{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"TERRANCE   A WRIGHT","gend":0,"add":"45   DICKINSON DRIVE                                        ","city":"FREDERICKSBURG                ","state":"VA","zip":"22406-6244","dob":"2004-09-30","age":"","mstatus":"","insh":4217510,"cliId":"","pno":5407609042,"cno":5712200361,"email":"","ename":"","eno":"","pphy":"HULL, JANE R                                                ","ppno":5406049500,"pcpadd":"4604 Spotsylvania Pkwy                                      ,Ste 345                                                     ","pcpcity":"Fredericksburg                ","pcpstate":"VA","pcpzip":224087767,"pcpcounty":"","pcpid":"","pcpname":"PREFERRED PEDIATRICS","plan":"VPHP","program":"MEDICAID","lob":"VPM4","region":"CENTRAL","aligned":"","ano":"","add2":"45   DICKINSON DRIVE                                        ","add3":"","madd1":"45   DICKINSON DRIVE                                        ","madd2":"                                                            ","madd3":"","mcity":"FREDERICKSBURG                ","mstate":"VA","mzip":"22406-6244","pcpfaxno":"","pcpnpi":""},{"a":{"indx":["","1","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["F90.2","Z00.129","Z68.52","Z71.3","Z71.82","Z23","Z13.31","G47.9","K59.00","R11.0","R19.4","J02.0","Z20.828","U07.1","J32.9","H10.9","R50.9","R07.0","Z20.822","H16.9","H10.021","S93.402A"],"date":["2021-03-01","2020-10-12","2020-10-12","2020-10-12","2020-10-12","2020-10-12","2020-10-12","2021-03-01","2021-01-21","2021-01-21","2021-01-21","2021-05-26","2021-09-15","2021-12-24","2022-06-26","2022-06-26","2022-06-26","2022-06-26","2022-06-26","2022-06-29","2022-06-29","2022-11-27"],"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":[["","24208091055","ERYTHROMYCIN","OIN 5MG\/GM","3.5","Select","Select",""],["","65862039010","ONDANSETRON","TAB 4MG ODT","20","Select","Select",""],["","65862050320","AMOX\/K","TAB 875-125","20","Select","Select",""],["","60505056001","OFLOXACIN","DRO 0.3% OP","10","Select","Select",""],["","60758011905","PREDNISOLONE","SUS 1% OP","5","Select","Select",""],["","10702010101","METHYLPHENID","TAB 10MG","30","Select","Select",""],["","59417010410","VYVANSE","CAP 40MG","30","Select","Select",""],["","00093416178","AMOXICILLIN","SUS 400\/5ML","150","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":""}]}]}