{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"EMILY   R WILLIAMS","gend":1,"add":"3500 LOCUST AVE APT C24","city":"BUENA VISTA","state":"VA","zip":"24416-9998","dob":"1992-10-02","age":"","mstatus":"","insh":"20037463*01","cliId":"","pno":"540\/784-9336","cno":"","email":"","ename":"","eno":"","pphy":"BRYANT, MATTHEW E MD","ppno":"540\/463-9158","pcpadd":"146 S MAIN ST SUITE 3","pcpcity":"LEXINGTON","pcpstate":"VA","pcpzip":24450,"pcpcounty":"","pcpid":"","pcpname":"Carilion Clinic Internal Medicine Lexington Rural Health","plan":"OHP","program":"MEDICAID","lob":"OHCC","region":"ROANOKE ALLEGHANY","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"540\/463-4218","pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["J01.00","F41.1","F40.11","J02.8","J02.9","B96.89","M79.604","NO DATA","R53.1","R10.9","B35.1","L60.3","M79.674","M79.675","R50.9","H92.02","J06.9","N89.8","R42.","N92.1","L60.0","M79.605","R31.9","R11.0","Z32.02","N92.6","R19.7","F40.10","B00.9","M79.651","R00.0","Z87.891","Z79.899","N76.0","R21.","T23.102A","R53.83","R35.0","R00.2","R82.998","F41.9","R10.11","R63.0","K21.9","M54.2","S46.811A","R10.32","E86.0","E16.2","R09.81","R51.9","F41.8","H00.11","F12.10","F43.10","F34.1","F42.2","R30.0","M25.531","F40.01"],"date":["2020-03-13","2021-12-31","2021-05-12","2021-01-19","2021-04-28","2021-01-19","2021-10-22","2021-11-26","2021-10-22","2021-10-22","2021-07-14","2021-03-01","2021-03-01","2021-03-17","2021-04-28","2021-04-28","2021-04-28","2021-06-25","2020-02-27","2020-02-27","2021-07-14","2021-10-22","2020-02-24","2020-03-04","2020-02-24","2020-02-24","2020-03-04","2021-03-02","2021-06-25","2021-10-22","2021-10-22","2021-10-22","2021-10-22","2020-08-03","2021-09-12","2021-09-12","2021-10-11","2021-10-11","2021-10-11","2021-10-11","2021-10-11","2021-11-30","2021-11-30","2021-11-30","2020-03-12","2021-01-27","2020-02-26","2020-02-26","2020-06-11","2021-05-01","2021-05-01","2020-02-14","2021-12-15","2019-08-08","2019-08-08","2019-08-08","2019-08-08","2019-09-09","2019-03-20","2019-03-20"],"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":[["","00143312601","DICYCLOMINE","CAP 10MG","20","Select","Select",""],["","59267100002","PFIZER","INJ COVID-19","0","Select","Select",""],["","67877012450","SILVER","CRE 0.01","50","Select","Select",""],["","69452015120","VITAMIN","CAP 50000UNT","12","Select","Select",""],["","00093101042","MUPIROCIN","OIN 0.02","22","Select","Select",""],["","13668013601","ESCITALOPRAM","TAB 10MG","30","Select","Select",""],["","65862039010","ONDANSETRON","TAB 4MG ODT","10","Select","Select",""],["","57237016199","OMEPRAZOLE","CAP 20MG","30","Select","Select",""],["","67877025130","TRIAMCINOLON","CRE 0.001","45","Select","Select",""],["","45802014167","CICLOPIROX","SOL 0.08","7","Select","Select",""],["","","METRONIDAZOL","GEL 0.75%VAG","","Select","Select",""],["","65862085901","FAMOTIDINE","TAB 20MG","60","Select","Select",""],["","68180012202","CEPHALEXIN","CAP 500MG","21","Select","Select",""],["","","AMOXICILLIN","CAP 500MG","","Select","Select",""],["","","VENLAFAXINE","CAP 37.5 ER","","Select","Select",""],["","68180016013","AZITHROMYCIN","TAB 250MG","6","Select","Select",""],["","","JUBLIA","SOL 0.1","","Select","Select",""],["","","CHLORHEX","SOL 0.0012","","Select","Select",""],["","","PENICILLN","TAB 500MG","","Select","Select",""],["","","FLUTICASONE","SPR 50MCG","","Select","Select",""],["","","HYDROCO\/APAP","TAB 5-325MG","","Select","Select",""],["","70710113908","FLUCONAZOLE","TAB 150MG","2","Select","Select",""],["","31722070530","VALACYCLOVIR","TAB 1GM","30","Select","Select",""],["","69097085902","TERBINAFINE","TAB 250MG","30","Select","Select",""],["","61442011201","ACYCLOVIR","TAB 400MG","30","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":""}]}]}