{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"SHANE L TURNER","gend":0,"add":"3695 THIRLANE ROAD NW APT 322","city":"ROANOKE","state":"VA","zip":"24019-9998","dob":"1976-06-07","age":"","mstatus":"","insh":"11010684","cliId":"","pno":5406325509,"cno":5406325232,"email":"","ename":"","eno":"","pphy":"CROSBY, SCOTT J","ppno":5409894929,"pcpadd":"3369 COLONIAL AVENUE","pcpcity":"ROANOKE","pcpstate":"VA","pcpzip":240183739,"pcpcounty":"","pcpid":"","pcpname":"CARILION ROANOKE MEMORIAL HOSPITAL","plan":"VPHP","program":"MEDICARE","lob":"DSNP","region":"ROANOKE ALLEGHANY","aligned":"Y","ano":"","add2":"","add3":"","madd1":"3531 NELCHER ST SE","madd2":"","madd3":"","mcity":"ROANOKE","mstate":"VA","mzip":"24014-9998","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":[["","12496120803","SUBOXONE ","8-2MG","12.00","Select","Select",""],["","53746010901","HYDROCO\/APAP ","5-325MG","5.00","Select","Select",""],["","63304069301","CLINDAMYCIN ","300MG","56.00","Select","Select",""],["","00228212810","CLONIDINE ","0.2MG","60.00","Select","Select",""],["","49483060450","IBUPROFEN ","800MG","30.00","Select","Select",""],["","43598029590","PREGABALIN ","150MG","90.00","Select","Select",""],["","65862007701","CIPROFLOXACN ","500MG","28.00","Select","Select",""],["","00054418425","DEXAMETHASON ","4MG","4.00","Select","Select",""],["","60505025801","DESMOPRESSIN ","0.2MG","90.00","Select","Select",""],["","54123092930","ZUBSOLV ","2.9-0.71","14.00","Select","Select",""],["","31722063231","OSELTAMIVIR ","75MG","10.00","Select","Select",""],["","67877041920","LINEZOLID ","600MG","28.00","Select","Select",""],["","00254100752","ALBUTEROL ","HFA","6.70","Select","Select",""],["","00378247401","DICLOFEN ","50MG","20.00","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":""}]}]}