{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"TAYLOR LYLE","gend":1,"add":"620 BERNARD ROAD","city":"ROCKY MOUNT","state":"VA","zip":"24151-9998","dob":"1994-03-10","age":"","mstatus":"","insh":"2259500*01","cliId":"","pno":"540\/238-6763","cno":"","email":"","ename":"","eno":"","pphy":"REDDY, MAHITHA G MD","ppno":"540\/484-4800","pcpadd":"390 S MAIN ST SUITE 201","pcpcity":"ROCKY MOUNT","pcpstate":"VA","pcpzip":24151,"pcpcounty":"","pcpid":"","pcpname":"CARILION HEALTHCARE CORPORATION","plan":"OHP","program":"MEDICAID","lob":"M4","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":["F32.0","Z39.1","O36.5930","Z3A.32","O99.344","F32.9","F41.9","O70.0","O99.824","O76.","Z3A.37","Z37.0","Z34.90","R41.840","N89.8","R53.1","R53.83","O20.9","Z3A.16","R05.9","O80.","R30.0","Z34.02","Z23.","O44.02","Z3A.17","Z30.011","Z34.93","Z20.822","Z34.03","R68.89","Z20.828","Z3A.22","Z34.82","Z34.83","J02.9","R51.9","J06.9"],"date":["2021-09-23","2020-05-08","2020-05-31","2020-05-01","2020-05-31","2021-04-02","2021-04-02","2020-05-31","2020-05-31","2020-05-31","2020-06-01","2020-06-01","2020-05-31","2021-04-02","2021-03-01","2021-03-01","2021-03-01","2020-01-10","2020-01-10","2021-12-17","2020-06-01","2021-02-09","2020-01-10","2020-01-10","2020-01-20","2020-01-20","2021-12-16","2020-05-28","2021-08-04","2020-04-03","2020-02-17","2020-10-15","2020-02-17","2020-05-08","2020-05-08","2021-12-16","2021-12-16","2020-10-15"],"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":[["","","FLUOXETINE","CAP 10MG","","Select","Select",""],["","","HYDROXYZ","TAB 25MG","","Select","Select",""],["","","NIKKI","TAB 3-0.02MG","","Select","Select",""],["","","LORATADINE","TAB 10MG","","Select","Select",""],["","45802000403","HYDROCORT","CRE 0.025","28","Select","Select",""],["","00093914801","VENLAFAXINE","TAB 37.5MG","30","Select","Select",""],["","70436005801","BUPROPION","TAB 100MG SR","30","Select","Select",""],["","65862007701","CIPROFLOXACN","TAB 500MG","10","Select","Select",""],["","50111033401","METRONIDAZOL","TAB 500MG","14","Select","Select",""],["","65862039010","ONDANSETRON","TAB 4MG ODT","10","Select","Select",""],["","","MUCINEX","TAB 600MG ER","","Select","Select",""],["","","SERTRALINE","TAB 50MG","","Select","Select",""],["","","BUSPIRONE","TAB 10MG","","Select","Select",""],["","","COUGH\/CHEST","LIQ DM CHILD","","Select","Select",""],["","","OSELTAMIVIR","CAP 75MG","","Select","Select",""],["","","GUAIFENESIN","SYP DM","","Select","Select",""],["","","ACETAMIN","TAB 325MG","","Select","Select",""],["","","SENEXON-S","TAB 8.6-50MG","","Select","Select",""],["","","BENZONATATE","CAP 100MG","","Select","Select",""],["","","IBUPROFEN","TAB 600MG","","Select","Select",""],["","","ALPRAZOLAM","TAB 0.25MG","","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":""}]}]}