{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"MEAGAN   D DILLOW","gend":1,"add":"5366   ROANOKE ROAD                                         ","city":"SHAWSVILLE                    ","state":"VA","zip":"24162-1312","dob":"1988-04-02","age":"","mstatus":"","insh":6835704,"cliId":"","pno":5403945292,"cno":"","email":"","ename":"","eno":"","pphy":"OSEMOBOR, EHIKIOYA                                          ","ppno":5408350500,"pcpadd":"2832 TOWN CENTER DRIVE                                      ,                                                            ","pcpcity":"DUBLIN                        ","pcpstate":"VA","pcpzip":240846069,"pcpcounty":"","pcpid":"","pcpname":"RIVER VALLEY HEALTHCARE ASSOCIATES PC","plan":"VPHP","program":"MEDICAID","lob":"VPM4","region":"ROANOKE\/ ALLEGHANY","aligned":"","ano":"","add2":"5366   ROANOKE ROAD                                         ","add3":"","madd1":"5366   ROANOKE ROAD                                         ","madd2":"APARTMENT 1                                                 ","madd3":"","mcity":"SHAWSVILLE                    ","mstate":"VA","mzip":"24162-1312","pcpfaxno":"","pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["L84","M79.674","M79.675","F17.200","R11.0","R11.10","R14.0","K59.00","R10.11","R10.30","R63.4","R12","K62.5","K81.1","K82.8","K66.0","R11.2","K21.9","R10.13","K64.1","K63.89","K29.70","K31.9","Z11.59","K29.90","Q43.8","Z12.11","K90.0","K64.8","O26.891","Z3A.01","O21.9","R10.31","O99.330","O99.340","F31.9","Z3A.00","M79.601","M79.89","R20.0","D68.51","Z83.2","O20.0","F15.10","O99.332","O20.9","R10.2","R19.7","O99.320","F17.210","F15.23","Z3A.20","R53.83","Z33.1","Z20.822","O99.891","O09.32","Z32.01","Z3A.23","Z34.92","O35.8XX0","O28.3","O35.2XX0","O40.2XX0","O34.219","F19.11","Z3A.25","O35.9XX0","O47.9","R10.9","Z3A.27","Z87.51","Z85.828","O09.212","O47.02","O99.322","F12.90","O28.8","O36.8320","O36.8920","O40.3XX0","Z3A.28","Z3A.29","O26.893","R03.0","Z3A.30","O36.8330","O36.5930","M54.32","Z3A.31","O98.513","M54.30","O36.8930","Z3A.35","O09.213","O99.013","O99.333","Z3A.33","D50.9","O40.9XX0","F14.90","O42.913","O99.323","Z79.899","Z88.5","Z88.8","Z82.49","Z83.3","Z36.89","O42.013","O42.919","D64.9","O34.211","O99.02","Z30.2","O99.334","F17.290","Z85.820","O75.89","Z88.0","O36.8990","O60.03","Z37.0","O60.14X0","Z39.1","F32.A"],"date":["2020-02-06","2020-02-06","2020-02-06","2022-07-16","2020-06-25","2020-03-23","2020-03-23","2020-07-22","2020-03-23","2020-11-16","2020-03-23","2020-03-23","2020-07-22","2020-04-02","2020-05-04","2020-04-02","2020-11-24","2020-08-14","2020-06-25","2020-07-22","2020-07-20","2020-07-20","2020-07-20","2020-07-20","2020-07-22","2020-08-14","2020-07-22","2020-08-14","2020-08-14","2020-11-16","2020-11-16","2020-11-24","2020-11-24","2020-11-24","2020-11-24","2020-11-24","2022-07-17","2021-05-27","2021-05-27","2021-05-27","2021-05-27","2021-05-27","2021-12-20","2021-12-23","2022-05-31","2021-12-20","2021-12-20","2021-12-20","2021-12-20","2022-07-15","2021-12-23","2021-12-20","2021-12-23","2021-12-23","2022-09-07","2022-07-01","2022-05-31","2022-05-06","2022-05-06","2022-05-06","2022-07-17","2022-07-17","2022-05-19","2022-06-03","2022-07-17","2022-05-19","2022-05-19","2022-07-16","2022-05-30","2022-05-30","2022-06-03","2022-05-31","2022-05-30","2022-05-31","2022-07-01","2022-05-31","2022-07-15","2022-05-31","2022-05-31","2022-06-03","2022-07-17","2022-06-06","2022-06-17","2022-07-01","2022-06-24","2022-06-24","2022-06-24","2022-07-01","2022-07-01","2022-07-01","2022-07-01","2022-07-01","2022-07-17","2022-07-01","2022-07-11","2022-07-11","2022-07-16","2022-07-17","2022-07-11","2022-07-16","2022-07-16","2022-07-15","2022-07-16","2022-07-15","2022-07-16","2022-07-16","2022-07-16","2022-07-16","2022-07-15","2022-07-17","2022-07-16","2022-07-17","2022-07-17","2022-07-17","2022-07-17","2022-07-17","2022-07-17","2022-07-17","2022-07-16","2022-07-16","2022-07-16","2022-07-16","2022-07-17","2022-07-17","2022-07-18","2022-12-01"],"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":[["","00555901658","SPRINTEC","TAB 28 DAY","28","Select","Select",""],["","50111078751","AZITHROMYCIN","TAB 250MG","6","Select","Select",""],["","65162019011","NAPROXEN","TAB 500MG","20","Select","Select",""],["","63304069301","CLINDAMYCIN","CAP 300MG","28","Select","Select",""],["","00093101042","MUPIROCIN","OIN 0.02","22","Select","Select",""],["","00904759180","FEROSUL","TAB 325MG","60","Select","Select",""],["","68645014059","FAMOTIDINE","TAB 20MG","90","Select","Select",""],["","70000051102","NICOTINE","DIS 14MG\/24H","28","Select","Select",""],["","","ONDANSETRON","TAB 4MG","15","Select","Select",""],["","42858000101","OXYCODONE","TAB 5MG","10","Select","Select",""],["","68645056259","IBUPROFEN","TAB 600MG","40","Select","Select",""],["","00904699880","DOCUSATE","CAP 100MG","60","Select","Select",""],["","59267100001","PFIZER","INJ COVID-19","0.3","Select","Select",""],["","67877021905","CEPHALEXIN","CAP 500MG","20","Select","Select",""],["","10702000709","CYCLOBENZAPR","TAB 10MG","20","Select","Select",""],["","68382005105","MELOXICAM","TAB 15MG","30","Select","Select",""],["","43292055515","PRENATAL","TAB ","60","Select","Select",""],["","16714089803","LORATADINE","TAB 10MG","30","Select","Select",""],["","00406012301","HYDROCO\/APAP","TAB 5-325MG","28","Select","Select",""],["","49281041950","FLUZONE","INJ 2019-20","0.5","Select","Select",""],["","00093221005","SUCRALFATE","TAB 1GM","120","Select","Select",""],["","31722071390","PANTOPRAZOLE","TAB 40MG","30","Select","Select",""],["","68180071160","CEFDINIR","CAP 300MG","14","Select","Select",""],["","10572010001","PEG-3350","SOL ELECTROL","4,000.00","Select","Select",""],["","50111033402","METRONIDAZOL","TAB 500MG","20","Select","Select",""],["","43386009019","GAVILYTE-G","SOL ","4,000.00","Select","Select",""],["","00093220301","METOCLOPRAM","TAB 10MG","6","Select","Select",""],["","","LEVOFLOXACIN","TAB 750MG","5","Select","Select",""],["","42571012290","LEVOCETIRIZI","TAB 5MG","30","Select","Select",""],["","59746017310","PREDNISONE","TAB 10MG","5","Select","Select",""],["","49035051026","BACITR","OIN 500\/GM","28","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":""}]}]}