{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"CHRISTY   D MEADOR","gend":1,"add":"222 ALLEN AVENUE                                            ","city":"RADFORD                       ","state":"VA","zip":"24141-3437","dob":"1974-08-26","age":"","mstatus":"","insh":6852757,"cliId":"","pno":5402931973,"cno":"","email":"","ename":"","eno":"","pphy":"KELLY, DANIEL R                                             ","ppno":5407313200,"pcpadd":"701 Randolph St Ste 120                                     ,                                                            ","pcpcity":"Radford                       ","pcpstate":"VA","pcpzip":241413047,"pcpcounty":"","pcpid":"","pcpname":"CARILION FAMILY MEDICINE RADFORD","plan":"VPHP","program":"MEDICAID","lob":"MLTSS","region":"ROANOKE\/ ALLEGHANY","aligned":"","ano":"","add2":"222 ALLEN AVENUE                                            ","add3":"","madd1":"222 ALLEN AVENUE                                            ","madd2":"APARTMENT 39D                                               ","madd3":"","mcity":"RADFORD                       ","mstate":"VA","mzip":"24141-3437","pcpfaxno":"","pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["N39.41","M62.81","E11.9","R10.13","F17.210","J44.9","E66.01","G47.10","M54.40","R14.3","N39.46","G89.29","R05","R06.02","I10","E11.40","Z79.84","Z79.899","R06.83","J45.50","F32.0","E78.5","Z00.00","Z23","Z12.31","E55.9","R10.11","K76.9","R16.0","N28.1","M43.17","M51.36","K76.0","M54.2","J02.0","R00.0","J03.90","J36","J02.9","J45.909","Z79.51","Z79.4","Z53.29","Z87.09","L02.419","L73.9","N39.0","E86.0","R11.0","R19.7","R10.84","R10.12","E87.2","D72.829","R10.9","R93.3"],"date":["2022-11-25","2022-11-25","2022-02-07","2020-04-09","2022-09-23","2021-06-30","2022-11-25","2020-04-09","2021-01-18","2020-03-11","2020-03-11","2021-01-18","2020-03-16","2020-03-16","2022-09-23","2022-09-23","2020-03-16","2021-12-31","2020-04-08","2020-04-08","2020-08-25","2022-09-23","2021-02-17","2021-01-18","2021-01-18","2022-02-07","2021-02-17","2021-01-26","2022-09-23","2022-09-23","2021-06-30","2021-06-30","2022-09-23","2021-07-22","2021-11-28","2021-12-31","2021-12-31","2022-01-04","2021-12-31","2022-09-23","2022-09-23","2022-09-23","2021-12-31","2021-12-31","2022-08-13","2022-09-08","2022-09-23","2022-09-23","2022-09-23","2022-09-23","2022-09-23","2022-09-23","2022-09-23","2022-09-23","2022-09-23","2022-09-23"],"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":[["","63304069301","CLINDAMYCIN","CAP 300MG","30","Select","Select",""],["","68462015713","ONDANSETRON","TAB 4MG ODT","10","Select","Select",""],["","67877021905","CEPHALEXIN","CAP 500MG","28","Select","Select",""],["","12843053430","PHILLIPS","CAP COLON","10","Select","Select",""],["","78742043518","CALCIUM","TAB 600MG","90","Select","Select",""],["","63044040101","VITAMIN","CAP 10000UNT","30","Select","Select",""],["","68180071160","CEFDINIR","CAP 300MG","20","Select","Select",""],["","59746017509","PREDNISONE","TAB 20MG","10","Select","Select",""],["","68645051554","AMLODIPINE","TAB 5MG","30","Select","Select",""],["","00002143380","TRULICITY","INJ 0.75\/0.5","2","Select","Select",""],["","00597010061","SPIRIVA","SPR 2.5MCG","4","Select","Select",""],["","57237001760","DULOXETINE","CAP 20MG","90","Select","Select",""],["","00169406012","VICTOZA","INJ 18MG\/3ML","6","Select","Select",""],["","59746021106","CYCLOBENZAPR","TAB 5MG","30","Select","Select",""],["","08290320119","BD  PEN NEEDL","MIS 31GX5MM","100","Select","Select",""],["","00093081001","NORTRIPTYLIN","CAP 10MG","60","Select","Select",""],["","68645055854","LISINOP\/HCTZ","TAB 20-25MG","90","Select","Select",""],["","00006057761","JANUMET","TAB 50-1000","180","Select","Select",""],["","68645056854","ATORVASTATIN","TAB 40MG","90","Select","Select",""],["","31722093612","OMEGA-3-ACID","CAP 1GM","360","Select","Select",""],["","","MICROLET","MIS LANCETS","100","Select","Select",""],["","00143988701","AMOXICILLIN","SUS 400\/5ML","200","Select","Select",""],["","00193731221","CONTOUR","TES NEXT","100","Select","Select",""],["","00186037020","SYMBICORT","AER 160-4.5","30.6","Select","Select",""],["","55111015930","OMEPRAZOLE","CAP 40MG","30","Select","Select",""],["","16729017117","AMITRIPTYLIN","TAB 10MG","30","Select","Select",""],["","68382005005","MELOXICAM","TAB 7.5MG","30","Select","Select",""],["","68645055154","LISINOPRIL","TAB 5MG","90","Select","Select",""],["","68645058259","METFORMIN","TAB 500MG","180","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":""}]}]}