{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"STEPHANIE ROBERTS","gend":1,"add":"906   CORN TASSEL TRAIL                                     ","city":"MARTINSSVILLE                 ","state":"VA","zip":"24112-5604","dob":"1974-12-20","age":"","mstatus":"","insh":6837062,"cliId":"","pno":2767904326,"cno":2762064043,"email":"","ename":"","eno":"","pphy":"KRAMER, RALPH L                                             ","ppno":2766944466,"pcpadd":"18877 Jeb Stuart Hwy                                        ,                                                            ","pcpcity":"Stuart                        ","pcpstate":"VA","pcpzip":241715223,"pcpcounty":"","pcpid":"","pcpname":"PATRICK COUNTY FAMILY PRACTICE","plan":"VPHP","program":"MEDICAID","lob":"MLTSS","region":"ROANOKE\/ ALLEGHANY","aligned":"","ano":"","add2":"906   CORN TASSEL TRAIL                                     ","add3":"","madd1":"906   CORN TASSEL TRAIL                                     ","madd2":"                                                            ","madd3":"","mcity":"MARTINSSVILLE                 ","mstate":"VA","mzip":"24112-5604","pcpfaxno":"","pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["F11.20","R68.89","M25.549","F90.0","F31.60","J20.9","D23.71","L30.4","L73.8","I78.8","L57.8","F31.32","E66.9","R35.0","M20.12","M20.11","L60.0","L60.2","M79.674","M79.675","L70.8","M51.36","M41.9","M54.32","R26.89","M62.81","M72.2","R63.5","N91.1","A41.51","A41.9","N13.6","E87.2","Z68.41","R74.01","E83.42","E83.39","E87.6","E66.01","M79.7","G89.4","K59.00","Z20.822","N10","N13.2","N20.0","R10.9","N39.0","I10","R31.29","Z96.0","J06.9","R05.9","R09.81","R06.02","L03.115","K13.79","R60.0","R21","M19.90","R00.0","F32.9","M51.34","M47.892","M54.2","M54.9","G89.29","M17.0","M25.361","M25.362","M23.90","M54.50","R11.0","Z87.442","Z87.891","N13.30"],"date":["2022-12-01","2021-02-26","2020-01-14","2022-04-28","2022-04-28","2020-01-14","2020-01-28","2020-03-12","2020-01-28","2020-03-12","2020-03-12","2022-05-17","2022-04-18","2020-02-18","2020-04-03","2020-04-03","2020-04-03","2020-04-03","2020-03-04","2020-03-04","2020-03-12","2020-04-17","2022-05-11","2020-04-17","2020-04-17","2020-04-17","2020-04-03","2022-04-28","2022-04-28","2021-11-09","2021-11-08","2021-11-09","2021-11-09","2021-11-09","2021-11-09","2021-11-09","2021-11-09","2021-11-09","2021-11-09","2021-11-09","2021-11-08","2021-11-08","2022-04-18","2021-12-02","2022-07-07","2022-07-07","2021-11-08","2021-11-08","2021-11-09","2022-04-11","2022-03-03","2022-04-18","2022-04-18","2022-04-18","2022-04-18","2022-04-18","2022-04-18","2022-04-18","2022-04-18","2022-04-18","2022-04-18","2022-07-05","2022-05-11","2022-05-11","2022-05-11","2022-05-11","2022-05-11","2022-05-23","2022-05-23","2022-05-13","2022-05-13","2022-07-07","2022-07-07","2022-07-07","2022-07-07","2022-07-07"],"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":[["","64380071207","BENZONATATE","CAP 100MG","21","Select","Select",""],["","63304069205","CLINDAMYCIN","CAP 150MG","90","Select","Select",""],["","57237001401","TAMSULOSIN","CAP 0.4MG","30","Select","Select",""],["","65862039010","ONDANSETRON","TAB 4MG ODT","14","Select","Select",""],["","","QUETIAPINE","TAB 50MG","60","Select","Select",""],["","33342002332","LEVOFLOXACIN","TAB 750MG","21","Select","Select",""],["","65862042005","SMZ\/TMP","TAB 800-160","20","Select","Select",""],["","00316019316","HYDROCORT","CRE 0.025","30","Select","Select",""],["","16714076903","NYSTATIN","POW 100000","60","Select","Select",""],["","68462034690","LEVOCETIRIZI","TAB 5MG","30","Select","Select",""],["","00168016360","CLOBETASOL","CRE 0.0005","60","Select","Select",""],["","52817033200","CYCLOBENZAPR","TAB 10MG","60","Select","Select",""],["","61442010310","DICLOFENAC","TAB 75MG DR","60","Select","Select",""],["","","PREDNISONE","TAB 10MG","30","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":""}]}]}