{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"SAUNDRA PATTON","gend":1,"add":"7834 BROWN MOUNTAIN RD","city":"JEWELL RIDGE","state":"VA","zip":"24622-9998","dob":"1951-03-06","age":"","mstatus":"","insh":"11004557","cliId":"","pno":2768818298,"cno":"","email":"","ename":"","eno":"","pphy":"MITCHELL, LARRY G","ppno":2769646771,"pcpadd":"1 Clinic Dr","pcpcity":"Richlands","pcpstate":"VA","pcpzip":246411102,"pcpcounty":"","pcpid":"","pcpname":"CLINCH VALLEY PHYSICIANS ASSOCIATES LLC","plan":"VPHP","program":"MEDICARE","lob":"DSNP","region":"SOUTHWEST","aligned":"Y","ano":"","add2":"","add3":"","madd1":"7834 BROWN MOUNTAIN RD","madd2":"","madd3":"","mcity":"JEWELL RIDGE","mstate":"VA","mzip":"24622-9998","pcpfaxno":"(276) 964-1370","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":[["","00006027731","JANUVIA ","100MG","30.00","Select","Select",""],["","65862020199","LOSARTAN ","25MG","30.00","Select","Select",""],["","60505083001","MOMETASONE ","50MCG","17.00","Select","Select",""],["","53885024510","ONETOUCH ","ULTRA BL","300.00","Select","Select",""],["","72205000399","ROSUVASTATIN ","10MG","30.00","Select","Select",""],["","00193731150","CONTOUR ","NEXT","50.00","Select","Select",""],["","68382009501","CARVEDILOL ","25MG","60.00","Select","Select",""],["","00143124010","DIGOXIN ","0.125MG","30.00","Select","Select",""],["","50458057830","XARELTO ","15MG","30.00","Select","Select",""],["","65862042005","SMZ\/TMP ","800-160","28.00","Select","Select",""],["","70436001102","BUPROPN ","300MG XL","30.00","Select","Select",""],["","57599000101","FREESTYLE    KIT SENSOR","SENSOR","2.00","Select","Select",""],["","24979003703","METOPROL ","25MG ER","90.00","Select","Select",""],["","43547040211","FUROSEMIDE ","40MG","30.00","Select","Select",""],["","65862073260","AMIODARONE ","200MG","90.00","Select","Select",""],["","00406051205","OXYCOD\/APAP ","5-325MG","30.00","Select","Select",""],["","57599000200","FREESTYLE    MIS READER","READER","1.00","Select","Select",""],["","00310621030","FARXIGA ","10MG","30.00","Select","Select",""],["","65162044110","MECLIZINE ","12.5MG","60.00","Select","Select",""],["","31722072610","MONTELUKAST ","10MG","90.00","Select","Select",""],["","56151146304","TRUE ","GLUCOSE","100.00","Select","Select",""],["","00193658621","MICROLET ","LANCETS","100.00","Select","Select",""],["","31722072250","LEVOFLOXACIN ","500MG","10.00","Select","Select",""],["","16714033202","GABAPENTIN ","800MG","270.00","Select","Select",""],["","67405065105","DOXYCYCL ","100MG","28.00","Select","Select",""],["","16714047801","AMOX\/K ","875-125","20.00","Select","Select",""],["","57237000805","MIRTAZAPINE ","15MG","30.00","Select","Select",""],["","16714029904","AMOXICILLIN ","500MG","30.00","Select","Select",""],["","59762330403","NITROGLYCERN ","0.4MG","25.00","Select","Select",""],["","68462011944","FLUCONAZOLE ","150MG","5.00","Select","Select",""],["","60505014101","GLIPIZIDE ","5MG","90.00","Select","Select",""],["","43598075205","BUPROPION ","150MG SR","30.00","Select","Select",""],["","62175061743","PANTOPRAZOLE ","40MG","30.00","Select","Select",""],["","42385090210","METFORMIN ","1000MG","180.00","Select","Select",""],["","00193730850","BAYER ","XT 50CT","100.00","Select","Select",""],["","55111032205","GLIMEPIRIDE ","4MG","180.00","Select","Select",""],["","49884046565","CHOLESTYRAM ","4GM","60.00","Select","Select",""],["","00093540189","OMEGA-3-ACID ","1GM","30.00","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":["",""],"sub":{"indx":[["","","",""],[""],[""],[""],[""],[""]],"comment":[["","","",""],[""],[""],[""],[""],[""]],"sub":[]}}},{"a":{"indx":["","1"],"comment":["",""]}},{"a":{"indx":["","1"],"comment":["",""]}},{"a":{"indx":["1",""],"comment":["",""],"sub":{"indx":[["","",""],[""],[""],[""],[""]],"comment":[["","",""],[""],[""],[""],[""]],"sub":[]}}},{"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":""}]}]}