{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"DANAYJA   L SOREL","gend":1,"add":"4800 OLD BROOK ROAD","city":"RICHMOND","state":"VA","zip":"23227-3465","dob":"1999-12-03","age":"","mstatus":"","insh":4099097,"cliId":"","pno":4348298257,"cno":"","email":"","ename":"","eno":"","pphy":"GLADFELTER, BAMBI L","ppno":8042391640,"pcpadd":"12018 W Broad St Ste 100, ","pcpcity":"Henrico","pcpstate":"VA","pcpzip":232337796,"pcpcounty":"","pcpid":"","pcpname":"PRIMARY CARE OF WEST END LLC","plan":"VPHP","program":"MEDICAID","lob":"VPM4","region":"CENTRAL","aligned":"","ano":"","add2":"APT 1","add3":"","madd1":"4800 OLD BROOK ROAD","madd2":"APT 1","madd3":"","mcity":"RICHMOND","mstate":"VA","mzip":"23227-3465","pcpfaxno":"","pcpnpi":""},{"a":{"indx":["","1","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["L08.9","L30.9","R21","B95.8","Z01.419","Z11.3","A41.9","I48.91","J36","J02.0","I48.0","E87.6","D69.6","F12.90","Z20.828","Z91.018","J02.9","J03.90","J35.1","M54.9","R51.9","I95.9","R00.1","R07.9","R55","S39.012A","G44.319","V49.40XA","M54.2","Y92.410","O30.009","O30.042","Z3A.20","O21.9","J06.9","Z79.899","Z3A.21","O99.511","Z3A.00","O99.512","Z33.1","Z39.1","Z34.82","Z34.83","O30.049","Z3A.26","R19.7","O30.043","Z3A.28","Z23","Z3A.30","O99.013","O98.313","A74.9","Z3A.31","Z13.9","O26.893","R10.30","O21.2","D64.9","Z3A.32","A59.9","Z3A.33","Z3A.34","Z3A.35","Z34.03","O13.4","Z37.2","O42.913","Z3A.36","O69.81X1","O99.02","O16.4","Z37.0","O60.14X1","O42.013","O32.6XX1","O70.1","O41.1230","O60.14X2","O76","P22.1","Z00.110","P59.9","Z00.111","Z39.2","Z30.430","M79.675","S93.502A","S99.929A","W10.9XXA","Y93.01","Y99.8","W10.8XXA","T78.1XXA","T78.40XA","X58.XXXA","L29.9"],"date":["2020-01-12","2020-08-03","2020-09-22","2020-08-03","2020-08-17","2020-08-17","2020-12-14","2020-12-15","2020-12-15","2020-12-14","2020-12-15","2020-12-15","2020-12-15","2020-12-14","2020-12-14","2020-12-14","2020-12-14","2020-12-15","2020-12-14","2020-12-14","2021-05-26","2020-12-14","2020-12-14","2020-12-14","2020-12-14","2021-05-26","2021-05-26","2021-05-26","2021-05-26","2021-05-26","2019-04-12","2019-02-15","2019-01-04","2019-01-12","2019-01-14","2019-01-12","2019-01-14","2019-01-12","2019-01-12","2019-01-14","2019-04-17","2019-01-31","2019-01-31","2019-01-31","2019-02-15","2019-02-15","2019-02-15","2019-04-23","2019-03-01","2019-03-01","2019-03-15","2019-03-28","2019-04-05","2019-03-22","2019-03-22","2019-03-22","2019-03-28","2019-03-28","2019-03-28","2019-04-22","2019-03-28","2019-04-05","2019-04-05","2019-04-12","2019-04-17","2019-04-17","2019-04-23","2019-04-23","2019-04-22","2019-04-23","2019-04-23","2019-04-22","2019-04-22","2019-04-22","2019-04-23","2019-04-23","2019-04-23","2019-04-23","2019-04-23","2019-04-23","2019-04-23","2019-04-23","2019-04-29","2019-05-20","2019-05-20","2019-06-06","2019-06-06","2019-12-02","2019-12-02","2019-12-02","2019-12-02","2019-12-02","2019-12-02","2019-12-02","2019-12-28","2019-12-28","2019-12-28","2019-12-28"],"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":[["","00093101042","MUPIROCIN","OIN 0.02","22","Select","Select",""],["","65862050320","AMOX\/K","TAB 875-125","14","Select","Select",""],["","52817033200","CYCLOBENZAPR","TAB 10MG","15","Select","Select",""],["","68462018801","NAPROXEN","TAB 250MG","14","Select","Select",""],["","68180012202","CEPHALEXIN","CAP 500MG","28","Select","Select",""],["","00603533715","PREDNISONE","PAK 5MG","21","Select","Select",""],["","50111033401","METRONIDAZOL","TAB 500MG","14","Select","Select",""],["","65862039010","ONDANSETRON","TAB 4MG ODT","12","Select","Select",""],["","50428028552","ACETAMINOPHN","TAB 500MG","20","Select","Select",""],["","70710101002","OSELTAMIVIR","CAP 75MG","10","Select","Select",""],["","65862007701","CIPROFLOXACN","TAB 500MG","10","Select","Select",""],["","63044015001","PRENATAL","TAB LOW IRON","30","Select","Select",""],["","68180016106","AZITHROMYCIN","TAB 500MG","2","Select","Select",""],["","50428892775","SPECTRAVITE","TAB ULT WMN","30","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":""}]}]}