{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"HEATHER   R DUNCAN","gend":1,"add":"2314 CEDAR SPRING ROAD","city":"RURAL RETREAT                 ","state":"VA","zip":"24368-6012","dob":"1996-01-21","age":"","mstatus":"","insh":4110721,"cliId":"","pno":2766170944,"cno":"","email":"","ename":"","eno":"","pphy":"CHO, KYOUNG S","ppno":2762282191,"pcpadd":"360 Virginia Ave,","pcpcity":"Wytheville                    ","pcpstate":"VA","pcpzip":243821185,"pcpcounty":"","pcpid":"","pcpname":"WYTHE MEDICAL ASSOCIATES INC","plan":"VPHP","program":"MEDICAID","lob":"VPM4","region":"ROANOKE\/ ALLEGHANY","aligned":"","ano":"","add2":"2314 CEDAR SPRING ROAD","add3":"","madd1":"2314 CEDAR SPRING ROAD","madd2":"1381 SHARON DRIVE","madd3":"","mcity":"RURAL RETREAT                 ","mstate":"VA","mzip":"24368-6012","pcpfaxno":"","pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["G70.00","G47.09","F41.9","F32.9","G70.01","Z51.81","Z79.899","Z51.12","E66.9","H54.7","F17.210","Z68.34","M62.81","R26.2","E66.09","Z68.32","H53.2","F43.9"],"date":["2021-06-03","2020-12-28","2021-09-13","2021-09-13","2021-07-11","2021-03-29","2021-03-29","2020-04-30","2020-06-09","2020-06-09","2020-06-09","2021-02-04","2020-06-16","2020-06-16","2021-09-13","2020-07-21","2020-12-28","2021-03-29"],"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":[["","00115351101","PYRIDOSTIGM","TAB 60MG","180","Select","Select",""],["","13668000905","CITALOPRAM","TAB 10MG","30","Select","Select",""],["","69238207707","PROPRANOLOL","TAB 10MG","45","Select","Select",""],["","00054016625","MYCOPHENOLAT","TAB 500MG","60","Select","Select",""],["","16729020001","BUSPIRONE","TAB 5MG","90","Select","Select",""],["","68382003416","VENLAFAXINE","CAP 37.5 ER","30","Select","Select",""],["","10370010150","BUPROPN","TAB 150MG XL","30","Select","Select",""],["","59779044574","CVS","DIS 14MG\/24H","14","Select","Select",""],["","44206043940","PRIVIGEN","INJ 40GRAMS","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":""}]}]}