{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"HEATHER LOONEY","gend":1,"add":"1009 VINYARD ROAD","city":"VINTON                        ","state":"VA","zip":"24179-4724","dob":"1975-03-15","age":"","mstatus":"","insh":4522184,"cliId":"","pno":5402068442,"cno":"","email":"","ename":"","eno":"","pphy":"JOHNSON, BRUCE E","ppno":5409817000,"pcpadd":"1906 Belleview Ave SE,","pcpcity":"Roanoke                       ","pcpstate":"VA","pcpzip":240141838,"pcpcounty":"","pcpid":"","pcpname":"CARILION ROANOKE MEMORIAL HOSPITALISTS","plan":"VPHP","program":"MEDICAID","lob":"VPM4","region":"ROANOKE\/ ALLEGHANY","aligned":"","ano":"","add2":"1009 VINYARD ROAD","add3":"","madd1":"1009 VINYARD ROAD","madd2":"APT 107","madd3":"","mcity":"VINTON                        ","mstate":"VA","mzip":"24179-4724","pcpfaxno":"","pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["D50.0","I82.90","I10","Z86.718","D50.9","J01.10","J06.9","R50.9","R11.0","R19.7","R06.02","R09.02","R91.8","R61","R94.31","U07.1","J12.82","Z86.711","E87.6","Y92.230","J96.01","E66.01","Z68.41","E86.0","R60.0","Z79.01","J30.9","R73.9","T38.0X5A","D64.9","J80","Z46.82","R10.9","J18.9","Z86.14","R07.9","Z03.89","R06.00","Z99.81","R14.1","G47.00","R53.81","E09.65","Z09","Z86.16","R53.83","E55.9","M25.512","Z20.822","H66.92","J02.9","J01.90","R68.89","Z51.11","E78.2","K21.9","M25.522","M25.521","J04.0","R49.0","B97.89"],"date":["2021-11-04","2021-11-04","2021-10-22","2021-08-06","2021-08-10","2021-07-27","2021-08-02","2021-08-02","2021-08-10","2021-08-10","2021-09-14","2021-09-16","2021-08-12","2021-07-29","2021-07-29","2021-10-15","2021-10-15","2021-07-31","2021-07-30","2021-07-29","2021-08-18","2021-08-02","2021-07-29","2021-07-29","2021-07-29","2021-07-29","2021-08-10","2021-08-07","2021-08-12","2021-10-22","2021-08-18","2021-08-02","2021-08-12","2021-10-15","2021-08-07","2021-08-08","2021-08-09","2021-08-12","2021-08-12","2021-08-12","2021-08-18","2021-10-22","2021-08-18","2021-10-15","2021-10-15","2021-10-22","2021-10-22","2021-10-22","2022-01-27","2022-02-02","2022-02-02","2020-07-13","2020-02-13","2020-05-29","2020-07-13","2020-09-25","2020-08-20","2020-08-21","2020-09-25","2020-09-25","2020-09-25"],"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":[["","68645049254","PANTOPRAZOLE","TAB 40MG","30","Select","Select",""],["","68645051554","AMLODIPINE","TAB 5MG","30","Select","Select",""],["","16729018201","HYDROCHLOROT","TAB 12.5MG","30","Select","Select",""],["","16571040250","CETIRIZINE","TAB 10MG","30","Select","Select",""],["","42806040021","METHYLPRED","TAB 4MG","21","Select","Select",""],["","11877001140","BINAXNOW","KIT HOME TES","2","Select","Select",""],["","00173069700","ADVAIR","AER 500\/50","60","Select","Select",""],["","00093317431","ALBUTEROL","FAT E","8.5","Select","Select",""],["","00143924920","AMOX\/K","TAB 875-125","14","Select","Select",""],["","00603533932","PREDNISONE","TAB 20MG","10","Select","Select",""],["","49035057139","ALLERGY","TAB 180MG","10","Select","Select",""],["","00054327099","FLUTICASONE","SPR 50MCG","16","Select","Select",""],["","16714089902","FEXOFENADINE","TAB 180MG","10","Select","Select",""],["","65162083366","DICLOFENAC","GEL 0.01","100","Select","Select",""],["","00527512170","NYSTATIN","SUS 100000","473","Select","Select",""],["","29300022019","MONTELUKAST","TAB 10MG","30","Select","Select",""],["","00093005301","BUSPIRONE","TAB 5MG","90","Select","Select",""],["","00135061502","FLONASE","SUS 27.5MCG","5.9","Select","Select",""],["","50111078751","AZITHROMYCIN","TAB 250MG","6","Select","Select",""],["","00573262065","ALAVERT","TAB 10MG","30","Select","Select",""],["","59746012106","MECLIZINE","TAB 25MG","30","Select","Select",""],["","68382005005","MELOXICAM","TAB 7.5MG","30","Select","Select",""],["","55111014512","FLUCONAZOLE","TAB 150MG","1","Select","Select",""],["","59310057922","PROAIR","AER ","8.5","Select","Select",""],["","16714043901","NITROFURANTN","CAP 100MG","14","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":""}]}]}