{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"LAWRENCE HORNE","gend":0,"add":"3835 VERMONT AVE NW","city":"ROANOKE","state":"VA","zip":"24017-9998","dob":"1964-02-12","age":"","mstatus":"","insh":"20081257*01","cliId":"","pno":5403540122,"cno":5403540122,"email":"","ename":"","eno":"","pphy":"GARDNER, KIRSTEN DO","ppno":5403870441,"pcpadd":"1935 W MAIN ST,","pcpcity":"SALEM","pcpstate":"VA","pcpzip":"24153-9998","pcpcounty":"","pcpid":"","pcpname":"Carilion Healthcare Corp","plan":"OHP","program":"MEDICAID","lob":"OHCC","region":"ROANOKE ALLEGHANY","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":5403897868,"pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["I10.","E03.8","F41.8","D35.2","R62.7","G93.40","I95.1","E23.0","N17.9","G40.909","R94.31","E89.3","E23.2","E27.49","E87.6","G93.49","R42.","I95.9","I45.81","I12.9","NO DATA","F41.9","R56.9","R06.02","R06.2","D00.00","Z20.822","R55.","E03.9","Z79.82","Z79.899","Z23.","Z78.9","R53.1","M62.81","E86.1","E83.42","E27.40","E78.5","I49.1","Z86.79","E02.","Z98.2","F33.2","R11.0","E87.1","F42.9","Z91.14","R41.82","N18.2","M79.2","K21.9","Z85.858","R60.0","Z86.69","G44.89","F33.9","G40.89","I11.9","U07.1","R41.841","R47.01","R13.11","R35.1","I50.43","I11.0","Z91.19","I49.5","F41.0","E83.39","L03.116","M79.89","I87.2","E11.628","L97.822","R52."],"date":["2022-11-24","2022-11-26","2022-04-13","2022-11-24","2022-02-02","2022-11-26","2022-04-13","2022-03-18","2022-12-19","2022-11-24","2023-03-26","2022-11-26","2022-11-26","2022-11-26","2023-03-25","2022-03-02","2022-03-18","2022-11-22","2022-03-19","2022-03-19","2023-03-25","2023-03-25","2022-11-03","2022-12-19","2022-11-22","2022-11-22","2022-11-22","2022-11-26","2022-11-24","2022-11-03","2022-11-03","2022-11-07","2022-11-07","2022-03-08","2022-04-06","2022-03-13","2023-03-25","2022-11-24","2022-03-18","2022-03-16","2022-03-18","2022-03-18","2022-04-13","2022-11-26","2022-03-16","2022-03-16","2022-11-26","2022-11-26","2022-11-26","2023-03-27","2022-03-19","2022-03-19","2022-04-13","2023-03-27","2022-11-24","2022-12-19","2022-02-01","2022-02-01","2022-02-01","2022-02-01","2022-02-01","2022-02-01","2022-02-01","2022-02-01","2023-03-27","2023-03-27","2022-03-18","2022-03-18","2022-03-18","2022-03-18","2023-03-25","2023-03-25","2023-03-27","2023-03-27","2023-03-27","2023-03-25"],"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":[["","65862020199","LOSARTAN POT","TAB 25MG","30","Select","Select",""],["","68645051654","AMLODIPINE","TAB 10MG","30","Select","Select",""],["","00832031011","VALPROIC ACD","CAP 250MG","90","Select","Select",""],["","43547028111","ESCITALOPRAM","TAB 10MG","30","Select","Select",""],["","00093505898","ATORVASTATIN","TAB 40MG","30","Select","Select",""],["","72305013730","EUTHYROX","TAB 137MCG","90","Select","Select",""],["","68645059459","FAMOTIDINE","20 MG","60","Select","Select",""],["","60505024701","MIRTAZAPINE","15 MG","30","Select","Select",""],["","59762007501","HYDROCORT","TAB 20MG","60","Select","Select",""],["","68462027501","DESMOPRESSIN","TAB 0.1MG","60","Select","Select",""],["","16729045215","LEVOTHYROXIN","TAB 112MCG","90","Select","Select",""],["","66993001968","ALBUTEROL","AER HFA","18","Select","Select",""],["","00093505898","ATORVASTATIN CALCIUM","40 MG","30","Select","Select",""],["","00143980305","DOXYCYCLINE HYCLATE","100 MG","14","Select","Select",""],["","59762007501","HYDROCORTISONE","20 MG","60","Select","Select",""],["","68645051654","AMLODIPINE BESYLATE","10 MG","30","Select","Select",""],["","00832532511","POTASSIUM CHLORIDE","20 MEQ","60","Select","Select",""],["","60505025701","DESMOPRESSIN ACETATE","0.1 MG","60","Select","Select",""],["","16729045415","LEVOTHYROXINE SODIUM","137 MCG","90","Select","Select",""],["","49035041412","ASPIRIN EC","81 MG","100","Select","Select",""],["","43547028111","ESCITALOPRAM OXALATE","10 MG","30","Select","Select",""],["","00832031011","VALPROIC ACID","250 MG","90","Select","Select",""],["","68180012202","CEPHALEXIN","500 MG","21","Select","Select",""],["","31722070090","LOSARTAN POTASSIUM","25 MG","30","Select","Select",""],["","69315011710","FUROSEMIDE","40 MG","60","Select","Select",""],["","00173071920","FLOVENT HFA","110 MCG","12","Select","Select",""],["","00093101042","MUPIROCIN","2 %","22","Select","Select",""],["","66993007996","FLUTICASONE PROPIONATE HFA","110 MCG","12","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":""}]}]}