{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"JON   B KENNEDY","gend":0,"add":"PO BOX 12","city":"WISE","state":"VA","zip":"24293-9998","dob":"1985-12-22","age":"","mstatus":"","insh":"20030552*01","cliId":"","pno":"","cno":"","email":"","ename":"","eno":"","pphy":"WRIGHT, MELINDA A NP","ppno":"276\/679-0800","pcpadd":"280 VIRGINIA AVENUE STE 107","pcpcity":"NORTON","pcpstate":"VA","pcpzip":24273,"pcpcounty":"","pcpid":"","pcpname":"WELLMONT MEDICAL ASSOCIATES INC","plan":"OHP","program":"MEDICAID","lob":"OHCC","region":"SOUTHWEST","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"276\/679-5395","pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["Z94.81","K81.0","K66.0","R11.2","G40.909","F32.9","K21.9","K80.20","K52.9","N17.9","E86.0","E87.6","K81.9","G40.219","G93.49","G81.11","Z94.84","C91.01","G80.2","F39.","F33.9","Z13.9","Z85.6","E55.9","G80.1","D69.6","Z23.","G40.119","A41.9","A08.4","D75.1","Z90.49","D72.829","K80.00","K56.7","K91.89","F79.","R06.6","I34.0","M24.541","Z87.442","Z92.21","Z98.2","Z20.828","L30.9","R79.89","Z86.79","J06.9","R09.81","M85.88","R45.4","G40.109","Z76.89","N20.0"],"date":["2020-08-27","2020-10-16","2020-10-16","2020-10-04","2021-11-12","2020-11-12","2020-10-04","2020-10-04","2020-10-05","2020-10-05","2020-10-05","2020-11-12","2020-10-15","2021-11-30","2021-11-30","2021-11-30","2021-03-22","2021-11-02","2021-11-12","2021-11-12","2021-11-12","2021-05-12","2021-11-12","2021-11-12","2020-09-30","2021-03-22","2021-12-07","2020-08-27","2020-10-03","2020-10-03","2020-10-03","2020-11-12","2020-10-03","2020-10-15","2020-10-15","2020-10-15","2020-10-15","2020-10-15","2020-10-15","2020-10-15","2020-10-15","2020-10-15","2020-10-15","2020-10-15","2021-11-12","2021-11-12","2020-09-15","2021-09-05","2021-09-05","2019-05-28","2019-01-23","2019-04-24","2019-06-25","2019-06-22"],"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":[]},{"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":[["","16714035502","LEVETIRACETA","TAB 500MG","120","Select","Select",""],["","68462013001","ZONISAMIDE","CAP 100MG","60","Select","Select",""],["","16714061206","SERTRALINE","TAB 50MG","30","Select","Select",""],["","62756018418","OXCARBAZEPIN","TAB 300MG","150","Select","Select",""],["","67877031815","TRIAMCINOLON","CRE 0.005","30","Select","Select",""],["","80777027399","MODERNA","INJ COVID-19","0","Select","Select",""],["","00172392680","DIAZEPAM","TAB 5MG","1","Select","Select",""],["","00054485825","TRIAZOLAM","TAB 0.125MG","10","Select","Select",""],["","68180071160","CEFDINIR","CAP 300MG","20","Select","Select",""],["","00131247735","VIMPAT","TAB 50MG","120","Select","Select",""],["","69452015120","VITAMIN","CAP 50000UNT","12","Select","Select",""],["","49281063115","FLUZONE","INJ 2019-20","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":["",""],"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":""}]}]}