{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"DAYQUAN   D KING","gend":0,"add":"4013 NORTH AVENUE","city":"RICHMOND                      ","state":"VA","zip":"23222-1147","dob":"1999-01-09","age":"","mstatus":"","insh":4199069,"cliId":"","pno":8042921156,"cno":8047370221,"email":"","ename":"","eno":"","pphy":"VCU CENTER FOR ADVANCED HEALTH","ppno":"","pcpadd":"MCV Physicians,2116 W Laburnum Ave Ste 100","pcpcity":"Richmond                      ","pcpstate":"VA","pcpzip":232274359,"pcpcounty":"","pcpid":"","pcpname":"VCU CENTER FOR ADVANCED HEALTH-SL","plan":"VPHP","program":"MEDICAID","lob":"MLTSS","region":"CENTRAL","aligned":"","ano":"","add2":"4013 NORTH AVENUE","add3":"","madd1":"4013 NORTH AVENUE","madd2":"APT 3","madd3":"","mcity":"RICHMOND                      ","mstate":"VA","mzip":"23222-1147","pcpfaxno":"","pcpnpi":""},{"a":{"indx":["","1","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["R10.11","R11.2","M41.9","F17.210","J45.909","R10.31","K29.90","F17.200","F90.9","R51","R52","M25.519","M25.511","S27.329A","S26.91XA","S39.91XA","S39.93XA","S06.9X0A","V89.2XXA","T14.90XA","V49.40XA","S19.9XXA","S29.9XXA","S09.90XA","S49.91XA","S69.91XA","S89.91XA","R60.0","S59.901A","S59.911A","M54.2","M54.5","M25.531","V87.7XXA","V89.2XXD","Z79.899","S43.101A","S63.501A","V47.5XXA","F31.61","M54.6","S33.5XXD","V47.0XXA","J96.01","D62","S27.331A","S21.142A","R91.8","J98.4","I51.7","X95.9XXA","S21.302A","K44.9","S36.30XA","R57.1","S27.1XXA","R93.89","S81.031A","S71.131A","S71.132A","S81.032A","S27.2XXA","S36.511A","S36.898A","S21.132A","S22.089A","S27.809A","K56.7","E44.0","I31.3","S27.321A","S21.342A","S21.449A","W34.00XA","S36.33XA","J94.2","S71.032A","J93.9","J98.19","J18.9","J98.11","J90","Z90.2","S27.808A","G89.11","Z99.11","K92.2","S31.609A","Z90.3","J81.1","S22.078A","M43.17","K63.89","Z46.82","G89.12","R07.9","J39.8","D72.829","M79.652","R06.89","R18.8","K59.89","Z90.49","R00.0","Z53.32","G89.18","R10.10","J96.00","R09.89","Z46.59","K59.00","I21.3","J94.8","R10.30","J98.6","K63.1","I31.9","A49.02","S36.39XA","R53.1","B95.61","R09.02","J95.811","I31.4","I31.2","S21.139A","S31.139A","G47.00","Z48.03","Z18.10","Z48.813","S22.078D","S27.808D","S36.39XD","S36.511D","E46","M25.552","Z48.02","Z48.89","Z98.890","M48.54XG","S22.089D","S22.079D","T81.89XA","M25.652","M51.26","M25.551","Z79.1","Z79.51","Z79.52","I49.9","R06.09","Z86.79","R94.31","S22.009A","M54.9","M62.81","M43.16","M48.061","M41.84","F43.11","Q76.2","M47.817","M54.32","Z00.01","Z11.3","G89.29","Z71.89","I31.1","M54.42"],"date":["2020-03-03","2020-03-02","2021-04-07","2020-06-23","2021-04-13","2020-03-02","2020-03-03","2021-04-13","2020-03-06","2020-06-20","2020-06-20","2020-06-20","2020-07-15","2021-02-18","2020-06-21","2021-02-18","2020-06-21","2020-06-21","2020-06-23","2020-06-21","2020-06-21","2020-06-21","2020-06-21","2020-06-21","2020-06-21","2020-06-21","2020-06-21","2020-06-21","2020-06-21","2020-06-21","2020-07-30","2021-09-13","2020-07-15","2020-06-23","2021-09-27","2021-04-13","2020-07-06","2020-08-03","2020-07-06","2021-12-02","2020-07-30","2020-07-30","2020-08-03","2021-04-07","2021-03-11","2021-02-18","2021-02-18","2021-03-10","2021-03-02","2021-03-03","2021-02-18","2021-02-18","2021-02-18","2021-02-19","2021-02-18","2021-02-23","2021-02-18","2021-02-18","2021-02-18","2021-02-18","2021-02-18","2021-02-18","2021-02-19","2021-02-18","2021-02-18","2021-02-18","2021-02-19","2021-03-10","2021-03-11","2021-03-11","2021-02-18","2021-02-18","2021-02-18","2021-03-08","2021-02-18","2021-04-29","2021-02-18","2021-03-09","2021-02-19","2021-02-19","2021-04-29","2021-04-29","2021-02-23","2021-02-19","2021-03-08","2021-02-24","2021-02-19","2021-02-19","2021-02-19","2021-03-02","2021-02-21","2021-03-23","2021-02-26","2021-03-02","2021-05-06","2021-03-08","2021-02-22","2021-03-11","2021-02-22","2021-03-11","2021-02-26","2021-02-22","2021-02-22","2021-03-05","2021-02-23","2021-03-07","2021-03-07","2021-02-25","2021-02-25","2021-02-26","2021-02-25","2021-02-26","2021-02-26","2021-02-28","2021-03-10","2021-03-01","2021-03-11","2021-03-08","2021-03-02","2021-03-03","2021-03-08","2021-03-11","2021-03-03","2021-03-05","2021-03-05","2021-03-08","2021-03-08","2021-03-11","2021-03-09","2021-03-10","2021-04-07","2021-04-07","2021-04-07","2021-04-07","2021-04-07","2021-04-07","2021-06-17","2021-03-19","2021-03-19","2021-04-29","2021-03-23","2021-03-23","2021-03-23","2021-03-23","2021-04-02","2021-04-13","2021-04-13","2021-04-13","2021-04-13","2021-04-13","2021-04-23","2021-04-23","2021-09-07","2021-04-23","2021-05-06","2021-05-06","2021-05-06","2021-06-17","2021-06-17","2021-06-17","2021-10-28","2021-09-27","2021-09-27","2021-09-13","2021-08-05","2021-08-05","2021-08-05","2021-08-05","2021-09-07","2021-09-27"],"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":[["","16571020150","DICLOFENAC","TAB 75MG DR","60","Select","Select",""],["","65162010250","GABAPENTIN","CAP 300MG","180","Select","Select",""],["","27241009903","DULOXETINE","CAP 60MG","30","Select","Select",""],["","52817033200","CYCLOBENZAPR","TAB 10MG","90","Select","Select",""],["","00591352530","LIDOCAINE","PAD 0.05","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":""}]}]}