{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"VICKIE S CARROLL","gend":1,"add":"PO BOX 702","city":"BIG STONE GAP","state":"VA","zip":"24219-9998","dob":"1959-05-06","age":"","mstatus":"","insh":"20025049*01","cliId":"","pno":2765946897,"cno":2765946897,"email":"","ename":"","eno":"","pphy":"YEARY, JOSHUA A DO","ppno":2764454826,"pcpadd":"1446 DR THOMAS WALKER ROAD,","pcpcity":"EWING","pcpstate":"VA","pcpzip":"24248-9998","pcpcounty":"","pcpid":"","pcpname":"","plan":"OHP","program":"MEDICAID","lob":"OHCC","region":"SOUTHWEST","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":2765469702,"pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["J44.9","R06.02","Z98.890","K22.2","N39.41","M62.81","J44.1","J96.20","F41.9","R53.1","J96.10","G72.89","J96.11","J96.12","G43.909","G40.909","G89.29","F32.9","M81.0","I49.9","K59.09","K21.9","F11.20","F13.10","F12.10","F41.1","J43.9","G93.41","J96.21","J96.22","E87.0","E87.2","Z68.1","I47.2","F17.210","H54.7","I48.0","R13.19","R63.6","Z74.01","J96.91","R06.89","Z79.899","R13.10","F41.8","R51.9","R54.","Z87.891","Z20.822","J96.92","Z99.81","E44.0","Z71.89","Z00.8","Z13.89","R11.0","Z86.73","F12.20","J96.90","Z74.3","Z99.89","J80.","J96.01","F33.2","Z09.","F13.20","R64.","D72.829","Z66.","Z87.11","Z91.19","K05.10","K02.9","R41.82","R47.81","R09.02","J96.02","R60.9","R30.0","M79.89","R00.0","R06.03"],"date":["2023-02-16","2023-08-11","2021-03-02","2021-03-02","2021-10-29","2021-10-29","2022-05-15","2021-10-20","2021-11-26","2021-09-29","2023-01-25","2021-11-26","2021-11-26","2021-11-26","2021-11-26","2021-11-26","2021-11-26","2021-11-26","2021-11-26","2021-11-26","2022-05-14","2023-02-16","2022-06-06","2022-06-06","2022-06-06","2023-02-16","2021-04-26","2021-04-01","2021-09-13","2022-05-15","2021-03-04","2021-02-20","2023-02-16","2021-02-20","2021-04-26","2021-02-20","2023-01-25","2021-02-20","2023-02-16","2021-09-17","2021-09-17","2021-10-12","2022-06-06","2021-03-09","2021-03-04","2023-08-11","2021-03-04","2021-10-20","2021-09-07","2021-02-19","2021-09-17","2021-03-04","2021-08-31","2021-08-31","2021-08-31","2023-02-16","2021-09-17","2021-08-26","2021-09-07","2021-09-07","2021-09-07","2021-09-07","2021-09-08","2023-02-16","2021-04-01","2021-09-07","2021-09-07","2021-09-07","2021-09-07","2021-09-07","2021-09-07","2021-03-16","2021-03-16","2021-02-19","2021-02-19","2021-02-28","2021-09-06","2023-08-11","2023-08-11","2023-08-11","2023-08-11","2023-08-11"],"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":[["","76204060060","IPRATROPIUM\/","SOL ALBUTER","360","Select","Select",""],["","00173088210","BREO ELLIPTA","INH 200-25","60","Select","Select",""],["","59310057922","PROAIR HFA","AER ","8","Select","Select",""],["","65862018830","ONDANSETRON","TAB 8MG","30","Select","Select",""],["","00093321305","CLONAZEPAM","2 MG","60","Select","Select",""],["","68462042560","NIZATIDINE","CAP 150MG","60","Select","Select",""],["","51660002927","OMEPRAZOLE","TAB 20MG DR","28","Select","Select",""],["","65862050301","AMOX\/K CLAV","TAB 875-125","3","Select","Select",""],["","68001024008","FAMOTIDINE","20 MG","60","Select","Select",""],["","57896010210","ACETAMINOPHE","TAB 325MG","24","Select","Select",""],["","65862001205","SERTRALINE","TAB 50MG","7","Select","Select",""],["","13107015405","PAROXETINE","TAB 10MG","2","Select","Select",""],["","00310461612","BREZTRI AERO","AER SPHERE","11","Select","Select",""],["","50111048301","THEOPHYLLINE","TAB 100MG CR","30","Select","Select",""],["","00093317431","ALBUTEROL","AER HFA","8","Select","Select",""],["","52244010010","THEO-24","CAP 100MG CR","30","Select","Select",""],["","00597010061","SPIRIVA","SPR 2.5MCG","4","Select","Select",""],["","00378932132","WIXELA INHUB","AER 250\/50","60","Select","Select",""],["","00173069600","ADVAIR DISKU","AER 250\/50","60","Select","Select",""],["","00085461001","DULERA","AER 200-5MCG","39","Select","Select",""],["","12496120203","SUBOXONE","MIS 2-0.5MG","7","Select","Select",""],["","69547035302","NARCAN","SPR ","2","Select","Select",""],["","00173088710","TRELEGY","AER ELLIPTA","60","Select","Select",""],["","00597015561","STIOLTO","AER 2.5-2.5","4","Select","Select",""],["","55111029209","SUMATRIPTAN","TAB 50MG","10","Select","Select",""],["","00781717612","NALOXONE","SPR ","2","Select","Select",""],["","65162041603","BUPREN\/NALOX","SUB 2-0.5MG","11","Select","Select",""],["","68001036206","CEFDINIR","CAP 300MG","20","Select","Select",""],["","65862053750","LEVOFLOXACIN","TAB 500MG","10","Select","Select",""],["","59746017310","PREDNISONE","TAB 10MG","21","Select","Select",""],["","69543038810","KETOROLAC","TAB 10MG","20","Select","Select",""],["","65162006205","SUCRALFATE","1 G\/10 ML","1260","Select","Select",""],["","00173088710","TRELEGY ELLIPTA","100-62.5","60","Select","Select",""],["","00093317431","ALBUTEROL SULFATE HFA","90 MCG","8.5","Select","Select",""],["","76204060060","IPRATROPIUM-ALBUTEROL","0.5-3MG\/3","360","Select","Select",""],["","65862018830","ONDANSETRON HCL","8 MG","30","Select","Select",""],["","43547040850","CLONAZEPAM TAB","2MG","60","Select","Select",""],["","65862085999","FAMOTIDINE TAB","20MG","60","Select","Select",""],["","59310057922","PROAIR HFA AER","","8","Select","Select",""],["","52244010010","THEO-","24 CAP 100MG CR","30","Select","Select",""],["","00173088710","TRELEGY AER ELLIPTA","","60","Select","Select",""],["","00406800503","BUPREN\/NALOX SUB","2-0.5MG","11","Select","Select",""],["","65862018830","ONDANSETRON TAB","8MG","30","Select","Select",""],["","76204060060","IPRATROPIUM\/ SOL ALBUTER","","360","Select","Select",""],["","55111029209","SUMATRIPTAN TAB","50MG","10","Select","Select",""],["","00781717612","NALOXONE SPR","","2","Select","Select",""],["","66993001968","ALBUTEROL AER HFA","","18","Select","Select",""],["","68001036206","CEFDINIR CAP","300MG","20","Select","Select",""],["","59746017310","PREDNISONE TAB","10MG","21","Select","Select",""],["","65862053750","LEVOFLOXACIN TAB","500MG","10","Select","Select",""],["","69543038810","KETOROLAC TAB","10MG","20","Select","Select",""],["","00378827052","ALBUTEROL SULFATE","2.5 MG\/3ML","150","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":""}]}]}