{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"APRIL   M HILL","gend":1,"add":"34 MYSTIC VIEW LANE","city":"INDEPENDENCE","state":"VA","zip":"24348-3768","dob":"1985-04-02","age":"","mstatus":"","insh":6827115,"cliId":"","pno":2767288903,"cno":"","email":"","ename":"","eno":"","pphy":"PRYOR, ROBERT E","ppno":2762365181,"pcpadd":"199 Hospital Dr, Ste 5","pcpcity":"Galax","pcpstate":"VA","pcpzip":243332453,"pcpcounty":"","pcpid":"","pcpname":"CARILION MEDICAL ASSOCIATES GALAX FAMILY","plan":"VPHP","program":"MEDICAID","lob":"VPM4","region":"SOUTHWEST","aligned":"","ano":"","add2":"","add3":"","madd1":"34 MYSTIC VIEW LANE","madd2":"","madd3":"","mcity":"INDEPENDENCE","mstate":"VA","mzip":"24348-3768","pcpfaxno":"","pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["I83.812","I83.892","I83.92","Z98.890","Z48.812","J06.9","D31.31","J45.909","K21.9","G43.109","Z87.19","F17.200","F12.90","N10","R10.9","Z87.442","Z88.0","Z88.5","Z79.899","Z79.51","F17.210","K57.30","J01.90","B37.2","Z23","R59.0","F41.9","R59.9","F33.1","B37.0","Z20.828","J20.9","K57.92","M79.671","Q38.3","K11.20","M26.609","G90.01","R05.9","R09.81","Z20.822","L98.9","M54.16","M54.9","M54.50","R11.2","R26.9","R42","J18.1","J20.6","N76.0","Z72.0","H66.92","D22.9","L72.3","N90.89","Z01.419","Z12.4","Z11.51","D23.72","L20.84","R10.31","Z91.09","I83.893","I87.2","K29.00","Z88.1","N83.202","D12.5","K63.5","J02.9","Z31.69","K59.00","R30.0","Z88.8","R10.84","R11.0","K29.70","N20.0"],"date":["2020-01-10","2020-01-10","2020-01-17","2020-01-17","2020-01-17","2020-02-01","2021-05-18","2022-03-13","2022-03-13","2020-04-10","2020-04-10","2021-03-08","2020-04-10","2020-04-30","2020-04-30","2020-04-30","2020-04-30","2020-04-30","2020-04-30","2020-04-30","2021-05-05","2020-10-13","2020-10-13","2021-02-09","2020-10-13","2021-03-08","2022-02-09","2020-12-08","2022-03-30","2020-12-18","2021-01-06","2021-02-09","2021-03-08","2021-03-08","2021-05-05","2021-05-05","2021-05-05","2021-05-05","2021-11-11","2021-11-11","2021-11-11","2022-02-09","2022-03-13","2022-03-13","2022-03-23","2022-03-13","2022-03-13","2019-01-03","2019-03-01","2019-03-01","2019-03-12","2019-09-05","2019-04-04","2019-04-04","2019-04-04","2019-04-04","2019-04-11","2019-04-11","2019-04-11","2019-05-21","2019-05-21","2019-06-24","2019-06-24","2019-07-19","2019-07-19","2019-07-21","2019-07-21","2019-09-12","2019-09-05","2019-09-05","2019-09-07","2019-09-12","2019-10-30","2019-10-30","2019-10-30","2019-10-30","2019-10-30","2019-10-30","2019-10-30"],"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":[["","66993001968","ALBUTEROL","AER HFA","18","Select","Select",""],["","00781286810","OMEPRAZOLE","CAP 20MG DR","30","Select","Select",""],["","67877021905","CEPHALEXIN","CAP 500MG","14","Select","Select",""],["","55111014512","FLUCONAZOLE","TAB 150MG","2","Select","Select",""],["","00472024260","PERMETHRIN","CRE 0.05","60","Select","Select",""],["","00406048410","APAP\/CODEINE","TAB 300-30MG","28","Select","Select",""],["","68180071160","CEFDINIR","CAP 300MG","20","Select","Select",""],["","50111078810","AZITHROMYCIN","TAB 500MG","3","Select","Select",""],["","50111033402","METRONIDAZOL","TAB 500MG","21","Select","Select",""],["","55111015330","ONDANSETRON","TAB 4MG","15","Select","Select",""],["","00168000480","TRIAMCINOLON","CRE 0.001","80","Select","Select",""],["","70010075401","METHOCARBAM","TAB 500MG","240.00","Select","Select",""],["","65162019011","NAPROXEN","TAB 500MG","60","Select","Select",""],["","16714008310","HYDROXYZ","TAB 50MG","42","Select","Select",""],["","00173068220","VENTOLIN","AER ","18","Select","Select",""],["","00574220520","TRETINOIN","CRE 0.0005","20.00","Select","Select",""],["","00527512170","NYSTATIN","SUS 100000","140","Select","Select",""],["","65862007701","CIPROFLOXACN","TAB 500MG","14","Select","Select",""],["","43598044874","NICOTINE","DIS 21MG\/24H","28","Select","Select",""],["","69543025216","VIRTUSSIN","SOL 100-10\/5","150","Select","Select",""],["","42806031250","DOXYCYCL","TAB 100MG","14","Select","Select",""],["","00406012301","HYDROCO\/APAP","TAB 5-325MG","12","Select","Select",""],["","42858010201","OXYCOD\/APAP","TAB 5-325MG","16","Select","Select",""],["","68382004101","PROMETHAZINE","TAB 25MG","4.00","Select","Select",""],["","16729017317","AMITRIPTYLIN","TAB 50MG","30","Select","Select",""],["","00093005301","BUSPIRONE","TAB 5MG","60.00","Select","Select",""],["","59746012106","MECLIZINE","TAB 25MG","21","Select","Select",""],["","51672126302","NYSTAT\/TRIAM","CRE ","30","Select","Select",""],["","00603107558","CHERATUSSIN","SYP AC","150","Select","Select",""],["","00591544310","PREDNISONE","TAB 20MG","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":""}]}]}