{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"LELAND   R BRYANT","gend":0,"add":"113 MERLOT DR","city":"STEPHENSON","state":"VA","zip":"22656-9998","dob":"1989-07-11","age":"","mstatus":"","insh":"2234182*01","cliId":"","pno":"540\/409-6920","cno":"","email":"","ename":"","eno":"","pphy":"LISK SR, MATTHEW T DO","ppno":"540\/536-5560","pcpadd":"160 MERCHANT STREET STE 100","pcpcity":"WINCHESTER","pcpstate":"VA","pcpzip":22603,"pcpcounty":"","pcpid":"","pcpname":"VALLEY PHYSICIAN ENTERPRISE INC","plan":"OHP","program":"MEDICAID","lob":"M4","region":"NORTHERN & WINCHESTER","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"540\/536-5561","pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["R05.","J02.0","S16.1XXA","M62.838","I10.","Z20.828","R09.82","K21.9","H61.92","X50.1XXA","N20.0","E86.0","A08.4","J06.9","M54.12","R10.31","R11.0","R51.","Z87.442","J35.8","J32.9","M26.622","J20.9","J40.","R10.11","R05.3","R07.0","R10.9","Z20.822","F41.9","R53.83","R05.9","M54.2","M54.81","NO DATA"],"date":["2021-06-07","2021-06-07","2021-12-01","2021-12-01","2021-12-01","2021-03-18","2021-06-14","2022-10-17","2021-06-14","2021-12-01","2022-09-10","2019-11-03","2019-11-03","2021-03-18","2021-11-17","2020-01-30","2020-01-30","2020-01-30","2020-01-30","2022-10-17","2021-08-26","2021-08-26","2022-09-10","2022-09-10","2022-09-10","2022-10-17","2022-10-17","2022-09-08","2022-09-08","2022-09-08","2022-09-08","2022-09-08","2022-03-15","2022-03-15","2022-03-15"],"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":[["","","PAROXETINE"," PAROXETINE ","30","Select","Select",""],["","","HYDROCO\/APAP","TAB 5-325MG","","Select","Select",""],["","69097045805","FENOFIBRATE","TAB 145MG","30","Select","Select",""],["","68180051303","LISINOPRIL","TAB 5MG","30","Select","Select",""],["","00378064210","PREDNISONE","TAB 20MG","10","Select","Select",""],["","58657050016","CODEINE\/GG","SOL 10-100\/5","120","Select","Select",""],["","00603459315","METHYLPRED","TAB 4MG","21","Select","Select",""],["","68180065208","DOXYCYC","CAP 100MG","20","Select","Select",""],["","65862020199","LOSARTAN","TAB 25MG","30","Select","Select",""],["","27808006502","PROMETH\/COD","SOL 6.25-10","118","Select","Select",""],["","50742022415","TIZANIDINE","CAP 2MG","21","Select","Select",""],["","","TAMSULOSIN","CAP 0.4MG","","Select","Select",""],["","42571016242","AMOX\/K","TAB 875-125","20","Select","Select",""],["","68180096301","ALBUTEROL","AER HFA","8","Select","Select",""],["","67877057305","BENZONATATE","CAP 100MG","14","Select","Select",""],["","00378932132","WIXELA","AER 250\/50","60","Select","Select",""],["","00781286810","OMEPRAZOLE","CAP 20MG","60","Select","Select",""],["","00173069600","ADVAIR","AER 250\/50","60","Select","Select",""],["","23155002301","BUSPIRONE","TAB 5MG","90","Select","Select",""],["","59676058015","JANSSEN","INJ COVID-19","0","Select","Select",""],["","68462029817","CLOTRIM\/BETA","CRE DIPROP","15","Select","Select",""],["","00093310905","AMOXICILLIN","CAP 500MG","20","Select","Select",""],["","71093014105","METHOCARBAM","TAB 750MG","15","Select","Select",""],["","69097084507","CYCLOBENZAPR","TAB 5MG","30","Select","Select",""],["","00172392560","DIAZEPAM","TAB 2MG","12","Select","Select",""],["","","NARCAN","SPR ","","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":""}]}]}