{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"GARRETT   D MORGAN","gend":0,"add":"C\/O LISA SHACKLEFORD-CZF-161","city":"ROANOKE                       ","state":"VA","zip":"24012-5420","dob":"2004-01-14","age":"","mstatus":"","insh":4261705,"cliId":"","pno":5402838892,"cno":"","email":"","ename":"","eno":"","pphy":"ARTHUR, MEREDITH M","ppno":5403449213,"pcpadd":"613 High St,Nanticoke Pediatrics","pcpcity":"Seaford                       ","pcpstate":"DE","pcpzip":199733503,"pcpcounty":"","pcpid":"","pcpname":"PHYSICIANS TO CHILDREN INC","plan":"VPHP","program":"MEDICAID","lob":"VPM4","region":"ROANOKE\/ ALLEGHANY","aligned":"","ano":"","add2":"C\/O LISA SHACKLEFORD-CZF-161","add3":"","madd1":"C\/O LISA SHACKLEFORD-CZF-161","madd2":"1406 EASTGATE AVENUE","madd3":"","mcity":"ROANOKE                       ","mstate":"VA","mzip":"24012-5420","pcpfaxno":"","pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["F90.9","F43.9","F32.0","F10.120","R00.0","Z87.891","I49.8","F32.9","F90.2","F91.3","F91.1","Z04.6","W22.09XA","Y92.096","X78.8XXA","X58.XXXD","F19.10","M79.641","M79.642","S60.512A","S60.511A","S91.012A","S71.012D","X58.XXXA","R46.89","Z00.129","Z23","Z59.3","Z11.3","S60.221A","S62.366A","S69.91XA","F12.99","F34.0","Z13.89","Z11.1"],"date":["2020-09-18","2020-03-10","2020-02-02","2020-02-13","2020-02-13","2020-02-13","2020-02-13","2021-12-09","2021-12-09","2021-12-09","2020-03-02","2020-03-02","2020-03-02","2020-03-02","2020-03-02","2020-03-02","2020-03-02","2020-06-11","2020-03-02","2020-03-02","2020-03-02","2020-03-02","2020-03-02","2020-03-02","2020-03-02","2021-06-22","2021-11-24","2020-03-20","2021-06-22","2020-05-25","2020-06-08","2020-06-08","2020-09-25","2021-12-20","2021-06-22","2021-06-22"],"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":[["","54092038701","ADDERALL","CAP 20MG","30","Select","Select",""],["","24979053301","GUANFACINE","TAB 1MG ER","30","Select","Select",""],["","57664049983","MIRTAZAPINE","TAB 15MG","30","Select","Select",""],["","50111064701","FLUOXETINE","CAP 10MG","30","Select","Select",""],["","50111043403","TRAZODONE","TAB 100MG","22","Select","Select",""],["","50458058601","CONCERTA","TAB 36MG","30","Select","Select",""],["","07610015540","MELATONIN","TAB 5MG","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":""}]}]}