{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"KELLEY   L RISALITI","gend":1,"add":"1347   POORHOUSE CREEK ROAD                                 ","city":"STUART                        ","state":"VA","zip":"24171-1531","dob":"1991-08-14","age":"","mstatus":"","insh":4107909,"cliId":"","pno":2762291598,"cno":"","email":"","ename":"","eno":"","pphy":"KRAMER, RALPH L                                             ","ppno":2766944466,"pcpadd":"18877 Jeb Stuart Hwy                                        ,                                                            ","pcpcity":"Stuart                        ","pcpstate":"VA","pcpzip":241715223,"pcpcounty":"","pcpid":"","pcpname":"PATRICK COUNTY FAMILY PRACTICE","plan":"VPHP","program":"MEDICAID","lob":"MLTSS","region":"ROANOKE\/ ALLEGHANY","aligned":"","ano":"","add2":"1347   POORHOUSE CREEK ROAD                                 ","add3":"","madd1":"1347   POORHOUSE CREEK ROAD                                 ","madd2":"                                                            ","madd3":"","mcity":"STUART                        ","mstate":"VA","mzip":"24171-1531","pcpfaxno":"","pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["R50.9","H66.91","H65.03","J01.00","J30.1","R05","H68.103","H68.102","Z79.899","M54.16","H57.12","T15.02XA","N39.0","F41.9","A59.9","F17.210","Z88.5","Z20.822","I63.311","I63.511","I61.4","G81.94","N30.00","Q21.1","R41.4","R40.0","F14.10","F15.10","R29.712","J45.909","E78.00","E53.8","E55.9","R29.810","E16.2","I63.89","I63.9","I61.9","R20.0","R47.9","I10","R53.1","Z86.73","I69.354","I69.318","I69.398","R26.89","E66.01","Z68.41","F19.10","G89.29","M54.5","F32.9","I67.89","I69.313","E66.9","F43.23","B34.9","J02.9","Z11.52","R27.8","M62.81","Z73.6","R47.01","R13.12","M25.512","S46.912A","S46.912D","M51.36","M70.72","Z83.3","G47.62","G47.33","M54.50","R07.89","R42","R11.2","R07.9","R44.2","R51.9","M72.0","K76.0","E27.9","R93.5","M19.90","H69.90","Z23","G47.00","F33.2","M54.10","M25.572","M25.542","Z91.81","G47.30","N18.9","M54.89","J01.90","R05.1","B37.0","Q24.9","R05.9","J02.0","E78.5","Z91.018","Z79.82","F17.200","Z87.74","J09.X2","R09.81","N28.1","Z51.81","M79.672","M25.561"],"date":["2020-01-14","2020-01-14","2020-01-23","2021-07-30","2020-02-04","2020-02-17","2020-02-17","2020-02-17","2022-03-17","2020-02-19","2021-03-03","2021-03-03","2021-06-15","2021-06-15","2021-06-15","2021-10-13","2022-03-17","2021-06-15","2022-07-06","2021-06-21","2021-06-21","2021-06-21","2021-06-25","2022-03-17","2021-06-21","2021-06-21","2021-06-21","2021-06-21","2021-06-21","2022-03-17","2022-03-17","2021-06-27","2021-06-27","2021-06-21","2021-06-21","2021-06-21","2022-02-16","2021-06-21","2021-06-21","2021-06-21","2022-10-13","2021-10-07","2022-03-17","2021-10-18","2021-06-27","2021-06-27","2022-03-09","2021-06-27","2021-06-27","2021-07-02","2021-10-13","2021-09-15","2021-06-27","2021-06-28","2022-10-13","2022-04-25","2022-04-26","2022-11-21","2022-05-14","2022-11-21","2021-10-07","2021-10-07","2021-10-07","2021-09-15","2021-09-15","2021-08-23","2021-08-23","2021-08-23","2022-10-13","2021-09-27","2021-09-27","2022-07-06","2022-07-06","2022-01-04","2021-10-13","2021-10-13","2021-10-13","2021-10-13","2021-10-13","2021-10-13","2022-01-19","2021-10-25","2021-10-25","2021-10-25","2022-08-31","2021-11-18","2022-10-13","2022-07-06","2022-01-11","2022-07-15","2022-03-09","2022-03-09","2022-03-09","2022-01-25","2022-01-28","2022-04-26","2022-02-14","2022-02-14","2022-02-14","2022-02-16","2022-03-30","2022-02-16","2022-03-17","2022-03-17","2022-03-17","2022-03-17","2022-09-26","2022-03-30","2022-03-30","2022-04-08","2022-04-26","2022-04-25","2022-08-29"],"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":[["","68180096301","ALBUTEROL","AER HFA","8.5","Select","Select",""],["","65862035790","CLOPIDOGREL","TAB 75MG","30","Select","Select",""],["","69238111801","BUSPIRONE","TAB 15MG","90","Select","Select",""],["","00378395305","ATORVASTATIN","TAB 80MG","30","Select","Select",""],["","16729044416","BUPROPN","TAB 300MG XL","30","Select","Select",""],["","45802016000","DICLOFENAC","GEL 0.01","100","Select","Select",""],["","55111018015","TIZANIDINE","TAB 4MG","90","Select","Select",""],["","65862046890","LOSARTAN\/HCT","TAB 50-12.5","30","Select","Select",""],["","72205001290","PREGABALIN","CAP 50MG","60","Select","Select",""],["","59310057922","PROAIR","AER ","8.5","Select","Select",""],["","45802065087","LORATADINE","TAB 10MG","30","Select","Select",""],["","68462039710","OMEPRAZOLE","CAP 40MG","30","Select","Select",""],["","10702005601","OXYCODONE","TAB 10MG","120","Select","Select",""],["","00781107710","ALPRAZOLAM","TAB 0.5MG","30","Select","Select",""],["","58657050916","GUAIFENESIN","LIQ 100\/5ML","150","Select","Select",""],["","49483048112","ASPIRIN","TAB 81MG EC","30","Select","Select",""],["","60432053760","NYSTATIN","SUS 100000","180","Select","Select",""],["","57237000511","FLUCONAZOLE","TAB 150MG","3","Select","Select",""],["","00143928501","AMOXICILLIN","TAB 875MG","20","Select","Select",""],["","00093314705","CEPHALEXIN","CAP 500MG","21","Select","Select",""],["","57237004105","PENICILLN","TAB 500MG","20","Select","Select",""],["","69547035302","NARCAN","SPR ","2","Select","Select",""],["","68382000105","PAROXETINE","TAB 40MG","30","Select","Select",""],["","65162062711","TRAMADOL","TAB 50MG","120","Select","Select",""],["","00406012305","HYDROCO\/APAP","TAB 5-325MG","120","Select","Select",""],["","61314063006","NEO\/POLY\/DEX","SUS 0.1% OP","5","Select","Select",""],["","59746012106","MECLIZINE","TAB 25MG","90","Select","Select",""],["","00115166101","PROPRANOLOL","TAB 40MG","60","Select","Select",""],["","00054001829","PREDNISONE","TAB 20MG","18","Select","Select",""],["","00143992701","CIPROFLOXACN","TAB 250MG","6","Select","Select",""],["","69097081312","GABAPENTIN","CAP 100MG","90","Select","Select",""],["","00406052301","OXYCOD\/APAP","TAB 10-325MG","120","Select","Select",""],["","00054327099","FLUTICASONE","SPR 50MCG","16","Select","Select",""],["","65862057490","MONTELUKAST","TAB 10MG","30","Select","Select",""],["","65862050320","AMOX\/K","TAB 875-125","20","Select","Select",""],["","42806031250","DOXYCYCL","TAB 100MG","14","Select","Select",""],["","00574110416","BROM\/PSE\/DM","SYP ","400","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":""}]}]}