{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"JOYCE   C MASON","gend":1,"add":"14065 WALLACE PIKE","city":"BRISTOL","state":"VA","zip":"24202-9998","dob":"1943-07-14","age":"","mstatus":"","insh":"900035767*01","cliId":"","pno":"276\/466-5631","cno":"","email":"","ename":"","eno":"","pphy":"TOWNSEND, CHARLOTTE ANN MD","ppno":"276\/889-3700","pcpadd":"495 EAST MAIN ST","pcpcity":"LEBANON","pcpstate":"VA","pcpzip":24266,"pcpcounty":"","pcpid":"","pcpname":"HOLSTON MEDICAL GROUP PC","plan":"OHP","program":"MEDICARE","lob":"DSNP","region":"SOUTHWEST","aligned":"Y","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"276\/889-5505","pcpnpi":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["I48.92","I10.","N39.0","K92.2","D68.9","N18.9","R10.32","K57.30","K26.9","I48.91","I12.9","F41.1","E27.8","M10.9","I48.0","I82.409","K64.9","M19.90","Z00.00","M25.512","K62.5","K64.8","Z86.010","Z86.718","Z96.642","Z96.651","Z87.891","Z79.899","Z79.01","E78.2","I47.1","I34.0","I82.4Y9","Z01.818","K29.81","R09.89","Z12.83","M25.552","H25.813","R00.2","L90.5","D22.5","L82.1","C44.41","B07.8","R20.8","R23.8","L82.0","L53.8","L08.9","L23.9","L91.0","R39.9","L03.115","L60.0","E78.5","D35.02","K29.80","K62.3","M15.8","K57.90","R42.","Z82.49","Z87.19","Z12.31","M54.2","K62.89","R10.30","K57.32","K59.00","Z12.4","M16.12","M17.11","F41.9","Z80.0","M47.812","M19.012","M1A.0790","K59.04","R35.0","Z03.818","Z11.52","R00.1","S43.62XA","Z23.","N28.9","R06.02","K29.50","K31.9","Z08.","Z85.828","C44.612","B02.9","Z01.812","Z01.810","K92.1","D64.9","Z20.828","Z20.822","I83.813","I83.893","L81.9","Z01.419"],"date":["2020-01-24","2021-09-16","2020-09-04","2021-04-21","2020-11-17","2020-11-17","2021-11-23","2020-12-21","2021-05-03","2021-06-22","2021-06-22","2021-09-22","2021-06-22","2021-11-23","2021-09-16","2021-08-31","2020-09-04","2020-12-21","2020-01-29","2020-10-14","2021-06-28","2021-04-26","2021-05-03","2021-05-03","2021-11-03","2020-12-21","2021-05-03","2021-05-03","2021-09-16","2021-03-01","2021-09-16","2021-05-03","2021-03-01","2021-04-26","2021-05-03","2021-09-10","2021-10-11","2021-11-03","2020-03-05","2020-09-04","2021-04-08","2021-04-08","2021-04-08","2021-04-08","2021-06-29","2021-05-18","2021-05-18","2021-04-08","2021-04-08","2021-05-21","2021-05-24","2021-06-29","2021-10-24","2021-12-07","2021-12-07","2020-11-17","2021-02-26","2021-05-03","2021-05-03","2021-05-03","2021-05-03","2021-05-03","2021-05-03","2021-05-03","2021-10-08","2020-01-13","2020-05-12","2020-05-12","2020-11-17","2021-04-21","2021-09-22","2019-08-29","2019-08-29","2020-01-24","2020-11-17","2020-01-24","2020-01-24","2020-11-24","2020-06-11","2021-09-22","2020-12-15","2021-09-10","2019-08-23","2020-10-08","2020-10-08","2020-11-17","2020-11-17","2020-12-21","2020-12-21","2021-05-18","2021-05-18","2021-05-26","2021-05-26","2019-08-29","2019-08-29","2020-11-17","2020-12-07","2020-12-15","2021-04-26","2021-11-18","2021-11-18","2021-11-18","2021-09-22"],"priorHcc":["","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","",""]}}]},{"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":[["","00591024005","LORAZEPAM                                                             ","0.5MG","10","Select","Select",""],["","65162062711","TRAMADOL HCL                                                          ","50MG","10","Select","Select",""],["","55111018015","TIZANIDINE HYDROCHLORIDE                                              ","4MG","10","Select","Select",""],["","00591544210","PREDNISONE                                                            ","10MG","10","Select","Select",""],["","65162024709","CHLORTHALIDONE                                                        ","25MG","30","Select","Select",""],["","67877048484","TELMISARTAN                                                           ","80MG","-30","Select","Select",""],["","16729013401","ALLOPURINOL                                                           ","100MG","90","Select","Select",""],["","00378001805","METOPROLOL TARTRATE                                                   ","25MG","90","Select","Select",""],["","00003089421","ELIQUIS                                                               ","5MG","60","Select","Select",""],["","57237000511","FLUCONAZOLE                                                           ","150MG","1","Select","Select",""],["","00093314705","CEPHALEXIN                                                            ","500MG","15","Select","Select",""],["","45963070911","METOPROLOL SUCCINATE ER                                               ","25MG ER","45","Select","Select",""],["","00168014630","HYDROCORTISONE                                                        ","2.50%","28","Select","Select",""],["","00378668999","PANTOPRAZOLE SODIUM                                                   ","40MG","30","Select","Select",""],["","31722088390","ROSUVASTATIN CALCIUM                                                  ","10MG","30","Select","Select",""],["","59762040101","SUCRALFATE                                                            ","1GM","120","Select","Select",""],["","00143980305","DOXYCYCLINE HYCLATE                                                   ","100MG","20","Select","Select",""],["","45802006436","TRIAMCINOLONE ACETONIDE                                               ","0.10%","80","Select","Select",""],["","68382079201","ACYCLOVIR                                                             ","800MG","35","Select","Select",""],["","58160082311","SHINGRIX                                                              ","50\/0.5ML","1","Select","Select",""],["","00185012201","NITROFURANTOIN MONOHYDRATE                                            ","100MG","10","Select","Select",""],["","70461012103","FLUAD QUADRIVALENT 2021-2022                                          ","2021-22","0","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":""}]}]}