{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"MELISSA   D SIMMONS","gend":1,"add":"2040 TINKER DR NE","city":"ROANOKE","state":"VA","zip":"24012-9998","dob":"1975-09-22","age":"","mstatus":"","insh":"20053375*01","cliId":"","pno":"540\/493-2943","cno":"540\/493-2943","email":"","ename":"","eno":"","pphy":"MORRIS, KYLIE L DO","ppno":"540\/484-4800","pcpadd":"390 SOUTH MAIN ST SUITE 201","pcpcity":"ROCKY MOUNT","pcpstate":"VA","pcpzip":24151,"pcpcounty":"","pcpid":"","pcpname":"Carilion Medical Associates Rocky Mount","plan":"OHP","program":"MEDICAID","lob":"OHCC","region":"ROANOKE\/ ALLEGHANY","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"540\/484-4862","pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["R60.9","K52.9","R53.83","E53.8","M79.7","J44.9","F33.2","R07.9","R79.89","J45.41","M79.601","M25.562","Z03.818","R00.0","R09.02","R06.89","R55.","F19.10","R05.","R06.02","F17.200","Z72.0","J45.40","Z79.899","J04.0","K13.0","R94.31","E78.2","E87.6","F19.20","R06.83","R40.0","F33.1","M25.561","G89.29","J45.909","I10.","F17.210","M62.838","M25.511","M54.2","R06.00","Z23.","M26.622","R06.4","B37.0","Z09.","F15.10","F41.9","T14.8XXA","Z86.39","Z12.39","R71.8","I50.9","K13.79"],"date":["2020-08-25","2020-11-16","2021-06-17","2020-08-25","2020-11-16","2020-01-14","2020-01-20","2020-03-16","2020-11-16","2021-01-18","2020-04-20","2021-06-17","2020-12-08","2021-05-23","2021-05-23","2021-05-23","2021-05-26","2021-05-23","2020-03-21","2020-06-20","2022-09-26","2021-05-26","2021-05-26","2020-04-20","2020-06-17","2020-06-17","2021-05-23","2020-11-16","2020-11-16","2021-06-17","2021-06-17","2021-06-17","2021-06-17","2021-06-17","2021-06-17","2020-03-21","2021-05-26","2020-03-21","2020-05-29","2020-05-29","2020-05-29","2020-06-20","2020-11-16","2022-09-26","2020-06-20","2020-06-20","2021-05-26","2021-05-26","2020-11-16","2020-11-16","2020-11-16","2020-11-16","2020-11-16","2022-09-26","2022-09-26"],"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":[["","65162019050","NAPROXEN","TAB 500MG","20","Select","Select",""],["","43598029690","PREGABALIN","CAP 200MG","90","Select","Select",""],["","59310057922","PROAIR","AER ","8","Select","Select",""],["","50111043401","TRAZODONE","TAB 100MG","30","Select","Select",""],["","00378020810","FUROSEMIDE","TAB 20MG","90","Select","Select",""],["","70377002711","ATORVASTATIN","TAB 10MG","90","Select","Select",""],["","69452015120","VITAMIN","CAP 50000UNT","4","Select","Select",""],["","68180051303","LISINOPRIL","TAB 5MG","90","Select","Select",""],["","51991074890","DULOXETINE","CAP 60MG","180","Select","Select",""],["","69315012710","FOLIC","TAB 1000MCG","45","Select","Select",""],["","00245531911","KLOR-CON","TAB 20MEQ ER","90","Select","Select",""],["","00093317431","ALBUTEROL","AER HFA","8","Select","Select",""],["","00085720601","DULERA","AER 100-5MCG","13","Select","Select",""],["","00173069700","ADVAIR","AER 500\/50","60","Select","Select",""],["","00378932232","WIXELA","AER 500\/50","60","Select","Select",""],["","00173068220","VENTOLIN","AER ","18","Select","Select",""],["","60505025203","TIZANIDINE","TAB 4MG","30","Select","Select",""],["","68180012202","CEPHALEXIN","CAP 500MG","19","Select","Select",""],["","66689000802","NYSTATIN","SUS 100000","140","Select","Select",""],["","65862039010","ONDANSETRON","TAB 4MG ODT","4","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":""}]}]}