{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"DAVID   C CHISHOLM JR","gend":0,"add":"RED OAK MNR 18360 VIRGIL GOODE HIGHWAY","city":"ROCKY MOUNT","state":"VA","zip":"24151-9998","dob":"1945-06-04","age":"","mstatus":"","insh":"20025329*01","cliId":"","pno":"540\/482-0980","cno":"","email":"","ename":"","eno":"","pphy":"SMITH, LARRY MD","ppno":"434\/352-3003","pcpadd":"181 OLD COURTHOUSE RD","pcpcity":"APPOMATTOX","pcpstate":"VA","pcpzip":24522,"pcpcounty":"","pcpid":"","pcpname":"LARRY F SMITH MD PC","plan":"OHP","program":"MEDICAID","lob":"OHCC","region":"ROANOKE ALLEGHANY","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"434\/352-5005","pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["F20.0","U07.1","L30.9","H21.233","H52.213","Z96.1","R73.03","Z20.828","L21.9","F39.","R63.5","M62.81","I10.","R05.","N18.3","F20.9","Z87.39","M20.11","M20.12","M20.41","M20.42","M79.675","M79.674"],"date":["2020-02-05","2020-12-22","2021-05-03","2019-02-18","2019-02-18","2019-02-18","2020-03-03","2020-11-21","2020-08-13","2020-10-16","2020-10-16","2020-10-16","2019-05-13","2019-05-13","2019-05-13","2019-05-13","2019-05-13","2019-12-31","2019-12-31","2019-12-31","2019-12-31","2019-12-31","2019-12-31"],"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":[]},{"a":{"indx":[false,false],"comment":["",""],"score":["",""]}},{"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":[["","","METOPROL"," METOPROL ","60","Select","Select",""],["","","OLANZAPINE"," OLANZAPINE ","30","Select","Select",""],["","","ENALAPRIL"," ENALAPRIL ","60","Select","Select",""],["","","VITAMIN"," VITAMIN ","4","Select","Select",""],["","","ALLOPURINOL"," ALLOPURINOL ","30","Select","Select",""],["","","MAPAP"," MAPAP ","100","Select","Select",""],["","","BUSPIRONE"," BUSPIRONE ","180","Select","Select",""],["","","PROPRANOLOL"," PROPRANOLOL ","60","Select","Select",""],["","","NIFEDIPINE"," NIFEDIPINE ","30","Select","Select",""],["","","HYDROCORT","CRE 0.01","","Select","Select",""],["","","ZINC","TAB 50MG","","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":["",""],"sub":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"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":""}]}]}