{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"JA'KARA   N WILLIAMS","gend":1,"add":"901 GREENRIDGE DRIVE","city":"RICHMOND                      ","state":"VA","zip":"23225-7356","dob":"2004-03-09","age":"","mstatus":"","insh":4155098,"cliId":"","pno":8042638295,"cno":"","email":"","ename":"","eno":"","pphy":"CAROLYN BOONE MD","ppno":8047838788,"pcpadd":"110 N Robinson St,Suite 103","pcpcity":"Richmond                      ","pcpstate":"VA","pcpzip":232204459,"pcpcounty":"","pcpid":"","pcpname":"CAROLYN J BOONE MD PC.","plan":"VPHP","program":"MEDICAID","lob":"VPM4","region":"CENTRAL","aligned":"","ano":"","add2":"","add3":"","madd1":"901 GREENRIDGE DRIVE","madd2":"","madd3":"","mcity":"RICHMOND                      ","mstate":"VA","mzip":"23225-7356","pcpfaxno":8667776407,"pcpnpi":""},{"a":{"indx":["","1","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["J09.X2","J10.1","R05","R50.9","N75.1","N90.60","R09.81","J45.909","Z01.419","Z11.3","Z30.45","Z86.19","Z20.822","J45.998","Z00.121","D89.9","Z23","J45.40","J30.9","Z91.89","Z71.3","Z71.82","N12","R68.83","N17.9","N39.0","N17.0","E86.0","Z98.891","B96.20","Z79.1","Z79.83","Z79.2","Z84.1","N10","R11.2","T36.1X5A","Z87.440","N19","Z20.2"],"date":["2020-02-10","2020-02-10","2020-02-10","2020-02-10","2020-04-01","2020-04-01","2020-04-01","2021-08-13","2020-08-06","2021-09-14","2021-09-14","2020-09-15","2021-08-11","2021-03-18","2021-03-18","2021-03-18","2021-03-18","2021-03-18","2021-03-18","2021-03-18","2021-03-18","2021-03-18","2021-08-18","2021-08-06","2021-08-13","2021-08-13","2021-08-11","2021-08-12","2021-08-11","2021-08-13","2021-08-11","2021-08-11","2021-08-11","2021-08-11","2021-08-13","2021-08-13","2021-08-13","2021-08-13","2021-08-18","2021-11-15"],"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":[]},{"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":[["","00378334053","XULANE","DIS 150-35","3","Select","Select",""],["","42806031250","DOXYCYCL","TAB 100MG","14","Select","Select",""],["","68180016113","AZITHROMYCIN","TAB 500MG","2","Select","Select",""],["","65162068090","PROMETHAZINE","SOL DM","60","Select","Select",""],["","63304069301","CLINDAMYCIN","CAP 300MG","30","Select","Select",""],["","00603188016","LIDOCAINE","PAD 0.05","30","Select","Select",""],["","71093014005","METHOCARBAM","TAB 500MG","7","Select","Select",""],["","67877032005","IBUPROFEN","TAB 600MG","20","Select","Select",""],["","65862057490","MONTELUKAST","TAB 10MG","30","Select","Select",""],["","68382005005","MELOXICAM","TAB 7.5MG","30","Select","Select",""],["","50111033401","METRONIDAZOL","TAB 500MG","4","Select","Select",""],["","70710113908","FLUCONAZOLE","TAB 150MG","2","Select","Select",""],["","00143992801","CIPROFLOXACN","TAB 500MG","14","Select","Select",""],["","00054327099","FLUTICASONE","SPR 50MCG","16","Select","Select",""],["","45802091987","CETIRIZINE","TAB 10MG","30","Select","Select",""],["","65862039110","ONDANSETRON","TAB 8MG ODT","12","Select","Select",""],["","00378827052","ALBUTEROL","NEB 0.00083","300","Select","Select",""],["","65862001501","AMOXICILLIN","TAB 875MG","20","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":""}]}]}