{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"AMANDA   L CHILDERS","gend":1,"add":"2110 RUSSELL AVENUE SW","city":"ROANOKE                       ","state":"VA","zip":"24015-4816","dob":"1990-12-29","age":"","mstatus":"","insh":4240334,"cliId":"","pno":5409883724,"cno":"","email":"","ename":"","eno":"","pphy":"NOTTINGHAM, CLIFFORD A","ppno":5402655500,"pcpadd":"6415 Peters Creek Rd,","pcpcity":"Roanoke                       ","pcpstate":"VA","pcpzip":240194021,"pcpcounty":"","pcpid":"","pcpname":"NURSING HOME BRANDON OAKS ASSISTED LIVING","plan":"VPHP","program":"MEDICAID","lob":"VPM4","region":"ROANOKE\/ ALLEGHANY","aligned":"","ano":"","add2":"2110 RUSSELL AVENUE SW","add3":"","madd1":"11793 Stewartsville Rd","madd2":"","madd3":"","mcity":"Vinton                        ","mstate":"VA","mzip":"24179-6042","pcpfaxno":"","pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["J01.90","R09.81","R51","R55","R42","E03.9","F17.200","J45.909","Z79.890","Z03.89","G20","R25.1","F20.9","I10","E07.9","R56.9","F32.9","R45.851","Z20.822","R63.0","F31.81","F31.30","F25.1","Z56.0","Z87.410","Z91.14","F12.20","E86.0","G47.00","Z87.891","F41.9","F41.1","F16.159","Z72.0","I45.10","F25.9","T65.92XA","M25.511","T14.90XA","M54.2","M54.5","R51.9","S09.90XA","M25.521","M25.561","V49.9XXA","Y92.410","T14.8XXA","R40.2362","R40.2252","S80.01XA","S46.011A","W22.8XXA","S46.911A","X58.XXXA","Y30.XXXA","F25.0","A59.9","D72.829","F12.90","F17.210","J45.990","Z91.51","F32.A","R00.1","G47.9","N93.8","N76.0","N93.9","B96.89","N87.1","Z01.419","N91.2"],"date":["2020-01-18","2020-01-18","2020-01-18","2020-01-18","2020-01-18","2021-10-12","2021-08-02","2021-10-12","2021-05-11","2020-01-18","2020-03-27","2020-03-27","2020-03-27","2021-08-02","2020-03-27","2020-03-27","2021-10-12","2021-10-15","2021-10-12","2021-05-10","2021-05-10","2021-05-11","2021-05-12","2021-05-11","2021-10-12","2021-10-12","2021-10-15","2021-05-11","2021-10-12","2021-05-11","2021-10-12","2022-02-14","2021-05-12","2021-05-12","2021-05-13","2021-10-19","2021-05-16","2021-08-02","2021-06-24","2021-06-24","2021-06-24","2021-06-24","2021-06-24","2021-06-24","2021-06-24","2021-06-24","2021-06-24","2021-06-24","2021-06-24","2021-06-24","2021-06-24","2021-08-02","2021-08-02","2021-08-02","2021-08-02","2021-08-02","2022-02-14","2021-10-13","2021-10-13","2021-10-12","2021-10-12","2021-10-13","2021-10-15","2021-10-13","2021-10-14","2022-02-14","2019-03-14","2019-03-14","2019-03-14","2019-03-14","2019-04-30","2019-04-30","2019-04-30"],"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":[["","51991029301","OXCARBAZEPIN","TAB 300MG","60","Select","Select",""],["","66993068330","OLANZAPINE","TAB 10MG","30","Select","Select",""],["","16729020201","BUSPIRONE","TAB 10MG","90","Select","Select",""],["","59267100003","PFIZER","INJ COVID-19","0.3","Select","Select",""],["","43547040011","CYCLOBENZAPR","TAB 10MG","15","Select","Select",""],["","42806016105","HYDROXYZ","TAB 50MG","30","Select","Select",""],["","16571020106","DICLOFENAC","TAB 75MG DR","10","Select","Select",""],["","43547022650","METHOCARBAM","TAB 750MG","9","Select","Select",""],["","65162019050","NAPROXEN","TAB 500MG","10","Select","Select",""],["","65862050320","AMOX\/K","TAB 875-125","20","Select","Select",""],["","50111064801","FLUOXETINE","CAP 20MG","90","Select","Select",""],["","62756079888","DIVALPROEX","TAB 500MG DR","60","Select","Select",""],["","00555077902","MEDROXYPR","TAB 10MG","10","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":""}]}]}