{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"MALICHI   L JAMES","gend":0,"add":"1603 BURRELL STREET NW","city":"ROANOKE                       ","state":"VA","zip":"24012-4604","dob":"1998-12-22","age":"","mstatus":"","insh":6809865,"cliId":"","pno":5406139845,"cno":5716554940,"email":"","ename":"","eno":"","pphy":"BEACH, BRIANA MARY","ppno":5405625700,"pcpadd":"1906 Belleview Ave SE,","pcpcity":"Roanoke                       ","pcpstate":"VA","pcpzip":240141838,"pcpcounty":"","pcpid":"","pcpname":"CARILION CLINIC FAMILY MEDICINE SOUTHEAST","plan":"VPHP","program":"MEDICAID","lob":"VPM4","region":"ROANOKE\/ ALLEGHANY","aligned":"","ano":"","add2":"1603 BURRELL STREET NW","add3":"","madd1":"1603 BURRELL STREET NW","madd2":"2502 LIBERTY RD APT 6","madd3":"","mcity":"ROANOKE                       ","mstate":"VA","mzip":"24012-4604","pcpfaxno":"","pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["I72.1","M79.602","E87.2","W34.00XA","S27.0XXA","S27.321A","S22.32XB","S45.102A","S41.102A","S27.391A","S45.112A","X95.9XXA","Y93.01","S27.2XXA","S21.342A","D62","G62.9","J93.82","Z23","J43.8","E86.9","S22.32XA","F90.9","S45.902A","T14.90XA","Z93.8","I49.9","G89.11","S41.132A","S21.132A","J93.9","R94.31","Z97.8","G56.82","Z43.8","M79.642","G56.12","G56.32","W34.00XD","S41.102D","Z87.891","S44.22XA","R00.0","R06.00","Z87.81","Z87.828","R06.09","X58.XXXD","S22.32XD","R07.89","S64.22XD","S45.102D","M79.645","R42","Z18.10","M79.641","Y92.9","T42.6X6A","T39.396A","Z91.14","Z91.19","Z48.812","Z72.0","S44.22XD","S45.109A","Z68.1","L05.01","L02.31","R00.1","R00.2","R06.02","R07.9","Z79.899","Z79.82","R11.2","M54.5","J02.9"],"date":["2020-01-11","2020-02-18","2020-01-11","2020-02-04","2020-01-11","2020-01-11","2020-01-11","2020-01-11","2020-01-11","2020-01-14","2020-01-11","2020-01-11","2020-01-11","2020-01-11","2020-01-11","2020-01-11","2020-01-11","2020-01-11","2020-01-11","2020-01-11","2020-01-11","2020-01-14","2020-02-01","2020-01-11","2020-01-11","2020-01-15","2020-01-12","2020-01-13","2020-01-13","2020-01-13","2020-01-15","2020-01-13","2020-01-14","2020-01-14","2020-01-15","2020-02-01","2020-03-19","2020-02-01","2020-02-01","2020-02-01","2021-10-17","2020-02-04","2020-02-12","2020-02-12","2020-02-12","2020-02-18","2020-02-12","2020-02-12","2020-02-12","2020-02-12","2020-02-12","2020-02-12","2020-02-12","2021-10-17","2020-02-12","2020-02-18","2020-02-18","2020-02-18","2020-02-18","2020-02-18","2020-02-18","2020-09-15","2020-09-15","2020-03-19","2020-09-15","2020-09-15","2021-08-23","2021-08-23","2021-10-17","2021-10-17","2021-10-17","2021-10-17","2021-10-17","2021-10-17","2019-05-22","2019-11-05","2019-11-20"],"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":[["","69618004610","ASPIRIN","TAB 81MG EC","30","Select","Select",""],["","69097094312","GABAPENTIN","CAP 300MG","90","Select","Select",""],["","64380080907","IBUPROFEN","TAB 400MG","40","Select","Select",""],["","70010075405","METHOCARBAM","TAB 500MG","48","Select","Select",""],["","45802086803","POLYETH","POW 3350 NF","510","Select","Select",""],["","57896045810","SENNA","TAB 8.6-50MG","30","Select","Select",""],["","42858000201","OXYCODONE","TAB 10MG","40","Select","Select",""],["","69547035302","NARCAN","SPR ","2","Select","Select",""],["","29300012510","MELOXICAM","TAB 15MG","30","Select","Select",""],["","00363017512","PAIN","TAB 500MG","80","Select","Select",""],["","57237007710","ONDANSETRON","TAB 4MG ODT","20","Select","Select",""],["","00781261305","AMOXICILLIN","CAP 500MG","20","Select","Select",""],["","69097084507","CYCLOBENZAPR","TAB 5MG","9","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":""}]}]}