{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"MALEAH   A THORNTON","gend":1,"add":"3735 KIRBY DRIVE","city":"CHRISTIANSBURG                ","state":"VA","zip":"24073-4637","dob":"2004-06-14","age":"","mstatus":"","insh":4180103,"cliId":"","pno":5405770208,"cno":"","email":"","ename":"","eno":"","pphy":"PREEDOM, AMANDA E","ppno":5406395188,"pcpadd":"202 8th St,","pcpcity":"RADFORD                       ","pcpstate":"VA","pcpzip":241412426,"pcpcounty":"","pcpid":"","pcpname":"NEW RIVER VALLEY PEDIATRICS","plan":"VPHP","program":"MEDICAID","lob":"VPM4","region":"ROANOKE\/ ALLEGHANY","aligned":"","ano":"","add2":"3735 KIRBY DRIVE","add3":"","madd1":"3735 KIRBY DRIVE","madd2":"","madd3":"","mcity":"CHRISTIANSBURG                ","mstate":"VA","mzip":"24073-4637","pcpfaxno":"","pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["L03.211","N39.0","R30.0","J30.9","J02.9","Z23","F32.9","F43.20","Z20.828","F43.0","Z11.59","F29","R45.851","Z20.822","F33.2","F43.23","Z87.440","X78.9XXA","F17.290","F33.9","Z63.4","F43.21","F32.1","Z00.129","Z01.10","Z68.53","M54.5","N94.6","Z30.41","Z30.8","R50.9","U07.1","J11.1"],"date":["2020-02-23","2021-01-13","2020-09-16","2020-05-08","2021-11-23","2021-02-23","2021-01-13","2020-11-22","2020-11-22","2020-11-22","2020-11-22","2021-01-13","2021-01-13","2021-01-13","2021-01-13","2021-01-18","2021-01-13","2021-01-13","2021-01-13","2021-01-18","2021-01-18","2021-02-01","2021-12-28","2021-02-23","2021-02-23","2021-02-23","2021-03-22","2021-03-24","2021-03-24","2021-06-16","2021-11-22","2021-09-28","2021-11-22"],"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":[["","65862001205","SERTRALINE","TAB 50MG","45","Select","Select",""],["","00555901858","TRI-SPRINTEC","TAB ","84","Select","Select",""],["","50428029733","MAG","SOL CHERRY","296","Select","Select",""],["","00406012305","HYDROCO\/APAP","TAB 5-325MG","10","Select","Select",""],["","59651039001","BUSPIRONE","TAB 7.5MG","60","Select","Select",""],["","13668013601","ESCITALOPRAM","TAB 10MG","30","Select","Select",""],["","68462013281","NORETH\/ETHIN","TAB 43831","84","Select","Select",""],["","00054327099","FLUTICASONE","SPR 50MCG","16","Select","Select",""],["","68180012202","CEPHALEXIN","CAP 500MG","30","Select","Select",""],["","45802065078","LORATADINE","TAB 10MG","90","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":""}]}]}