{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"MELINDA  A HOWELL","gend":1,"add":"1314 STEWART AVE","city":"ROANOKE","state":"VA","zip":24013,"dob":"1968-04-20","age":"","mstatus":"","insh":"20058622*01","cliId":"","pno":"540\/598-6263","cno":"540\/598-6263","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"540\/427-9200","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":24013,"pcpcounty":"","pcpid":"","pcpname":"Carilion Clinic Family Medicine Southeast","plan":"OHP","program":"Medicaid","lob":"OHCC","region":"ROANOKE\/ ALLEGHANY","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"540\/427-3237","pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["F41.9","F34.1","NO DATA","I07.1","I10.","E78.00","F32.1","F41.1","J11.1","F41.0","F81.9","R07.9","L30.9","S36.113A","S36.039A","S22.43XA","J96.00","J96.02","G93.40","J96.01","B96.29","I82.412","I95.9","I82.422","R00.0","Z99.11","R78.81","I45.81","D62.","D75.89","E87.8","R73.9","J45.909","J69.0","Z86.718","E66.01","Z68.30","E87.6","E55.9","F33.0","V58.89","V54.19","V89.2XXD","E11.9","Z79.4","R11.2","E86.1","E86.0","E87.2","R53.81","K21.9","S22.31XS","S22.32XS","Z43.1","Z87.440","R55.","R00.2","Z79.01","G47.33","M79.604","R60.0","M79.605","R69.","Z03.818","Z20.822","F54.","G47.30","F43.10","G56.93","Z99.89","R53.1","S62.525A","M79.645","S80.01XA","W19.XXXA","S80.211A","M72.2","S90.811A","R94.31","F33.2","R07.89","R40.2420","I34.0","R06.89","S27.329A","R13.10","R33.9","I82.409","R41.0","L89.152","E11.65","L89.810","Z93.1","E78.5","E66.9","Z98.890","N17.9","N30.00","K76.0","B96.20","A60.00","K94.23","R62.7","Z87.891","J45.20","H91.90","S06.9X1S","G47.9","H91.93","M79.662","Z48.89","I49.8","R10.13","R10.11","R10.12","R10.10","H92.03","M79.672","M76.62","R10.9","V89.2XXA","R53.83","S36.116A","G25.81","F51.04","R57.9","S36.030A","I87.2","N39.0","J96.92","I51.7","I51.9","K91.89","R63.8","Z87.09","K31.9","K31.1","T81.30XS","T14.8XXA","L08.9","F43.0","M19.012","M25.512","M85.812","M50.30","M47.893","M79.661","R41.3","Z98.1","Z79.51","N76.0","H69.81","R06.02","G89.29","M54.9","F19.90","F12.10","Z79.899","R57.8","G93.41","K65.3","K65.1","Z20.828","R65.21","E43.","J15.211","A41.01","J95.851","K76.2","R53.82","J90.","Z11.59","D50.0","R11.0","H90.3","T07.XXXA","E83.42","E78.2","Z23.","R68.84","R51.","Z12.11","M75.92","M75.91","K80.00","I82.429","R13.19","R49.0","V49.9XXA","R13.12","Z91.14","D47.1","D69.6","Z87.898","Z09.","S02.5XXB","R60.9","M67.88","M79.2","M54.16","M25.562","F41.8","G56.03","R19.8","R21.","V19.9XXA","M79.632","M79.641","G43.009","N30.01","R35.89","R39.15","R14.0","R14.1","F39.","R07.81","R29.6","F51.5","W06.XXXA","U07.1","R51.9","R20.2","M25.612","M62.81","M77.9","R18.8","Z01.818","I95.1","R09.02","S01.00XA","L89.319","L89.329","K94.29","Z48.01","F32.9","S31.109A","M65.322","M25.531","S69.91XA","R45.1","S06.9X9S","L02.91","L76.82","S61.211A","V62.84","S36.30XA","A41.9","S27.322A","Z90.89","T07.XXXD","R68.81","K59.00","L89.159","M26.609","Z72.821","B37.9","E16.2","I87.303","M25.571","L90.5","M25.572","M76.61","G89.4","M62.838","V87.7XXS","R09.81","R73.03","G62.89","R30.0","R10.2","R06.83","Z03.89","K83.8","R29.818","F05.","F43.20","T85.598A","K29.80","E46.","E87.3","R11.10","Z68.35","M79.7","M77.52","F06.4","R20.0","M21.41","M21.42"],"date":["2022-10-21","2022-09-08","2022-10-21","2022-10-03","2022-10-18","2020-07-24","2021-06-24","2021-11-03","2020-03-05","2022-04-19","2020-04-28","2022-10-03","2020-05-11","2021-02-02","2020-12-05","2020-11-27","2020-10-22","2020-11-22","2020-11-19","2020-11-22","2020-10-22","2021-01-03","2020-12-05","2020-11-19","2021-01-27","2020-11-06","2020-10-22","2021-01-03","2020-12-21","2020-12-21","2021-01-03","2020-12-19","2022-08-24","2020-12-19","2022-08-18","2020-12-01","2020-12-01","2021-04-13","2022-10-21","2020-12-10","2022-08-18","2020-12-21","2020-12-21","2022-08-18","2020-12-21","2021-02-02","2021-01-03","2021-01-05","2021-01-03","2021-01-03","2021-01-01","2021-02-02","2021-02-02","2021-01-11","2021-01-11","2022-09-09","2022-10-18","2021-02-02","2022-10-21","2022-01-10","2022-09-06","2022-01-10","2021-09-15","2022-03-10","2022-10-18","2022-08-18","2022-08-18","2022-08-18","2022-08-18","2022-10-21","2022-08-18","2020-04-11","2020-04-11","2020-04-28","2022-06-03","2020-04-28","2021-05-26","2020-05-08","2022-10-21","2021-05-14","2021-03-18","2020-11-01","2020-11-04","2020-11-13","2020-11-27","2020-11-30","2020-11-22","2021-05-14","2020-11-13","2020-12-15","2020-12-01","2020-12-01","2020-12-28","2022-10-21","2022-04-05","2020-11-30","2020-12-26","2022-08-22","2020-12-26","2020-12-26","2020-12-26","2021-01-05","2020-12-26","2020-12-26","2022-08-18","2020-12-26","2021-01-29","2021-05-14","2021-01-29","2021-11-03","2021-03-26","2020-03-25","2020-12-26","2020-03-25","2020-03-25","2020-03-25","2020-03-25","2021-04-13","2021-05-26","2020-12-21","2020-10-26","2020-12-26","2020-10-21","2021-11-03","2020-07-24","2020-10-16","2020-10-13","2020-10-12","2020-12-26","2020-10-15","2020-10-19","2020-10-19","2020-10-27","2020-12-26","2020-12-26","2020-12-28","2020-12-28","2021-02-15","2021-02-09","2021-02-09","2021-04-01","2021-11-03","2022-10-17","2021-11-03","2021-11-03","2021-11-03","2021-11-03","2021-11-03","2021-11-03","2022-08-18","2021-11-11","2021-11-11","2022-09-09","2022-09-09","2022-09-09","2022-09-09","2022-09-09","2022-10-21","2020-11-22","2020-10-12","2020-10-26","2020-10-12","2020-12-11","2020-10-12","2020-10-12","2020-11-19","2020-10-12","2020-10-12","2020-10-21","2020-12-16","2020-12-19","2021-10-21","2020-12-19","2020-12-29","2021-02-10","2021-02-22","2021-04-13","2021-03-04","2022-09-06","2020-02-17","2020-02-17","2020-01-28","2020-08-12","2020-08-12","2020-10-21","2020-10-26","2020-11-20","2020-11-20","2020-11-20","2020-12-01","2020-12-21","2020-12-12","2020-12-21","2021-01-05","2022-10-21","2021-04-13","2021-04-13","2021-04-13","2021-04-13","2021-04-13","2021-07-15","2022-01-10","2022-10-21","2022-01-31","2022-01-31","2022-07-26","2022-07-26","2022-07-26","2020-09-04","2022-04-05","2022-04-05","2022-04-05","2022-04-05","2022-04-05","2022-04-05","2022-04-15","2022-04-19","2022-04-19","2022-04-15","2022-07-13","2022-08-09","2022-08-09","2022-10-17","2022-10-17","2022-10-17","2020-11-03","2020-11-03","2020-11-19","2020-11-19","2020-12-07","2020-12-07","2020-12-07","2020-12-30","2021-03-26","2021-03-26","2021-04-01","2022-03-01","2022-06-03","2022-06-03","2022-06-03","2022-06-03","2021-03-16","2021-03-16","2022-08-16","2022-10-18","2020-10-16","2020-10-16","2020-10-16","2020-12-05","2020-12-21","2020-12-26","2020-12-26","2020-12-28","2021-03-15","2021-03-15","2021-03-19","2022-05-17","2021-05-14","2021-05-14","2021-05-14","2021-05-14","2021-05-26","2021-08-30","2021-08-30","2021-08-30","2022-05-16","2022-04-19","2022-04-19","2022-05-17","2022-05-17","2022-08-10","2020-10-15","2020-10-26","2020-11-03","2020-11-17","2020-11-17","2020-12-25","2020-12-28","2020-12-31","2020-12-31","2020-12-31","2020-12-31","2020-12-31","2021-04-14","2022-06-23","2022-08-09","2022-10-21","2022-10-21"],"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":[["","80681016801","VITAMIN","TAB 25MCG","60","Select","Select",""],["","52817033050","CYCLOBENZAPR","TAB 5MG","90","Select","Select",""],["","00093505698","ATORVASTATIN","TAB 10MG","30","Select","Select",""],["","70954001950","PRAZOSIN","CAP 1MG","60","Select","Select",""],["","68645019159","METOPROL","TAB 100MG","60","Select","Select",""],["","33342006310","VALSARTAN","TAB 80MG","30","Select","Select",""],["","16714066302","GABAPENTIN","CAP 400MG","90","Select","Select",""],["","65162047810","NITROFURANTN","CAP 100MG","8","Select","Select",""],["","00093005405","BUSPIRONE","TAB 10MG","180","Select","Select",""],["","31604004070","D3","TAB 1000UNIT","60","Select","Select",""],["","68382005001","MELOXICAM","TAB 7.5MG","180","Select","Select",""],["","27241009990","DULOXETINE","CAP 60MG","30","Select","Select",""],["","68462025601","ROPINIROLE","TAB 2MG","30","Select","Select",""],["","16714095502","KETOCONAZOLE","CRE 0.02","30","Select","Select",""],["","00574200802","NYSTOP","POW 100000","60","Select","Select",""],["","68180096301","ALBUTEROL","AER HFA","8","Select","Select",""],["","68180044701","QUETIAPINE","TAB 100MG","45","Select","Select",""],["","67877021905","CEPHALEXIN","CAP 500MG","8","Select","Select",""],["","65862069730","VENLAFAXINE","CAP 150MG ER","30","Select","Select",""],["","16571020150","DICLOFENAC","TAB 75MG DR","30","Select","Select",""],["","62332002331","FLUOXETINE","CAP 20MG","30","Select","Select",""],["","43547040111","FUROSEMIDE","TAB 20MG","15","Select","Select",""],["","50383070016","FLUTICASONE","SPR 50MCG","16","Select","Select",""],["","50458057930","XARELTO","TAB 20MG","30","Select","Select",""],["","68382004101","PROMETHAZINE","TAB 25MG","14","Select","Select",""],["","00904641292","CALC","CHW 500MG","30","Select","Select",""],["","31722071390","PANTOPRAZOLE","TAB 40MG","30","Select","Select",""],["","00093101042","MUPIROCIN","OIN 0.02","22","Select","Select",""],["","60258017101","MAG","TAB 400MG","120","Select","Select",""],["","43598074130","RAMELTEON","TAB 8MG","90","Select","Select",""],["","69238110005","DOXYCYCL","CAP 100MG","20","Select","Select",""],["","00234057508","HIBICLENS","LIQ 0.04","236","Select","Select",""],["","00832532411","POT  CL MICRO","TAB 10MEQ ER","60","Select","Select",""],["","00085113204","PROVENTIL","AER HFA","7","Select","Select",""],["","49281072010","FLUBLOK","INJ 2020-21","0","Select","Select",""],["","31722059690","FENOFIBRATE","TAB 145MG","30","Select","Select",""],["","59310057922","PROAIR","AER ","8","Select","Select",""],["","00173068224","VENTOLIN","AER ","8","Select","Select",""],["","30768019484","MELATONIN","CAP 10MG","90","Select","Select",""],["","59267100001","PFIZER","INJ COVID-19","0","Select","Select",""],["","49281022510","DIP\/TET","INJ 25-5LFU","0","Select","Select",""],["","00143928501","AMOXICILLIN","TAB 875MG","14","Select","Select",""],["","17478013101","TET\/DIP","INJ 2-2 LF","0","Select","Select",""],["","16729017317","AMITRIPTYLIN","TAB 50MG","30","Select","Select",""],["","68645057054","CITALOPRAM","TAB 20MG","90","Select","Select",""],["","68645014059","FAMOTIDINE","TAB 20MG","60","Select","Select",""],["","00603548421","PROPRANOLOL","TAB 40MG","60","Select","Select",""],["","00143924920","AMOX\/K","TAB 875-125","14","Select","Select",""],["","00115151866","ESTRADIOL","CRE 0.0001","42","Select","Select",""],["","58160082311","SHINGRIX","INJ 50\/0.5ML","1","Select","Select",""],["","23155022701","ACYCLOVIR","TAB 400MG","30","Select","Select",""],["","31722070090","LOSARTAN","TAB 25MG","30","Select","Select",""],["","49281042050","FLUZONE","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":""}]}]}