{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"GREGORY   S LEWIS","gend":0,"add":"356 GREEN ACRES CIRCLE","city":"MARTINSVILLE                  ","state":"VA","zip":"24112-6811","dob":"1981-05-13","age":"","mstatus":"","insh":4426602,"cliId":"","pno":2763401152,"cno":"","email":"","ename":"","eno":"","pphy":"AARON, CAREN T","ppno":2766660452,"pcpadd":"319 Hospital Dr Ste 101,","pcpcity":"Martinsville                  ","pcpstate":"VA","pcpzip":241121928,"pcpcounty":"","pcpid":"","pcpname":"MARTINSVILLE PHYSICIAN PRACTICES LLC","plan":"VPHP","program":"MEDICAID","lob":"VPM4","region":"ROANOKE\/ ALLEGHANY","aligned":"","ano":"","add2":"356 GREEN ACRES CIRCLE","add3":"","madd1":"356 GREEN ACRES CIRCLE","madd2":"","madd3":"","mcity":"MARTINSVILLE                  ","mstate":"VA","mzip":"24112-6811","pcpfaxno":"","pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["M51.27","F41.1","M51.36","F33.1","J20.9","I44.7","I49.01","I46.9","I42.0","I45.81","F10.288","R74.8","F32.9","F41.9","I47.2","I42.9","I45.89","F10.10","Z99.11","R57.0","J98.4","R00.0","D72.829","E87.2","K72.00","N17.9","E83.39","R73.9","I21.A1","J96.01","J96.02","G93.1","I50.21","Z20.828","A41.9","F10.231","I42.6","M62.82","I51.7","I51.9","R93.1","I49.3","R94.31","R29.818","R40.4","R40.20","R41.82","Z45.2","I44.4","J81.1","R09.89","R79.89","R50.9","F10.20","Z86.59","I46.2","R91.8","F10.239","J96.90","R45.1","G93.41","D72.828","F31.9","I95.9","J94.8","Z74.01","I50.20","Z46.82","R06.89","I45.4","R06.00","R10.9","R14.0","R93.5","Z01.89","G93.40","R60.9","R41.0","R74.0","F19.10","I48.91","Z95.810","E87.1","Z48.812","Z95.0","I50.1","E87.5","M54.16","M54.10","M41.9","Z98.1","M54.12","M54.9","G89.29","I50.9","E83.42","R06.02","E87.79","I50.41","I50.22","F39","M48.062","I50.23","R05","J02.9","R07.89","J34.89","R10.84","F10.11","Z86.74","R07.9","E87.70","I42.8","E78.5","F41.8","L50.1","K02.61","F10.21","F12.90","B34.9","Z20.822","M54.42","R53.83","Z82.49","I07.1","K52.89","N20.0","R10.13","A09","R94.5"],"date":["2020-01-17","2021-10-18","2020-03-13","2020-03-13","2020-11-05","2020-05-21","2021-05-05","2020-07-10","2020-11-17","2020-05-21","2020-05-06","2020-05-06","2020-05-07","2020-05-07","2020-05-19","2020-10-19","2020-05-16","2020-07-02","2020-05-01","2020-05-01","2020-05-01","2020-05-15","2020-05-02","2020-05-01","2020-05-21","2020-05-01","2020-05-01","2020-05-01","2020-05-01","2020-05-11","2020-05-07","2020-05-21","2020-10-19","2020-11-06","2020-05-13","2020-05-01","2021-04-09","2020-05-29","2020-10-19","2020-10-19","2020-05-01","2020-05-01","2020-11-06","2020-05-01","2020-05-01","2020-05-10","2020-05-01","2020-05-01","2020-05-02","2020-05-03","2020-05-02","2020-05-13","2020-05-14","2020-05-18","2020-05-02","2020-05-18","2020-05-05","2020-05-13","2020-05-04","2020-05-04","2020-05-10","2020-05-04","2020-05-04","2020-05-04","2020-05-04","2020-05-04","2020-05-05","2020-05-12","2020-05-06","2020-05-07","2020-05-07","2021-11-26","2020-05-08","2020-05-08","2020-05-11","2020-05-21","2020-05-09","2020-05-21","2020-05-21","2020-05-11","2020-05-20","2021-12-13","2020-05-21","2020-07-02","2020-11-06","2021-05-05","2020-06-11","2020-07-10","2020-07-10","2020-07-10","2020-07-10","2020-07-10","2020-07-10","2020-07-10","2020-11-06","2021-10-19","2021-10-19","2020-09-04","2020-09-04","2021-12-13","2020-09-11","2021-05-05","2021-04-09","2020-11-06","2020-11-05","2020-11-06","2020-11-06","2020-11-06","2020-11-06","2021-04-09","2020-11-06","2020-12-04","2020-12-04","2021-04-09","2020-12-04","2021-02-22","2021-02-22","2021-04-09","2021-04-09","2021-08-17","2021-08-17","2021-12-01","2021-10-19","2021-10-19","2021-11-04","2021-12-01","2021-11-26","2021-11-26","2021-12-07","2021-12-07"],"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":[["","00078069620","ENTRESTO","TAB 97-103MG","60","Select","Select",""],["","50742061710","METOPROL","TAB 100MG ER","30","Select","Select",""],["","53746051101","SPIRONOLACT","TAB 25MG","30","Select","Select",""],["","00378020810","FUROSEMIDE","TAB 20MG","30","Select","Select",""],["","66993068330","OLANZAPINE","TAB 10MG","30","Select","Select",""],["","70377000812","ROSUVASTATIN","TAB 20MG","30","Select","Select",""],["","76385012350","METHOCARBAM","TAB 500MG","40","Select","Select",""],["","00093117410","PENICILLN","TAB 500MG","40","Select","Select",""],["","00574110416","BROM\/PSE\/DM","SYP ","300","Select","Select",""],["","65162052110","PROMETHAZINE","TAB 25MG","15","Select","Select",""],["","50111033401","METRONIDAZOL","TAB 500MG","40","Select","Select",""],["","00406012505","HYDROCO\/APAP","TAB 10-325MG","120","Select","Select",""],["","62175061743","PANTOPRAZOLE","TAB 40MG","30","Select","Select",""],["","00172392570","DIAZEPAM","TAB 2MG","14","Select","Select",""],["","16571020106","DICLOFENAC","TAB 75MG DR","60","Select","Select",""],["","51991074890","DULOXETINE","CAP 60MG","30","Select","Select",""],["","70461032003","FLUCLVX","INJ 2020-21","0.5","Select","Select",""],["","68180071160","CEFDINIR","CAP 300MG","20","Select","Select",""],["","24658031205","DOXYCYCL","TAB 100MG","20","Select","Select",""],["","43547026810","ROPINIROLE","TAB 0.25MG","30","Select","Select",""],["","68180051201","LISINOPRIL","TAB 2.5MG","30","Select","Select",""],["","65162036111","FOLIC","TAB 1MG","30","Select","Select",""],["","57896060101","THERA-TABS","TAB ","30","Select","Select",""],["","59651000305","OMEPRAZOLE","CAP 40MG","30","Select","Select",""],["","00591565810","CYCLOBENZAPR","TAB 10MG","90","Select","Select",""],["","14539067501","HYDROXYZ","CAP 50MG","120","Select","Select",""],["","51672128901","NYSTATIN","CRE 100000","60","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":""}]}]}