{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"KELLY   M RADFORD","gend":1,"add":"165 PINE SPRINGS DRIVE","city":"HARDY                         ","state":"VA","zip":"24101-3463","dob":"1986-01-11","age":"","mstatus":"","insh":4100682,"cliId":"","pno":5402045014,"cno":"","email":"","ename":"","eno":"","pphy":"BEIRNE, TIMOTHY M","ppno":5409836700,"pcpadd":"415 S Pollard St,","pcpcity":"Vinton                        ","pcpstate":"VA","pcpzip":241792502,"pcpcounty":"","pcpid":"","pcpname":"CARILION FAMILY MEDICINE PARKWAY PHYSICIANS VINT","plan":"VPHP","program":"MEDICAID","lob":"VPM4","region":"ROANOKE\/ ALLEGHANY","aligned":"","ano":"","add2":"165 PINE SPRINGS DRIVE","add3":"","madd1":"165 PINE SPRINGS DRIVE","madd2":"","madd3":"","mcity":"HARDY                         ","mstate":"VA","mzip":"24101-3463","pcpfaxno":"","pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["I33.0","B95.62","I50.31","N17.9","R60.0","F19.10","I76","I26.90","K65.1","L02.31","D64.9","B19.20","F19.90","R11.2","E86.0","F17.210","I10","R40.20","T50.904A","R23.1","W18.11XA","R41.82","R94.31","E87.1","E86.1","F11.10","N18.9","N39.0","N28.1","E43","F10.20","Z86.79","Z71.6","F11.20","B20","N18.30","G93.40","R53.1","R53.83","R41.0","G92","I12.9","F43.10","F32.9","Z86.711","K51.90","M62.81","R32","Z53.21","I12.0","K51.20","B18.2","F41.1","N18.5","N18.4","K52.9","N05.9","R10.9","R31.9","R11.10","N30.01","R19.7","R80.9","F19.11","Z86.19","N28.89","N00.9","F19.94","F11.99","Z79.899","F51.05","I16.0","K59.00","E87.2","G89.29","Z88.8","I49.9","R10.84","R11.0","L02.91","R03.0","F11.90","N19","T40.496A","Z91.128"],"date":["2021-07-01","2020-09-02","2020-09-02","2021-10-07","2020-09-02","2021-11-15","2020-09-02","2020-09-02","2020-09-02","2020-09-02","2020-09-02","2021-11-15","2020-09-02","2021-07-25","2021-06-28","2021-10-07","2021-10-07","2020-12-06","2020-12-06","2020-12-06","2020-12-06","2021-05-07","2021-07-25","2021-04-18","2021-04-18","2021-04-18","2021-04-18","2021-09-27","2021-04-18","2021-04-18","2021-04-18","2021-06-30","2021-04-18","2021-12-22","2021-05-06","2021-06-30","2021-05-06","2021-05-06","2021-05-06","2021-05-06","2021-05-06","2021-07-25","2021-06-28","2021-05-06","2021-06-28","2021-07-25","2021-05-07","2021-05-07","2021-05-07","2021-07-25","2021-06-28","2021-06-30","2021-09-29","2021-11-15","2021-08-03","2021-06-28","2021-07-01","2021-09-29","2021-10-07","2021-10-07","2021-06-28","2021-06-29","2021-06-29","2021-06-29","2021-06-30","2021-06-29","2021-06-30","2021-09-29","2021-07-01","2021-10-07","2021-09-29","2021-07-26","2021-07-26","2021-07-25","2021-07-25","2021-07-25","2021-07-25","2021-07-25","2021-10-07","2021-08-24","2021-08-24","2021-10-07","2021-10-07","2021-10-07","2021-10-07"],"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":[["","67877019810","AMLODIPINE","TAB 5MG","30","Select","Select",""],["","65862019399","FLUOXETINE","CAP 20MG","30","Select","Select",""],["","50111043303","TRAZODONE","TAB 50MG","30","Select","Select",""],["","65862039010","ONDANSETRON","TAB 4MG ODT","12","Select","Select",""],["","12496120803","SUBOXONE","MIS 8-2MG","60","Select","Select",""],["","45802086803","POLYETH","POW 3350 NF","510","Select","Select",""],["","00143980305","DOXYCYCL","CAP 100MG","20","Select","Select",""],["","65862042005","SMZ\/TMP","TAB 800-160","6","Select","Select",""],["","65162074510","PROMETHAZINE","TAB 12.5MG","30","Select","Select",""],["","69547035302","NARCAN","SPR ","2","Select","Select",""],["","47781030301","NITROFURANTN","CAP 100MG","14","Select","Select",""],["","57896044101","BISACODYL","TAB 5MG EC","30","Select","Select",""],["","00228212750","CLONIDINE","TAB 0.1MG","14","Select","Select",""],["","76385011150","CARVEDILOL","TAB 6.25MG","60","Select","Select",""],["","00054429731","FUROSEMIDE","TAB 20MG","60","Select","Select",""],["","62037099910","POT  CL MICRO","TAB 20MEQ ER","90","Select","Select",""],["","68180051303","LISINOPRIL","TAB 5MG","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":["",""],"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":""}]}]}