R11.0","Z68.34","Z91.5","Z81.8","Z82.49","R45.851","N39.0","G50.1","R20.0","R40.4"],"date":["2020-04-20","2021-03-25","2020-04-20","2021-09-16","2020-12-09","2021-01-29","2021-01-29","2021-10-05","2021-02-18","2021-03-22","2021-03-22","2021-03-22","2021-03-22","2021-03-25","2021-03-25","2021-08-03","2021-09-16","2021-09-16","2021-10-29","2021-11-19","2022-02-09","2019-03-14","2019-07-23","2019-06-28","2019-07-18","2019-07-19","2019-07-18","2019-07-18","2019-07-18","2019-07-19","2019-07-19","2019-07-19","2019-07-18","2019-07-18","2019-07-19","2019-07-19","2019-07-19","2019-07-19","2019-07-23","2019-07-23","2019-07-22","2019-07-22","2019-07-23","2019-07-22","2019-07-22","2019-07-22","2019-07-22","2019-08-18","2019-08-18","2021-12-16","2021-12-16"],"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":{"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":[["","00781261305","AMOXICILLIN","CAP 500MG","20","Select","Select",""],["","67877021905","CEPHALEXIN","CAP 500MG","40","Select","Select",""],["","55111014512","FLUCONAZOLE","TAB 150MG","2","Select","Select",""],["","00023079801","REFRESH","DRO 0.5% OP","15","Select","Select",""],["","65862050320","AMOX\/K","TAB 875-125","20","Select","Select",""],["","65162062750","TRAMADOL","TAB 50MG","20","Select","Select",""],["","00527293441","PREDNISONE","TAB 20MG","30","Select","Select",""],["","64380080707","IBUPROFEN","TAB 800MG","60","Select","Select",""],["","57237007710","ONDANSETRON","TAB 4MG ODT","9","Select","Select",""],["","16729020001","BUSPIRONE","TAB 5MG","60","Select","Select",""],["","13668013601","ESCITALOPRAM","TAB 10MG","30","Select","Select",""],["","50111043303","TRAZODONE","TAB 50MG","30","Select","Select",""],["","65162019050","NAPROXEN","TAB 500MG","20","Select","Select",""],["","50383077504","LIDOCAINE","SOL 2% VISC","200","Select","Select",""],["","55111068405","IBU","TAB 800MG","60","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":""}]}]}