{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"JAMES A HUNTER","gend":0,"add":"249 HALL RD","city":"NEW CASTLE","state":"VA","zip":"24127-9998","dob":"1983-07-06","age":"","mstatus":"","insh":"11008439","cliId":"","pno":5403302132,"cno":"","email":"","ename":"","eno":"","pphy":"HANSBARGER, JOHN T","ppno":5408646390,"pcpadd":"226 Market St","pcpcity":"New Castle","pcpstate":"VA","pcpzip":241276080,"pcpcounty":"","pcpid":"","pcpname":"CRAIG COUNTY HEALTH CENTER","plan":"VPHP","program":"MEDICARE","lob":"DSNP","region":"ROANOKE ALLEGHANY","aligned":"Y","ano":"","add2":"","add3":"","madd1":"249 HALL RD","madd2":"","madd3":"","mcity":"NEW CASTLE","mstate":"VA","mzip":"24127-9998","pcpfaxno":"","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":[["","68382010601","DIVALPROEX ","125MG","60.00","Select","Select",""],["","27241000106","RISPERIDONE ","1MG","30.00","Select","Select",""],["","50111056103","TRAZODONE ","100MG","60.00","Select","Select",""],["","57664037718","TRAMADOL ","50MG","12.00","Select","Select",""],["","68382009810","PAROXETINE ","20MG","30.00","Select","Select",""],["","42571014405","CELECOXIB ","200MG","60.00","Select","Select",""],["","53746010905","HYDROCO\/APAP ","5-325MG","30.00","Select","Select",""],["","24208039915","IPRATROPIUM ","0.06%","15.00","Select","Select",""],["","42858000101","OXYCODONE ","5MG","40.00","Select","Select",""],["","00378064110","PREDNISONE ","10MG","42.00","Select","Select",""],["","00069047103","CHANTIX ","0.5& 1MG","53.00","Select","Select",""],["","69097096512","NABUMETONE ","500MG","60.00","Select","Select",""],["","65862018601","CLINDAMYCIN ","300MG","60.00","Select","Select",""],["","00093323201","METHYLPHENID ","40MG ER","30.00","Select","Select",""],["","00378247401","DICLOFEN ","50MG","90.00","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":""}]}]}