{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"ROBERT E CALLOWAY","gend":0,"add":"2152 DOMINION DRIVE","city":"CHRISTIANSBURG","state":"VA","zip":240739999,"dob":"1959-01-08","age":"","mstatus":"","insh":11006917,"cliId":"2D31CU6KD94","pno":5405058039,"cno":5405059339,"email":"","ename":"","eno":"","pphy":"HEMPHILL, JULIA T","ppno":5402681400,"pcpadd":"6920 ROANOKE ROAD","pcpcity":"SHAWSVILLE","pcpstate":"VA","pcpzip":241620001,"pcpcounty":"","pcpid":"P0117381","pcpname":"CARILION FAMILY MEDICINE SHAWSVILLE","plan":"VPHP - VIRGINIA PREMIER","program":"Medicare","lob":"DSNP","region":"ROANOKE\/ALLEGHANY","aligned":"Y","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"","pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Current Conditions \/ Suspect Codes","q":[{"a":{"diag":["E11.9","N18.3","E78.2","E79.0","I10","M51.36","M46.1","M70.62","M48.061","M79.642","M25.532","M67.432","M19.032","M77.8","R39.198","M47.816","G89.4","Z79.899","I25.10","R07.89","E78.5","I34.0","R06.02","G47.30","M75.50","M54.5","M54.17","M75.100","M25.539","K08.89","R07.9","G47.33","L81.9","N62","T50.905A","F43.21","Z99.89","B35.3","L81.0","B35.1","M65.842","N64.4","M18.12","Z01.818","M25.631","Z01.810","M10.9","M65.132","M67.332","M11.832","R09.89","E11.65","E11.40","M79.603","R20.0","R53.83","Z09","F33.1","Z87.891","M54.42","Z12.11","Z80.0","K21.9","Z01.812","Z20.828","M51.27","M54.16","M48.07","Z98.890","R29.898","M99.73","M1A.30X0","N18.31","Z91.89","Z00.00","N18.32","R32","R29.2","N18.30","K59.00","M54.10","R53.1","K62.89","F11.10","G89.29","M54.6","Z02.2","M51.06","R33.9","W19.XXXA","R41.0","E66.9","Z68.36","M54.9","M47.26","I13.0","E11.22","I50.32","F31.89","G83.4","F11.20","I42.9","F25.9","F31.9","Z95.5","M10.071","M48.04","E66.2","F20.9","F32.9","F41.9","M19.90","M47.899","G47.00","J45.909","G62.9","R39.81","N39.41","N31.9","F41.1"],"date":["2021-01-18","2020-05-01","2021-05-17","2020-01-06","2021-06-22","2021-05-24","2021-07-03","2021-05-24","2021-05-22","2020-01-24","2020-01-24","2020-01-24","2020-01-24","2020-01-24","2020-01-28","2020-02-03","2021-07-03","2021-05-24","2021-05-22","2020-08-05","2021-05-22","2020-09-09","2020-09-09","2020-09-09","2021-05-24","2021-05-01","2019-09-17","2019-09-17","2021-05-24","2020-04-24","2020-08-26","2021-05-01","2020-05-01","2020-05-01","2020-05-01","2020-05-01","2020-05-01","2020-05-12","2020-05-12","2020-05-12","2019-06-20","2019-07-25","2019-09-11","2019-08-06","2019-09-11","2020-10-30","2021-05-22","2019-07-23","2019-07-23","2019-07-23","2020-08-05","2019-08-23","2019-08-23","2019-08-23","2021-04-21","2019-08-29","2019-09-11","2021-06-22","2020-09-25","2019-10-28","2020-10-30","2020-10-30","2021-05-01","2020-11-01","2020-11-01","2021-04-17","2021-06-23","2021-04-17","2019-11-23","2021-04-16","2019-11-23","2021-01-18","2021-01-18","2021-01-18","2021-03-05","2021-03-05","2021-06-22","2021-04-16","2021-05-22","2021-05-22","2021-04-16","2021-04-24","2021-04-16","2021-04-21","2021-05-22","2021-04-17","2021-04-19","2021-04-20","2021-05-01","2021-04-24","2021-04-24","2021-05-22","2021-05-01","2021-04-16","2021-04-16","2021-05-22","2021-04-21","2021-05-22","2021-04-16","2021-04-21","2021-04-21","2021-05-01","2021-05-22","2021-05-22","2021-04-21","2021-05-22","2021-05-08","2021-05-01","2021-05-01","2021-05-01","2021-05-12","2021-05-01","2021-05-22","2021-05-22","2021-05-22","2021-05-22","2021-05-22","2021-06-03","2021-06-10","2021-06-22"],"priorHcc":["","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","",""]}},{"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":[["","24510011510","XTAMPZA ER","CAP 13.5MG","","Select","Select",""],["","65162050606","INDOMETHACIN","CAP 75MG ER","","Select","Select",""],["","10702000950","OXYCODONE","TAB 30MG","","Select","Select",""],["","60505132305","PRAVASTATIN","TAB 80MG","","Select","Select",""],["","52937000120","VASCEPA","CAP 1GM","","Select","Select",""],["","27241011904","FENOFIBRATE","CAP 134MG","","Select","Select",""],["","67877019910","AMLODIPINE","TAB 10MG","","Select","Select",""],["","16729013516","ALLOPURINOL","TAB 300MG","","Select","Select",""],["","69367013206","GABAPENTIN","CAP 300MG","","Select","Select",""],["","70954001910","PRAZOSIN HCL","CAP 1MG","","Select","Select",""],["","68382066205","SPIRONOLACT","TAB 100MG","","Select","Select",""],["","65862001501","AMOXICILLIN","TAB 875MG","","Select","Select",""],["","172392670","DIAZEPAM","TAB 5MG","","Select","Select",""],["","70436001002","BUPROPN HCL","TAB 150MG XL","","Select","Select",""],["","93321992","KETOCONAZOLE","CRE 0.02","","Select","Select",""],["","57237004105","PENICILLN VK","TAB 500MG","","Select","Select",""],["","69547035302","NARCAN","SPR ","","Select","Select",""],["","33332032001","AFLURIA QUAD","INJ 2020-21","","Select","Select",""],["","65862019399","FLUOXETINE","CAP 20MG","","Select","Select",""],["","456142030","BYSTOLIC","TAB 20MG","","Select","Select",""],["","591505210","PREDNISONE","TAB 5MG","","Select","Select",""],["","254200811","COLCHICINE","TAB 0.6MG","","Select","Select",""],["","60505317007","OMEGA-3-ACID","CAP 1GM","","Select","Select",""],["","61958100301","RANEXA","TAB 500MG","","Select","Select",""],["","57237023305","SMZ-TMP DS","TAB 800-160","","Select","Select",""],["","16729000116","GLIMEPIRIDE","TAB 1MG","","Select","Select",""],["","60631008030","EDARBI","TAB 80MG","","Select","Select",""],["","66689034599","CHLORTHALID","TAB 25MG","","Select","Select",""],["","64764017530","DEXILANT","CAP 60MG DR","","Select","Select",""],["","45802008801","ALBUTEROL","AER HFA","","Select","Select",""],["","27241012502","RANOLAZINE","TAB 500MG ER","","Select","Select",""],["","49281041950","FLUZONE QUAD","INJ 2019-20","","Select","Select",""],["","13107004405","OXYCOD\/APAP","TAB 5-325MG","","Select","Select",""],["","47781045704","NITROGLYCERN","SUB 0.4MG","","Select","Select",""],["","69367013206","GABAPENTIN ","CAP 300MG","90","Select","Select",""],["","93321992","KETOCONAZOLE ","CRE 0.02","60","Select","Select",""],["","10702000950","OXYCODONE ","TAB 30MG","180","Select","Select",""],["","24510011510","XTAMPZA ","CAP 13.5MG","90","Select","Select",""],["","66689034599","CHLORTHALID ","TAB 25MG","90","Select","Select",""],["","70954001910","PRAZOSIN ","CAP 1MG","90","Select","Select",""],["","68382066205","SPIRONOLACT ","TAB 100MG","90","Select","Select",""],["","60505132305","PRAVASTATIN ","TAB 80MG","90","Select","Select",""],["","52937000120","VASCEPA ","CAP 1GM","180","Select","Select",""],["","16729013516","ALLOPURINOL ","TAB 300MG","90","Select","Select",""],["","27241011904","FENOFIBRATE ","CAP 134MG","90","Select","Select",""],["","64764017530","DEXILANT ","CAP 60MG DR","90","Select","Select",""],["","456142030","BYSTOLIC ","TAB 20MG","90","Select","Select",""],["","67877019910","AMLODIPINE ","TAB 10MG","90","Select","Select",""],["","65162050606","INDOMETHACIN ","CAP 75MG ER","60","Select","Select",""],["","70436001002","BUPROPN ","TAB 150MG XL","30","Select","Select",""],["","65862001501","AMOXICILLIN ","TAB 875MG","15","Select","Select",""],["","33332032001","AFLURIA ","INJ 2020-21","0.5","Select","Select",""],["","172392670","DIAZEPAM ","TAB 5MG","2","Select","Select",""],["","69547035302","NARCAN ","SPR ","2","Select","Select",""],["","60631008030","EDARBI ","TAB 80MG","90","Select","Select",""],["","57237004105","PENICILLN ","TAB 500MG","22","Select","Select",""],["","65862019399","FLUOXETINE ","CAP 20MG","30","Select","Select",""],["","13107004405","OXYCOD\/APAP ","TAB 5-325MG","15","Select","Select",""],["","47781045704","NITROGLYCERN ","SUB 0.4MG","25","Select","Select",""],["","61958100301","RANEXA ","TAB 500MG","180","Select","Select",""],["","591505210","PREDNISONE ","TAB 5MG","21","Select","Select",""],["","254200811","COLCHICINE ","TAB 0.6MG","20","Select","Select",""],["","60505317007","OMEGA-3-ACID ","CAP 1GM","360","Select","Select",""],["","27241012502","RANOLAZINE ","TAB 500MG ER","180","Select","Select",""],["","16729000116","GLIMEPIRIDE ","TAB 1MG","90","Select","Select",""],["","57237023305","SMZ-TMP ","TAB 800-160","28","Select","Select",""],["","68382025605","OXYBUTYNIN ","10MG ER","90","Select","Select",""],["","45802008801","ALBUTEROL ","HFA","8.5","Select","Select",""],["","49281041950","FLUZONE ","2019-20","0.5","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":[[["Select","Select","","","","","Select","",""],["Select","Select","","","","","Select","",""],["Select","Select","","","","","Select","",""],["Select","Select","","","","","Select","",""],["Select","Select","","","","","Select","",""],["Select","Select","","","","","Select","",""],["No","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":""}]}]}