{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"PAUL SIMPSON","gend":0,"add":"6910 WILLIAMSON ROAD NORTH ROANOKE ALF","city":"ROANOKE","state":"VA","zip":"24019-9998","dob":"1955-04-19","age":"","mstatus":"","insh":"20063643*01","cliId":"","pno":"540\/265-2173","cno":"","email":"","ename":"","eno":"","pphy":"CARLTON, RYAN A NP","ppno":"800\/765-7130","pcpadd":"6701 PETERS CREEK RD STE 110","pcpcity":"ROANOKE","pcpstate":"VA","pcpzip":24019,"pcpcounty":"","pcpid":"","pcpname":"PREMIER GERIATRIC SOLUTIONS PLLC","plan":"OHP","program":"MEDICAID","lob":"OHCC","region":"ROANOKE ALLEGHANY","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"201\/228-9980","pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["F33.2","I44.4","R94.31","R60.9","R55.","Z20.828","G93.1","N39.0","G40.909","E87.6","K21.9","N40.0","M85.80","Z79.01","Z86.718","Z87.820","Z91.81","Z98.890","K43.9","I82.621","R56.9","E03.9","D13.1","K31.7","K22.8","N17.9","R10.9","S50.01XA","R42.","R53.1","R29.6","R93.3","Z86.010","Z60.9","NO DATA","G62.9","E83.39","E83.42","K31.84","K46.0","R34.","F32.9","K56.0","K91.89","I82.A11","I82.B11","I82.611","I95.1","R26.2","R10.30","R41.0","R11.10","R50.9","Z51.81","I70.0","K44.9","Z01.818","K40.90","K41.90","H25.813","A41.9","L08.9","H26.9","K56.7","D69.6","D64.9","I45.10","Z20.822","E86.0","K58.9","Z86.69","F79.","R09.02","R00.1","F41.8","U07.1","R33.9","I07.1","K59.00","D72.819","G40.911","R41.82","G40.901","I95.9","W19.XXXA","G93.41"],"date":["2022-10-18","2022-11-10","2022-11-19","2020-06-01","2022-08-15","2020-07-17","2022-08-15","2020-07-20","2022-08-25","2022-08-18","2022-08-25","2022-11-03","2020-07-17","2022-08-15","2022-08-15","2022-08-15","2020-07-17","2020-07-17","2020-09-02","2020-09-02","2022-08-18","2021-01-27","2021-06-02","2021-06-02","2021-06-02","2022-08-18","2020-05-01","2020-07-16","2022-11-13","2020-07-16","2020-07-16","2020-08-20","2020-08-20","2022-10-18","2022-08-25","2022-08-25","2020-04-30","2020-04-30","2020-04-30","2020-04-30","2020-04-30","2020-08-27","2020-04-30","2020-04-30","2020-06-01","2020-06-01","2020-06-01","2022-11-19","2020-07-17","2020-04-29","2020-04-29","2020-04-30","2020-04-29","2020-06-03","2020-07-17","2021-06-02","2021-05-28","2020-08-27","2020-08-27","2022-02-18","2020-07-17","2021-01-27","2021-01-27","2020-05-19","2022-08-15","2022-11-16","2022-08-15","2022-08-15","2022-08-15","2022-06-16","2022-06-16","2022-11-03","2022-11-12","2022-11-19","2022-11-12","2022-11-20","2022-11-16","2022-11-11","2022-11-13","2022-11-13","2022-11-19","2022-11-19","2022-11-20","2022-11-03","2022-11-03","2022-11-20"],"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":[]},{"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":[["","","TAMSULOSIN","CAP 0.4MG","","Select","Select",""],["","","PANTOPRAZOLE","TAB 40MG","","Select","Select",""],["","16729021101","DOXAZOSIN","TAB 1MG","30","Select","Select",""],["","","PHENOBARB","TAB 32.4MG","","Select","Select",""],["","","FLUOXETINE","CAP 20MG","","Select","Select",""],["","","MAPAP","TAB 325MG","","Select","Select",""],["","00904671980","ACETAMINOPHE","TAB 325MG","30","Select","Select",""],["","31722053812","LEVETIRACETA","TAB 750MG","120","Select","Select",""],["","00245021111","MIDODRINE","TAB 2.5MG","53","Select","Select",""],["","","VITAMIN","TAB 1000UNIT","","Select","Select",""],["","61442012110","FAMOTIDINE","TAB 20MG","28","Select","Select",""],["","00143314250","DOXYCYCL","CAP 100MG","14","Select","Select",""],["","59267100001","PFIZER","INJ COVID-19","0","Select","Select",""],["","00904552952","HEARTBURN","TAB RELIEF","6","Select","Select",""],["","58160088752","FLUARIX","INJ 2021-22","0","Select","Select",""],["","","ALCOHOL","PAD 0.7","","Select","Select",""],["","","METOCLOPRAM","TAB 5MG","","Select","Select",""],["","","DICYCLOMINE","TAB 20MG","","Select","Select",""],["","","TRUE","TES GLUCOSE","","Select","Select",""],["","","ONETOUCH","TES ULTRA BL","","Select","Select",""],["","","ELIQUIS","TAB 5MG","","Select","Select",""],["","","PREVNAR","INJ ","","Select","Select",""],["","","NAPROXEN","TAB 375MG","","Select","Select",""],["","","LOVENOX","INJ 60\/0.6ML","","Select","Select",""],["","","ENOXAPARIN","INJ 60\/0.6ML","","Select","Select",""],["","","WARFARIN","TAB 2.5MG","","Select","Select",""],["","","SMZ\/TMP","TAB 800-160","","Select","Select",""],["","","SHINGRIX","INJ 50\/0.5ML","","Select","Select",""],["","","HYDROCO\/APAP","TAB 5-325MG","","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":""}]}]}