{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"KLAYTON   R KESSLER","gend":0,"add":"170 BRAMBLE LANE","city":"LEXINGTON                     ","state":"VA","zip":"24450-7346","dob":"2002-12-17","age":"","mstatus":"","insh":4179171,"cliId":"","pno":5404609018,"cno":"","email":"","ename":"","eno":"","pphy":"HARCUS, SINCLAIR JOHN","ppno":5404639158,"pcpadd":"123 S Randolph St Apt A,","pcpcity":"Lexington                     ","pcpstate":"VA","pcpzip":244502065,"pcpcounty":"","pcpid":"","pcpname":"CARILION FAMILY MEDICINE LEXINGTON","plan":"VPHP","program":"MEDICAID","lob":"VPM4","region":"ROANOKE\/ ALLEGHANY","aligned":"","ano":"","add2":"170 BRAMBLE LANE","add3":"","madd1":"170 BRAMBLE LANE","madd2":"","madd3":"","mcity":"LEXINGTON                     ","mstate":"VA","mzip":"24450-7346","pcpfaxno":"","pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["F34.9","F91.3","M25.511","X58.XXXA","M25.561","S40.211A","S60.512A","S00.511A","S49.92XA","S80.01XA","M25.569","V29.40XA","Y93.I9","Y92.410","S60.411A","S40.812A","Z08","X78.9XXA","F41.9","F39","Z79.899","S51.812A","R45.851","Y93.89","Y92.9","R45.1","S50.812A","F25.1","F32.9","R63.6","F19.10","F34.81","F10.20","F12.20","F15.10","F17.210","Z91.5","L53.9","F33.1","F43.10","F41.1","T50.901A","R11.2","R45.4","T55.1X1A","T65.891A","R10.817","Y92.009","F43.22","F12.980","Z13.6","J02.9","R50.9","Z20.828","Z20.822","F43.25","F33.0","R45.850","F91.2","B34.9","Z13.30","Q67.7","F17.200","Z04.72","F43.9","Z73.3","K29.00","R68.89","F10.10","Y90.0","Z78.1","L70.9","Z68.52","Z72.0"],"date":["2020-01-02","2020-12-30","2020-02-23","2020-02-23","2020-02-23","2020-02-23","2020-02-23","2020-02-23","2020-02-23","2020-02-23","2020-02-23","2020-02-23","2020-02-23","2020-02-23","2020-02-23","2020-02-25","2020-02-25","2020-06-19","2020-06-22","2020-07-15","2020-07-15","2020-02-25","2020-06-20","2020-06-19","2020-06-19","2020-06-19","2020-06-19","2020-06-20","2020-06-20","2020-06-20","2020-06-20","2020-06-20","2020-06-20","2020-06-20","2020-06-20","2020-06-20","2020-06-20","2020-06-25","2020-06-24","2020-06-24","2020-06-24","2020-07-15","2020-08-07","2020-07-15","2020-07-15","2020-07-15","2020-07-15","2020-07-15","2020-07-15","2020-07-15","2020-07-15","2020-08-07","2020-08-07","2020-08-07","2022-02-07","2019-03-08","2019-03-07","2019-03-09","2019-03-09","2019-03-09","2019-06-28","2019-04-28","2019-04-28","2019-06-28","2019-10-12","2019-10-12","2019-11-26","2019-11-26","2019-12-24","2019-12-24","2019-12-24","2019-12-25","2019-12-24","2019-12-25"],"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":[["","65162071110","GUANFACINE","TAB 1MG","30","Select","Select",""],["","68180071160","CEFDINIR","CAP 300MG","20","Select","Select",""],["","65862039010","ONDANSETRON","TAB 4MG ODT","14","Select","Select",""],["","27241005303","ARIPIPRAZOLE","TAB 10MG","30","Select","Select",""],["","00115180301","HYDROXYZ","CAP 25MG","60","Select","Select",""],["","00781261305","AMOXICILLIN","CAP 500MG","28","Select","Select",""],["","65862017601","PENICILLN","TAB 500MG","20","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":""}]}]}