{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"ROBERT L RAGENS","gend":0,"add":"2432 BERRYVILLE PIKE","city":"WINCHESTER","state":"VA","zip":"22603-5867","dob":"1955-09-22","age":"","mstatus":"","insh":"11015428","cliId":"","pno":5406867924,"cno":"","email":"","ename":"","eno":"","pphy":"AGYEIWAAH, MAVIS A","ppno":5405365400,"pcpadd":"5060 Valley View Blvd NW","pcpcity":"Roanoke","pcpstate":"VA","pcpzip":240122038,"pcpcounty":"","pcpid":"","pcpname":"VALLEY HEALTH WINCHESTER FAMILY PRACTICE","plan":"VPHP","program":"MEDICARE","lob":"DSNP","region":"NORTHERN & WINCHESTER","aligned":"Y","ano":"","add2":"LOT 61","add3":"","madd1":"2432 BERRYVILLE PIKE","madd2":"LOT 61","madd3":"","mcity":"WINCHESTER","mstate":"VA","mzip":"22603-5867","pcpfaxno":"(540) 248-8413","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":[["","43598043611","NITROGLYCERN ","0.4MG","25.00","Select","Select",""],["","57237001401","TAMSULOSIN ","0.4MG","90.00","Select","Select",""],["","65862020190","LOSARTAN ","25MG","90.00","Select","Select",""],["","00527260043","METOPROL ","25MG ER","30.00","Select","Select",""],["","68382025116","ATORVASTATIN ","40MG","90.00","Select","Select",""],["","08290320122","BD  PEN NEEDL","32GX4MM","300.00","Select","Select",""],["","00193709021","CONTOUR ","BLD GLUC","100.00","Select","Select",""],["","68180072103","AMLODIPINE ","10MG","90.00","Select","Select",""],["","00093317431","ALBUTEROL ","E","8.50","Select","Select",""],["","00002771559","BASAGLAR ","100UNIT","15.00","Select","Select",""],["","23155000810","HYDROCHLOROT ","25MG","90.00","Select","Select",""],["","00002879959","HUMALOG ","100\/ML","15.00","Select","Select",""],["","69315011610","FUROSEMIDE ","20MG","90.00","Select","Select",""],["","68180012202","CEPHALEXIN ","500MG","270.00","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":["",""],"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":""}]}]}