{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"KRISTIE D TURMAN","gend":1,"add":"130 BLUE RIDGE CIR APT 17","city":"FLOYD","state":"VA","zip":"24091-9998","dob":"1971-12-23","age":"","mstatus":"","insh":"2310049*01","cliId":"","pno":5402397656,"cno":5402397656,"email":"","ename":"","eno":"","pphy":"PROVINCE, RANDY DO","ppno":5409216000,"pcpadd":"159 HARTLEY WAY,","pcpcity":"PEARISBURG","pcpstate":"VA","pcpzip":"24134-9998","pcpcounty":"","pcpid":"","pcpname":"Carilion Giles Community Hospital","plan":"OHP","program":"MEDICAID","lob":"M4","region":"ROANOKE ALLEGHANY","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":5409215606,"pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["R07.9","R42.","E04.2","D64.9","M79.7","S90.229A","E66.01","E86.0","E83.42","H92.02","R06.02","R51.9","I51.89","I10.","E78.5","I34.0","Z86.73","I50.32","G43.909","F41.8","I25.10","R00.2","R10.13","F43.21","Z91.09","R11.0","R10.84","K63.5","K31.9","D53.9","I48.0","J30.9","M72.2","G43.809","R09.82","M79.672","J06.9","R07.89","Z20.822","Z01.812","K44.9","K57.30","K64.8","K59.09","Z98.890","Z86.018","Z87.11","K21.9","Z86.19","Z80.0","J45.30","Z79.51","R06.83","E66.9","G47.19","G47.00","F33.9","F33.1","R53.83","R05.9","R09.89","L60.8","J20.8","J45.31","E88.81","E78.2","NO DATA","H69.82","L98.9","G43.011","R56.9","N20.0","G44.40","G43.101","F41.9","Z12.31","R06.09","G47.10","H81.10","Z91.81","I49.3","I49.1","R06.2","R05.","J02.9","R09.81","Z20.828","G43.709","R40.0","Z79.899","R06.00","R53.82","G43.009","R05.1","R53.1","R35.0","M79.644","M54.9","R07.2","R60.0","Z87.891","Z82.49","Z77.22","L82.1","L81.4","D18.01","L20.84","Z71.89","Z80.8","D48.5","M25.50","D50.9","E55.9","E61.2","Z86.16","G64.","R00.0","J01.90","M25.531","G56.01","R40.4","I63.412","R50.9","R52.","H66.90","G44.89","D72.829","R79.89","J45.909","E78.00","I08.8","I77.819","R94.39","F32.9","H93.8X2","Z12.39","Z86.69","R71.0","Z23.","Z79.82","G56.03","M25.532","R20.2","R20.0","M25.512","R61.","Z09.","J01.00","J45.20","G47.33","J20.9","I48.91","Z68.41"],"date":["2023-06-18","2023-02-16","2021-06-22","2022-10-24","2022-10-27","2021-10-06","2023-05-18","2022-08-28","2022-08-28","2022-08-28","2023-06-18","2022-10-29","2023-02-06","2023-06-18","2023-03-13","2022-11-08","2023-01-04","2022-10-29","2022-10-29","2022-10-29","2023-02-06","2023-03-13","2021-08-12","2021-06-21","2021-06-21","2022-10-27","2021-11-22","2021-11-22","2021-11-22","2022-04-13","2022-10-24","2023-05-23","2022-08-15","2022-08-15","2023-05-23","2023-03-30","2023-06-26","2022-10-27","2023-06-18","2021-11-17","2021-11-22","2021-11-22","2021-11-22","2021-11-22","2021-11-22","2023-01-04","2021-11-22","2023-04-19","2021-11-22","2021-11-22","2023-02-06","2021-11-22","2023-04-19","2023-02-21","2022-01-04","2022-01-04","2022-10-24","2022-01-11","2022-06-22","2023-06-18","2022-01-12","2022-01-24","2023-06-26","2023-02-06","2022-10-18","2023-02-21","2023-05-18","2022-03-10","2022-03-10","2022-03-14","2022-03-14","2022-03-14","2022-03-14","2022-09-29","2023-05-18","2022-09-19","2023-04-19","2023-04-19","2021-08-02","2021-02-01","2023-04-06","2023-04-06","2021-08-25","2021-08-25","2021-08-25","2022-09-18","2021-08-25","2021-09-28","2021-09-28","2023-01-04","2023-06-18","2023-02-21","2022-10-07","2023-01-04","2022-07-08","2021-07-13","2021-07-13","2021-07-13","2023-02-16","2022-06-22","2021-10-18","2023-02-21","2021-10-18","2022-03-30","2022-03-30","2022-03-30","2022-03-30","2022-03-30","2022-03-30","2022-03-30","2022-06-22","2022-06-22","2022-10-18","2022-08-28","2022-10-18","2022-10-24","2023-06-18","2023-05-23","2021-07-21","2021-07-19","2021-08-02","2021-12-21","2022-09-18","2022-06-14","2022-07-08","2022-08-16","2022-08-23","2022-08-23","2023-06-26","2023-01-04","2022-10-28","2022-10-28","2023-03-13","2021-03-19","2021-03-19","2021-03-19","2022-08-16","2022-08-16","2022-09-15","2023-01-04","2021-07-18","2021-07-18","2021-07-18","2021-07-18","2022-10-27","2022-10-27","2022-11-03","2022-12-31","2022-12-31","2023-08-27","2023-06-18","2023-05-18","2023-05-18"],"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":[["","16729020201","BUSPIRONE","TAB 10MG","60","Select","Select",""],["","49483048112","ASPIRIN LOW","TAB 81MG EC","30","Select","Select",""],["","43598081115","CETIRIZINE","TAB 10MG","30","Select","Select",""],["","68180086111","AZITHROMYCIN","250 MG","6","Select","Select",""],["","57237001999","DULOXETINE","CAP 60MG","180","Select","Select",""],["","76204020025","ALBUTEROL","NEB 0.00083","75","Select","Select",""],["","64380071307","BENZONATATE","200 MG","30","Select","Select",""],["","70954006020","PREDNISONE","20 MG","6","Select","Select",""],["","65862057490","MONTELUKAST","TAB 10MG","90","Select","Select",""],["","72205002405","ATORVASTATIN","TAB 40MG","90","Select","Select",""],["","59310030480","QVAR REDIHA","AER 80MCG","11","Select","Select",""],["","00002143611","EMGALITY","INJ 120MG\/ML","1","Select","Select",""],["","68382014105","TOPIRAMATE","200 MG","90","Select","Select",""],["","68180051303","LISINOPRIL","5 MG","90","Select","Select",""],["","57237008834","RIZATRIPTAN","TAB 10MG","36","Select","Select",""],["","00186091612","PULMICORT","INH 180MCG","3","Select","Select",""],["","00054327099","FLUTICASONE","SPR 50MCG","16","Select","Select",""],["","33342032915","TRIAMCINOLON","CRE 0.001","45","Select","Select",""],["","00536379003",""," ","90","Select","Select",""],["","69230030405","ALLERGY RELI","TAB 10MG","30","Select","Select",""],["","53489011905","DOXYCYCL HYC","CAP 100MG","20","Select","Select",""],["","40985027416","D3 SUPER STR","CAP 2000UNIT","90","Select","Select",""],["","65862050301","AMOX\/K CLAV","TAB 875-125","20","Select","Select",""],["","59746000103","METHYLPRED","TAB 4MG","21","Select","Select",""],["","65862067699","ALPRAZOLAM","0.25 MG","20","Select","Select",""],["","55111078401","FEXOFENADINE","TAB 180MG","30","Select","Select",""],["","65862039010","ONDANSETRON","TAB 4MG ODT","10","Select","Select",""],["","50228035090","PREGABALIN","CAP 25MG","30","Select","Select",""],["","16571020210","DICLOFENAC","TAB 50MG DR","30","Select","Select",""],["","70436001002","BUPROPN HCL","TAB 150MG XL","90","Select","Select",""],["","00378668910","PANTOPRAZOLE","TAB 40MG","30","Select","Select",""],["","13668010410","ISOSORB MONO","TAB 30MG ER","30","Select","Select",""],["","50742061510","METOPROL SUC","TAB 25MG ER","30","Select","Select",""],["","68180072003","AMLODIPINE","TAB 5MG","30","Select","Select",""],["","00378020810","FUROSEMIDE","20 MG","21","Select","Select",""],["","43598043611","NITROGLYCERN","SUB 0.4MG","25","Select","Select",""],["","65862057490","MONTELUKAST SODIUM","10 MG","90","Select","Select",""],["","00093310905","AMOXICILLIN","500 MG","14","Select","Select",""],["","00054327099","FLUTICASONE PROPIONATE","50 MCG","16","Select","Select",""],["","00002143611","EMGALITY PEN","120 MG\/ML","1","Select","Select",""],["","00378668910","PANTOPRAZOLE SODIUM","40 MG","90","Select","Select",""],["","00186091612","PULMICORT FLEXHALER","180 MCG","1","Select","Select",""],["","27241009809","DULOXETINE HCL","30 MG","30","Select","Select",""],["","65862039010","ONDANSETRON ODT","4 MG","10","Select","Select",""],["","49483048112","ASPIRIN EC","81 MG","30","Select","Select",""],["","65862050320","AMOXICILLIN-CLAVULANATE POTASS","875-125 MG","20","Select","Select",""],["","55111078401","FEXOFENADINE HCL","180 MG","90","Select","Select",""],["","60505258008","ATORVASTATIN CALCIUM","40 MG","90","Select","Select",""],["","43598043611","NITROGLYCERIN","0.4 MG","25","Select","Select",""],["","68180072003","AMLODIPINE BESYLATE","5 MG","90","Select","Select",""],["","69097014260","ALBUTEROL SULFATE HFA","90 MCG","6.7","Select","Select",""],["","74312052807","VITAMIN D","3 50 MCG","30","Select","Select",""],["","42571012290","LEVOCETIRIZINE DIHYDROCHLORIDE","5 MG","90","Select","Select",""],["","59746000103","METHYLPREDNISOLONE","4 MG","21","Select","Select",""],["","65162019050","NAPROXEN","500 MG","60","Select","Select",""],["","70710113908","FLUCONAZOLE","150 MG","2","Select","Select",""],["","10702015016","HYDROCODONE-HOMATROPINE MBR","5-1.5 MG\/5","120","Select","Select",""],["","24658031205","DOXYCYCLINE HYCLATE","100 MG","14","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":""}]}]}