{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"LAURA   L MCDANIEL","gend":1,"add":"8946 N LEE HIGHWAY","city":"RAPHINE","state":"VA","zip":"24472-2640","dob":"1982-03-24","age":"","mstatus":"","insh":6836300,"cliId":"","pno":5402806671,"cno":"","email":"","ename":"","eno":"","pphy":"ROWLAND, MICHAEL C","ppno":5405862441,"pcpadd":"1613 Oakwood St, ","pcpcity":"Bedford","pcpstate":"VA","pcpzip":245231213,"pcpcounty":"","pcpid":"","pcpname":"CENTRA MEDICAL GROUP AMHERST","plan":"VPHP","program":"MEDICAID","lob":"VPM4","region":"ROANOKE\/ ALLEGHANY","aligned":"","ano":"","add2":"","add3":"","madd1":"8946 N LEE HIGHWAY","madd2":"","madd3":"","mcity":"RAPHINE","mstate":"VA","mzip":"24472-2640","pcpfaxno":"","pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["K04.01","K05.10","K02.9","R68.84","S61.411A","Z23","N12","R10.9","A41.9","N20.1","N20.0","E66.9","Z68.41","N13.6","B95.7","R06.89","T41.205A","Z87.442","M54.5","R11.10","R05","N13.2","D72.829","K76.0","Z90.49","F17.210","R50.9","N39.0","R00.0","R68.89","Z88.2","Z88.8","Z79.899","Z72.0","R93.421","N20.2","K04.7","S46.911A","N28.89","Z20.822","E66.01","F17.200","Z88.5","Z68.42","Z96.0","R93.49","N61.0","B96.89","B99.9","N13.30","R65.20","Z91.14","Z88.1","N23","Z79.1","N13.5","Z79.891","Z87.440","Z43.6","Z88.3"],"date":["2020-03-06","2020-05-09","2020-05-09","2020-05-09","2020-06-15","2020-06-15","2020-10-21","2020-10-22","2020-10-21","2021-11-22","2022-03-15","2020-10-21","2020-10-21","2020-10-21","2020-10-21","2020-10-22","2020-10-21","2020-10-21","2020-10-21","2020-10-21","2020-10-21","2020-12-29","2020-10-22","2020-10-21","2021-04-02","2020-10-21","2020-10-22","2020-10-22","2020-10-22","2020-11-06","2022-02-15","2020-11-06","2020-11-06","2020-11-06","2020-12-29","2021-04-02","2021-04-07","2021-08-04","2021-12-14","2022-02-15","2022-02-15","2022-02-15","2022-02-15","2022-02-15","2022-03-15","2022-03-15","2019-07-28","2019-07-31","2019-08-01","2019-08-02","2019-08-01","2019-08-01","2019-10-18","2019-08-02","2019-09-16","2019-10-18","2019-10-18","2019-09-18","2019-09-26","2019-10-18"],"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":[["","65862007701","CIPROFLOXACN","TAB 500MG","14","Select","Select",""],["","65862039010","ONDANSETRON","TAB 4MG ODT","14","Select","Select",""],["","51293081101","PHENAZOPYRID","TAB 200MG","14","Select","Select",""],["","00603497528","OXYBUTYNIN","TAB 5MG","90","Select","Select",""],["","00904585560","IBUPROFEN","TAB 800MG","30.00","Select","Select",""],["","00245007111","POT  CITRA ER","TAB 1080MG","120","Select","Select",""],["","65862018601","CLINDAMYCIN","CAP 300MG","30","Select","Select",""],["","61442010301","DICLOFENAC","TAB 75MG DR","14","Select","Select",""],["","57237003105","AMOXICILLIN","CAP 500MG","30","Select","Select",""],["","00093005805","TRAMADOL","TAB 50MG","12","Select","Select",""],["","00245007111","POT  CITRATE","TAB 1080MG","120","Select","Select",""],["","00781185220","AMOX\/K","TAB 875-125","20","Select","Select",""],["","10702001801","OXYCODONE","TAB 5MG","10","Select","Select",""],["","65862017760","CEFDINIR","CAP 300MG","14","Select","Select",""],["","68180012202","CEPHALEXIN","CAP 500MG","40","Select","Select",""],["","53746010905","HYDROCO\/APAP","TAB 5-325MG","10","Select","Select",""],["","53489011905","DOXYCYCL","CAP 100MG","20","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":""}]}]}