{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"JAMEY GREENWAY","gend":0,"add":"846 CAMPBELL AVE SW","city":"ROANOKE","state":"VA","zip":"24016-9998","dob":"1969-07-08","age":"","mstatus":"","insh":"11002312","cliId":"","pno":5402069586,"cno":5408190489,"email":"","ename":"","eno":"","pphy":"CHEN, ERIC HONG WEN","ppno":5404279200,"pcpadd":"2145 Mount Pleasant Blvd SE","pcpcity":"Roanoke","pcpstate":"VA","pcpzip":240143632,"pcpcounty":"","pcpid":"","pcpname":"CARILION FAMILY MEDICINE SOUTHEAST FAMILY MEDICAL","plan":"VPHP","program":"MEDICARE","lob":"DSNP","region":"ROANOKE ALLEGHANY","aligned":"Y","ano":"","add2":"","add3":"","madd1":"846 CAMPBELL AVE SW","madd2":"","madd3":"","mcity":"ROANOKE","mstate":"VA","mzip":"24016-9998","pcpfaxno":"(540) 427-3237","pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"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":[]},{"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":[["","31722055190","LEVOCETIRIZI ","5MG","28.00","Select","Select",""],["","65862001305","SERTRALINE ","100MG","56.00","Select","Select",""],["","00093506110","HYDROXYZ ","25MG","28.00","Select","Select",""],["","23155000401","HYDRALAZINE ","100MG","84.00","Select","Select",""],["","53746051101","SPIRONOLACT ","25MG","9.00","Select","Select",""],["","65862053650","LEVOFLOXACIN ","250MG","11.00","Select","Select",""],["","69097012815","AMLODIPINE ","10MG","28.00","Select","Select",""],["","23155066201","CALCITRIOL ","0.25MCG","28.00","Select","Select",""],["","00093227534","AMOX\/K ","875-125","20.00","Select","Select",""],["","65162089703","ARIPIPRAZOLE ","5MG","28.00","Select","Select",""],["","71093014005","METHOCARBAM ","500MG","20.00","Select","Select",""],["","00378020810","FUROSEMIDE ","20MG","10.00","Select","Select",""],["","68382009301","CARVEDILOL ","6.25MG","56.00","Select","Select",""],["","16571020106","DICLOFENAC ","75MG DR","20.00","Select","Select",""],["","65862020390","LOSARTAN ","100MG","28.00","Select","Select",""],["","60505082901","FLUTICASONE ","50MCG","16.00","Select","Select",""],["","62175061846","PANTOPRAZOLE ","20MG","10.00","Select","Select",""],["","00781286810","OMEPRAZOLE ","20MG","28.00","Select","Select",""],["","53489011905","DOXYCYCL ","100MG","28.00","Select","Select",""],["","68180012202","CEPHALEXIN ","500MG","21.00","Select","Select",""],["","65862039010","ONDANSETRON ","4MG ODT","20.00","Select","Select",""],["","59310057922","PROAIR ","","8.50","Select","Select",""],["","00603533815","PREDNISONE ","10MG","21.00","Select","Select",""],["","00093310905","AMOXICILLIN ","500MG","21.00","Select","Select",""],["","42858010201","OXYCOD\/APAP ","5-325MG","28.00","Select","Select",""],["","51991081403","AZELASTINE ","0.10%","30.00","Select","Select",""],["","00591565810","CYCLOBENZAPR ","10MG","15.00","Select","Select",""],["","53746010901","HYDROCO\/APAP ","5-325MG","1.00","Select","Select",""],["","65162052110","PROMETHAZINE ","25MG","1.00","Select","Select",""],["","00527133850","DOXYCYC ","100MG","7.00","Select","Select",""],["","68180016013","AZITHROMYCIN ","250MG","6.00","Select","Select",""],["","60505009400","DOXAZOSIN ","2MG","30.00","Select","Select",""],["","65862017760","CEFDINIR ","300MG","14.00","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":["",""]}},{"a":{"indx":["","1"],"comment":["",""]}},{"a":{"indx":["","1"],"comment":["",""]}},{"a":{"indx":["","1"],"comment":["",""]}},{"a":{"indx":["","1"],"comment":["",""]}},{"a":{"indx":["","1"],"comment":["",""]}},{"a":{"indx":["","1"],"comment":["",""]}},{"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":""}]}]}