{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"KYLEE   A JARVIS","gend":1,"add":"357 MUSSERS MILL ROAD","city":"CROCKETT                      ","state":"VA","zip":"24323-3043","dob":"2003-02-25","age":"","mstatus":"","insh":4217761,"cliId":"","pno":2762007969,"cno":2766131362,"email":"","ename":"","eno":"","pphy":"ANEY, MATTHEW","ppno":2762282405,"pcpadd":"590 W Ridge Rd Ste J,","pcpcity":"Wytheville                    ","pcpstate":"VA","pcpzip":243821067,"pcpcounty":"","pcpid":"","pcpname":"WYTHE BLAND PEDIATRICS","plan":"VPHP","program":"MEDICAID","lob":"VPM4","region":"ROANOKE\/ ALLEGHANY","aligned":"","ano":"","add2":"357 MUSSERS MILL ROAD","add3":"","madd1":"287 Jonas Town Rd","madd2":"","madd3":"","mcity":"Cripple Creek                 ","mstate":"VA","mzip":"24322-3004","pcpfaxno":"","pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["G43.909","Z09","T50.905A","R63.4","S46.911A","S49.91XA","W20.8XXA","Z79.899","M54.5","F41.9","Z30.42","Z71.3","Z71.82","L02.01","H60.11","R22.0","L03.211","H65.92","J02.9","J30.2","Z20.822","Z01.419","Z11.3","Z32.02","R11.0","L02.211","R10.811","E80.7","R10.11","R10.13","K82.8","R10.10","R11.2","R21","Z01.818","K81.1","F17.290","G89.18","R07.89","Z83.79","Z87.19","I45.10","R10.9","K66.8","Z90.49","R79.89","R18.8","Z98.890","I44.0","R59.0","J06.9","R93.2","I45.19","R00.0","R59.1","Z01.411","B37.3","N92.6","Z11.8","J01.90","R51","B34.9","R50.9","R05","Z00.129","Z23","K58.9","N83.209","R11.11","J45.909","T76.32XA","G47.00","N94.6","F32.9","N94.9","R10.2"],"date":["2021-01-14","2020-06-15","2020-06-15","2020-06-15","2020-07-18","2020-07-18","2020-07-18","2020-07-18","2021-01-14","2021-01-14","2022-03-15","2021-01-14","2021-01-14","2021-02-20","2021-02-20","2021-02-20","2021-02-20","2021-04-05","2021-04-05","2021-04-05","2022-01-27","2021-05-03","2022-03-15","2021-05-03","2022-03-08","2021-08-09","2021-08-28","2021-08-28","2021-10-14","2022-03-08","2021-11-11","2022-01-27","2022-01-27","2021-10-14","2021-11-08","2021-11-11","2021-11-14","2021-11-14","2022-01-27","2021-11-14","2021-11-14","2022-03-30","2022-01-27","2021-11-14","2022-03-01","2021-11-15","2021-11-15","2021-11-15","2022-01-27","2022-03-22","2022-01-31","2022-03-01","2022-03-08","2022-03-30","2022-03-08","2022-03-15","2022-03-15","2022-03-15","2022-03-15","2019-01-19","2019-01-19","2019-04-02","2019-01-19","2019-10-18","2019-03-11","2019-03-11","2019-03-20","2019-03-20","2019-09-03","2019-10-18","2019-11-20","2019-11-20","2019-12-05","2019-12-05","2019-12-05","2019-12-05"],"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":[["","00548570100","MEDROXYPR","INJ 150MG\/ML","1.00","Select","Select",""],["","57237000511","FLUCONAZOLE","TAB 150MG","2.00","Select","Select",""],["","70954005920","PREDNISONE","TAB 10MG","5","Select","Select",""],["","68382009810","PAROXETINE","TAB 20MG","30","Select","Select",""],["","68382003416","VENLAFAXINE","CAP 37.5 ER","30","Select","Select",""],["","00378808245","TRETINOIN","CRE 0.00025","45","Select","Select",""],["","00054350049","LIDOCAINE","SOL 2% VISC","100","Select","Select",""],["","00093314705","CEPHALEXIN","CAP 500MG","21","Select","Select",""],["","16714079904","CETIRIZINE","TAB 10MG","30","Select","Select",""],["","72606050902","FAMOTIDINE","TAB 20MG","20.00","Select","Select",""],["","57237007710","ONDANSETRON","TAB 4MG ODT","12","Select","Select",""],["","00378113401","KETOROLAC","TAB 10MG","20.00","Select","Select",""],["","57237002801","AMOXICILLIN","TAB 500MG","30","Select","Select",""],["","67877031901","IBUPROFEN","TAB 400MG","15","Select","Select",""],["","11877001140","BINAXNOW","KIT HOME TES","2","Select","Select",""],["","65862056090","PANTOPRAZOLE","TAB 40MG","30.00","Select","Select",""],["","59762040101","SUCRALFATE","TAB 1GM","120.00","Select","Select",""],["","45802012801","CLINDAMYCIN","LOT 0.01","60","Select","Select",""],["","31722099601","HYDROCO\/APAP","TAB 5-325MG","8","Select","Select",""],["","65862042005","SMZ\/TMP","TAB 800-160","14","Select","Select",""],["","00093101042","MUPIROCIN","OIN 0.02","22","Select","Select",""],["","65862017760","CEFDINIR","CAP 300MG","14","Select","Select",""],["","00054327099","FLUTICASONE","SPR 50MCG","16","Select","Select",""],["","55111064530","OMEPRAZOLE","CAP 40MG","30","Select","Select",""],["","60432060416","PROMETHAZINE","SYP DM","150","Select","Select",""],["","50111078751","AZITHROMYCIN","TAB 250MG","6","Select","Select",""],["","42192060716","BROM\/PSE\/DM","SYP ","120","Select","Select",""],["","00172392770","DIAZEPAM","TAB 10MG","1","Select","Select",""],["","42858010201","OXYCOD\/APAP","TAB 5-325MG","15","Select","Select",""],["","00116200116","CHLORHEX","SOL 0.0012","473","Select","Select",""],["","00456315467","AEROCHAMBER","MIS PLUS","1","Select","Select",""],["","16714008210","HYDROXYZ","TAB 25MG","10","Select","Select",""],["","69452014430","BENZONATATE","CAP 200MG","15","Select","Select",""],["","00555901658","SPRINTEC","TAB 28 DAY","28","Select","Select",""],["","66993001968","ALBUTEROL","AER HFA","18","Select","Select",""],["","16714035201","FLUOXETINE","CAP 20MG","30","Select","Select",""],["","29300022019","MONTELUKAST","TAB 10MG","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":""}]}]}