{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"EYRICA   L HINSHAW","gend":1,"add":"5581 LYNCHBURG SALEM TURNPIKE","city":"THAXTON                       ","state":"VA","zip":"24174-3419","dob":"2004-07-30","age":"","mstatus":"","insh":4174131,"cliId":"","pno":5408504084,"cno":4349443433,"email":"","ename":"","eno":"","pphy":"NIGRO, DARLENE J","ppno":5405867273,"pcpadd":"171 W Main St,","pcpcity":"Bedford                       ","pcpstate":"VA","pcpzip":245231950,"pcpcounty":"","pcpid":"","pcpname":"CENTRA MEDICAL GROUP","plan":"VPHP","program":"MEDICAID","lob":"VPM4","region":"ROANOKE\/ ALLEGHANY","aligned":"","ano":"","add2":"5581 LYNCHBURG SALEM TURNPIKE","add3":"","madd1":"5581 LYNCHBURG SALEM TURNPIKE","madd2":"APT 5","madd3":"","mcity":"THAXTON                       ","mstate":"VA","mzip":"24174-3419","pcpfaxno":"","pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["J11.1","R50.9","L98.9","J02.0","J02.9","J20.9","R05","K12.0","Z20.828","Z32.01","Z34.01","Z36.89","Z3A.11","O23.41","R10.31","Z3A.13","O26.891","N83.12","Z34.02","O23.42","Z3A.21","Z23","Z3A.30","Z20.822","Z34.93","O99.713","L25.9","Z79.899","Z3A.37","L29.9","O99.513","Z34.90","Z3A.39","O69.81X0","Z37.0","O99.52","O70.0","O76","Z3A.40","Z87.891","Z87.440","O80","Z30.42","A41.9","D69.6","R16.0","E87.1","N10","N12","B96.20","E87.6","R79.1","D64.9","Z86.2","Z82.49","R01.1","R65.10","R16.1","R10.84","R11.2","N85.4","R10.9","R06.02","R11.10"],"date":["2020-01-14","2020-01-14","2020-01-14","2021-06-25","2021-10-23","2020-01-27","2021-05-15","2020-02-17","2020-06-19","2020-11-18","2020-11-18","2021-04-28","2020-12-04","2020-12-18","2020-12-18","2020-12-18","2020-12-18","2020-12-18","2021-04-02","2021-03-05","2021-02-10","2021-04-02","2021-04-28","2021-10-15","2021-05-25","2021-06-09","2021-06-09","2021-06-09","2021-06-09","2021-06-09","2021-06-21","2021-06-21","2021-06-21","2021-06-25","2021-06-26","2021-06-25","2021-08-12","2021-06-25","2021-06-26","2021-06-25","2021-06-25","2021-06-26","2021-12-15","2021-10-16","2021-10-15","2021-10-16","2021-10-16","2021-10-15","2021-10-29","2021-10-15","2021-10-16","2021-10-16","2021-10-15","2021-10-16","2021-10-15","2021-10-16","2021-10-16","2021-10-15","2021-10-15","2021-10-15","2021-10-15","2021-10-18","2021-10-16","2021-10-16"],"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":[]},{"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":[["","62332002231","FLUOXETINE","CAP 10MG","30","Select","Select",""],["","16714008110","HYDROXYZ","TAB 10MG","60","Select","Select",""],["","45802006435","TRIAMCINOLON","CRE 0.001","30","Select","Select",""],["","55111015430","ONDANSETRON","TAB 8MG","15","Select","Select",""],["","10006070012","VITAMIN","TAB 50MG","60","Select","Select",""],["","00536406301","CL","TAB 28-0.8MG","30","Select","Select",""],["","68645056259","IBUPROFEN","TAB 600MG","30","Select","Select",""],["","65162047810","NITROFURANTN","CAP 100MG","14","Select","Select",""],["","00781261305","AMOXICILLIN","CAP 500MG","20","Select","Select",""],["","00904531360","PRENATAL","TAB 27-0.8MG","30","Select","Select",""],["","57896030401","STOOL","TAB 8.6-50MG","30","Select","Select",""],["","31722063231","OSELTAMIVIR","CAP 75MG","10","Select","Select",""],["","68180071160","CEFDINIR","CAP 300MG","20","Select","Select",""],["","50383077504","LIDOCAINE","SOL 2% VISC","100","Select","Select",""],["","59746017509","PREDNISONE","TAB 20MG","10","Select","Select",""],["","42192060716","BROM\/PSE\/DM","SYP ","190","Select","Select",""],["","67877021905","CEPHALEXIN","CAP 500MG","28","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":""}]}]}