{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"NOLAN SCOGGINS","gend":0,"add":"1067 RAMSEY DRIVE ","city":"MONETA","state":"VA","zip":"24121-9998","dob":"1977-06-14","age":"","mstatus":"","insh":11003115,"cliId":"9M25CA4HR83","pno":5402387898,"cno":5402387898,"email":"","ename":"","eno":"","pphy":"SETTLE, PAUL C ","ppno":4347912273,"pcpadd":"404 Airport Dr,Ste A","pcpcity":"Danville ","pcpstate":"VA","pcpzip":245405196,"pcpcounty":"","pcpid":"P9338924","pcpname":"CENTRA MEDICAL GROUP","plan":"VPHP","program":"MEDICARE","lob":"DSNP","region":"ROANOKE ALLEGHANY","aligned":"Y","ano":"","add2":"","add3":"","madd1":"1067 RAMSEY DRIVE ","madd2":"","madd3":"","mcity":"MONETA","mstate":"VA","mzip":"24121-9998","pcpfaxno":"","pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Current Conditions \/ Suspect Codes","q":[{"a":{"diag":["I10","M26.621","R19.7","Z23","G35","R79.9","R93.89","M83.9","G37.9","G93.89","R53.83","R61","F32.0","M79.641","M25.531","Z87.81","L98.9","N52.01","F32.1","N52.9","Z71.9","Z13.9","Z01.810","E34.9","J45.909","G47.429","N52.1","S62.324A","S69.91XA","S62.324D","X58.XXXD","S62.394D","R59.0","R45.84","F32.9","R22.1","E55.9","Z51.81","R91.8","K02.9","R94.5","J20.9","J01.90","M79.10","M25.50","Z86.16","H54.40","K21.9","E66.9","Z68.33","G40.919"],"date":["2021-10-01","2020-03-05","2020-01-22","2020-01-27","2021-11-26","2019-04-24","2019-04-24","2020-03-05","2019-05-07","2019-05-07","2020-10-20","2019-05-24","2020-03-05","2019-06-10","2019-06-10","2020-03-05","2018-06-22","2018-06-22","2018-07-24","2018-08-22","2018-07-18","2018-07-18","2018-08-16","2018-08-22","2018-08-22","2018-08-22","2018-08-22","2019-08-28","2019-08-26","2019-10-17","2019-08-28","2019-09-11","2019-10-04","2019-10-04","2019-10-04","2019-10-21","2020-10-20","2020-10-20","2019-10-21","2019-10-21","2018-10-24","2018-10-30","2019-12-16","2021-01-20","2021-01-20","2021-01-20","2020-03-05","2020-03-05","2020-03-05","2020-03-05","2020-03-05"],"priorHcc":["","","","",null,"","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","",""]}},{"a":[]}]},{"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":{"indx":["","",""],"comment":["","",""],"sub":[]}},{"a":{"indx":["","",""],"comment":["","",""],"sub":[]}}]},{"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":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Allergies \/ Medications","q":[{"a":[]},{"a":{"comment":"","sub":[["","43547028211","ESCITALOPRAM","TAB 20MG","","Select","Select",""],["","143211250","DOXYCYCL HYC","TAB 100MG","","Select","Select",""],["","55111064505","OMEPRAZOLE","CAP 40MG","","Select","Select",""],["","58468021004","AUBAGIO","TAB 14MG","","Select","Select",""],["","45802008801","ALBUTEROL","AER HFA","","Select","Select",""],["","406012301","HYDROCO\/APAP","TAB 5-325MG","","Select","Select",""],["","68382051201","AMANTADINE","CAP 100MG","","Select","Select",""],["","59310057922","PROAIR HFA","AER ","","Select","Select",""],["","42806033901","AMPHET\/DEXTR","TAB 5MG","","Select","Select",""],["","70710101002","OSELTAMIVIR","CAP 75MG","","Select","Select",""],["","143211250","DOXYCYCL ","TAB 100MG","20","Select","Select",""],["","43547028211","ESCITALOPRAM ","TAB 20MG","90","Select","Select",""],["","58468021002","AUBAGIO ","TAB 14MG","84","Select","Select",""],["","42806033901","AMPHET\/DEXTR ","TAB 5MG","60","Select","Select",""],["","55111064505","OMEPRAZOLE ","CAP 40MG","90","Select","Select",""],["","45802008801","ALBUTEROL ","AER HFA","8.5","Select","Select",""],["","68382051201","AMANTADINE ","CAP 100MG","180","Select","Select",""],["","406012301","HYDROCO\/APAP ","TAB 5-325MG","12","Select","Select",""],["","70710101002","OSELTAMIVIR ","CAP 75MG","14","Select","Select",""],["","59310057922","PROAIR ","AER ","8.5","Select","Select",""],["","00143211250","DOXYCYCL","100MG","20","Select","Select",""],["","59310057922","PROAIR","","8.5","Select","Select",""],["","59746017306","PREDNISONE","10MG","33","Select","Select",""],["","59746017306","PREDNISONE ","TAB 10MG","33","Select","Select",""]]}},{"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":[]}]},{"t":"Pain","q":[{"a":[]}]},{"t":"Vital Signs","q":[{"a":[]},{"a":[]}]},{"t":"Exam Review","q":[{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Screenings Needed","q":[[["No","Select","","","","","Select","",""],["No","Select","","","","","Select","",""],["No","Select","","","","","Select","",""],["No","Select","","","","","Select","",""],["No","Select","","","","","Select","",""],["No","Select","","","","","Select","",""],["N\/A","Select","","","","","Select","",""]]]},{"t":"Mini-Cog","q":[{"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":""}]}]}