{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"PATRICK   S OBRIEN","gend":0,"add":"608 HARRISON AVE APT 323","city":"ROANOKE","state":"VA","zip":"24016-9998","dob":"1960-01-30","age":"","mstatus":"","insh":"20052775*01","cliId":"","pno":"571\/458-9024","cno":"571\/458-9024","email":"","ename":"","eno":"","pphy":"KRAEMER, MARY S MD","ppno":"540\/224-5170","pcpadd":"3 RIVERSIDE CIR","pcpcity":"ROANOKE","pcpstate":"VA","pcpzip":24016,"pcpcounty":"","pcpid":"","pcpname":"Carilion Clinic Internal Medicine Riverside 3","plan":"OHP","program":"MEDICAID","lob":"OHCC","region":"ROANOKE\/ ALLEGHANY","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"540\/983-8229","pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["J30.9","L60.0","R09.82","F41.9","F39.","I10.","I42.6","R09.81","F32.9","T18.128A","T78.40XA","F33.1","F11.90","F10.94","F10.929","V62.84","F10.129","F10.20","Z12.11","D12.0","K57.30","K64.8","F33.0","F29.","M25.532","R30.0","R39.12","F42.9","Z72.0","Z12.2","Z12.5","Z87.898","G25.81","Z86.79","R07.9","E87.6","Z20.822","F10.231","Z87.891","R61.","R09.02","J06.9","K52.9","T18.108A","F10.10","N40.1","R39.14","A39.9","R06.02","J34.89","R51.9","R05.1","Z23.","NO DATA","E78.5","F17.210","F17.290","K27.9","R94.31","R40.1","R40.0","R44.1","F17.200","Z59.00","Z56.0","R68.83","R52.","Z11.52","K22.10","K26.9","I42.9","K80.20","K76.0","Z79.899","F41.1"],"date":["2020-09-01","2020-09-01","2020-09-01","2022-06-27","2021-05-03","2022-10-04","2022-02-07","2022-04-04","2022-01-04","2021-05-15","2021-05-15","2022-06-27","2021-11-22","2022-01-02","2022-01-02","2021-12-31","2021-12-28","2022-02-26","2022-10-04","2022-10-04","2022-10-04","2022-10-04","2021-10-26","2021-11-13","2022-08-09","2022-03-14","2022-03-14","2022-03-14","2022-06-27","2022-03-14","2022-03-14","2022-06-27","2022-06-27","2022-04-19","2021-05-15","2021-12-31","2021-11-24","2021-10-26","2021-10-26","2021-10-26","2021-12-31","2021-12-31","2022-07-05","2021-05-15","2021-12-29","2020-06-22","2020-06-22","2021-10-26","2021-10-26","2022-04-04","2022-04-04","2022-04-04","2022-06-27","2022-10-04","2022-10-04","2022-10-04","2022-10-04","2022-10-04","2021-10-24","2021-10-24","2021-10-24","2021-11-12","2021-11-12","2021-11-12","2021-11-12","2021-11-12","2022-03-25","2022-03-25","2021-05-15","2021-05-15","2021-05-15","2021-05-15","2021-05-15","2021-05-15","2022-01-04"],"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":[]},{"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":[["","13107003134","MIRTAZAPINE","TAB 15MG","30","Select","Select",""],["","65862029590","ROSUVASTATIN","TAB 20MG","90","Select","Select",""],["","00115166001","PROPRANOLOL","TAB 20MG","90","Select","Select",""],["","70436015542","PROMETHAZINE","SOL DM","120","Select","Select",""],["","69315012710","FOLIC","TAB 1000MCG","30","Select","Select",""],["","10006073021","VITAMIN","TAB 100MG","30","Select","Select",""],["","62332003031","ROPINIROLE","TAB 0.25MG","30","Select","Select",""],["","68180051201","LISINOPRIL","TAB 2.5MG","30","Select","Select",""],["","96295013576","MULTIVITAMIN","TAB ADLT 50+","30","Select","Select",""],["","10135013210","THIAMINE","TAB 100MG","30","Select","Select",""],["","68180031906","BUPROPN","TAB 150MG XL","30","Select","Select",""],["","67877019990","AMLODIPINE","TAB 10MG","30","Select","Select",""],["","00185041552","BUPROPION","TAB 150MG SR","180","Select","Select",""],["","16571040210","CETIRIZINE","TAB 10MG","20","Select","Select",""],["","68382013201","TAMSULOSIN","CAP 0.4MG","60","Select","Select",""],["","23155050201","HYDROXYZ","TAB 50MG","360","Select","Select",""],["","67877024201","QUETIAPINE","TAB 25MG","180","Select","Select",""],["","00904548652","CERTAVITE","TAB SENIOR","30","Select","Select",""],["","65862001501","AMOXICILLIN","TAB 875MG","20","Select","Select",""],["","40985022368","THERAPEUTIC-","TAB M\/LUTEIN","30","Select","Select",""],["","31722095801","BENZONATATE","CAP 200MG","30","Select","Select",""],["","60505082901","FLUTICASONE","SPR 50MCG","16","Select","Select",""],["","65162083366","DICLOFENAC","GEL 0.01","100","Select","Select",""],["","59267100003","PFIZER","INJ COVID-19","0","Select","Select",""],["","57896048930","POLYETH","POW 3350 NF","510","Select","Select",""],["","37000002404","METAMUCIL","POW 0.5812","30","Select","Select",""],["","69097042107","CELECOXIB","CAP 200MG","90","Select","Select",""],["","00378623205","CITALOPRAM","TAB 20MG","90","Select","Select",""],["","16729009015","FINASTERIDE","TAB 5MG","90","Select","Select",""],["","00378668977","PANTOPRAZOLE","TAB 40MG","60","Select","Select",""],["","43598044874","NICOTINE","DIS 21MG\/24H","30","Select","Select",""],["","68180011316","LEVETIRACETA","TAB 500MG","14","Select","Select",""],["","65162068110","PHENAZOPYRID","TAB 100MG","90","Select","Select",""],["","54629007501","MULTI-VIT\/","TAB MINERALS","30","Select","Select",""],["","69097081307","GABAPENTIN","CAP 100MG","90","Select","Select",""],["","58160082311","SHINGRIX","INJ 50\/0.5ML","1","Select","Select",""],["","51991074690","DULOXETINE","CAP 20MG","60","Select","Select",""],["","47335032688","NALTREXONE","TAB 50MG","30","Select","Select",""],["","70461032003","FLUCLVX","INJ 2020-21","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":""}]}]}