{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"KAREN   L REEVES","gend":1,"add":"691   PINECREST AVE.                                        ","city":"BEDFORD                       ","state":"VA","zip":"24523-2860","dob":"1966-02-19","age":"","mstatus":"","insh":6807023,"cliId":"","pno":5409866658,"cno":5405254478,"email":"","ename":"","eno":"","pphy":"LUTH, JANICE E                                              ","ppno":5402977181,"pcpadd":"4830 Rucker Rd                                              ,                                                            ","pcpcity":"Moneta                        ","pcpstate":"VA","pcpzip":241215281,"pcpcounty":"","pcpid":"","pcpname":"VILLAGE FAMILY PHYSICIANS INC","plan":"VPHP","program":"MEDICAID","lob":"MLTSS","region":"ROANOKE\/ ALLEGHANY","aligned":"","ano":"","add2":"691   PINECREST AVE.                                        ","add3":"","madd1":"691   PINECREST AVE.                                        ","madd2":"APT F8                                                      ","madd3":"","mcity":"BEDFORD                       ","mstate":"VA","mzip":"24523-2860","pcpfaxno":"","pcpnpi":""},{"a":{"indx":["","1","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["F33.0","R68.89","H90.3","H90.41","J30.89","Z12.31","Z01.00","H52.13","H52.223","H52.4","F41.1","M77.31","M20.11","M16.11","Z02.71","Z00.00","E78.5","F32.9","Z12.11","Z12.4","Z11.51","Z23","Z80.3","R40.4","R56.9","R41.82","R40.20","R00.0","Q04.8","E86.0","F43.9","R73.9","N39.0","F19.239","F43.21","F41.9","F41.8","K21.9"],"date":["2020-09-15","2021-02-23","2020-02-20","2020-02-20","2020-02-20","2021-02-22","2021-07-01","2021-07-01","2021-07-01","2021-07-01","2021-08-26","2020-11-11","2020-11-11","2020-11-11","2020-11-11","2020-12-02","2020-12-02","2020-12-02","2020-12-02","2021-01-18","2021-01-18","2021-04-02","2021-02-22","2021-07-15","2021-07-16","2021-07-15","2021-07-15","2021-07-15","2021-07-16","2021-07-16","2021-07-16","2021-07-16","2021-07-16","2021-07-23","2021-08-01","2021-07-23","2021-08-01","2021-08-01"],"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":[["","69842000003","FLUTICASONE","SPR 50MCG","9.9","Select","Select",""],["","45802002683","AZELASTINE","SPR 0.0015","30","Select","Select",""],["","59779045806","CVS","TAB 10MG","30","Select","Select",""],["","70377002711","ATORVASTATIN","TAB 10MG","30","Select","Select",""],["","45802091987","CETIRIZINE","TAB 10MG","30","Select","Select",""],["","69097015807","MELOXICAM","TAB 7.5MG","30","Select","Select",""],["","16729020201","BUSPIRONE","TAB 10MG","90","Select","Select",""],["","68180012202","CEPHALEXIN","CAP 500MG","10","Select","Select",""],["","45802043803","HYDROCORT","CRE 0.01","56","Select","Select",""],["","49281072010","FLUBLOK","INJ 2020-21","0.5","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":""}]}]}