{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"NICHOLAS   E HINDRE","gend":0,"add":"1824 GRAYSON TURNPIKE","city":"WYTHEVILLE","state":"VA","zip":"24382-3737","dob":"2003-04-07","age":"","mstatus":"","insh":4312600,"cliId":"","pno":2766203656,"cno":"","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":"APARTMENT B","add3":"","madd1":"1824 GRAYSON TURNPIKE","madd2":"APARTMENT B","madd3":"","mcity":"WYTHEVILLE","mstate":"VA","mzip":"24382-3737","pcpfaxno":"","pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["M54.2","V49.9XXA","S09.90XA","S19.9XXA","S49.91XA","V49.50XA","S16.1XXA","S40.011A","F90.9","K21.9","J01.90","F90.1","S06.0X0A","M94.0","R07.9","R07.89","H54.3","H54.62","H54.7","R42","H04.123","H10.45","H53.19","S50.01XA","M25.521","W10.9XXA","M70.31","T14.90XA","F90.8","N62","S63.502A","W22.8XXA","Z00.129","Z23","L24.9","H53.10","H52.219","R06.6","M62.838","M54.12","G62.9","S63.501A","M25.531","X50.1XXA","S40.012A","K40.21","F32.9","S76.899A","N50.819","B35.6","F29","F25.9","F31.9","F90.0","Z20.822","Z03.89","R10.31","R04.0","Z20.9","J02.9","R11.2","H81.13","U07.1","R05.9","Z79.899","F32.3","F90.2","J11.1","R31.9","F41.9","F43.10","Z63.8","L72.3","S06.0X1A","S10.93XA","S06.0X9A","R11.0","Y04.8XXA","Y92.219","Y93.01","R40.2142","R40.2252","R40.2362","Z04.3","H04.121","H04.122","B07.0","M79.672"],"date":["2020-01-03","2020-01-03","2020-01-03","2020-01-03","2020-01-03","2020-01-03","2020-01-03","2020-01-03","2020-03-12","2020-01-03","2020-03-02","2020-03-02","2020-03-11","2020-07-27","2020-07-27","2020-07-27","2020-08-29","2020-08-29","2020-08-29","2022-02-25","2021-04-08","2021-04-08","2021-04-08","2020-10-14","2020-10-14","2020-10-14","2020-10-14","2020-11-12","2020-10-24","2020-10-24","2020-11-12","2020-11-12","2020-11-14","2020-11-14","2020-11-14","2020-11-17","2020-11-17","2020-12-27","2020-12-27","2020-12-27","2020-12-27","2020-12-27","2020-12-27","2020-12-27","2021-02-15","2021-02-15","2021-04-07","2021-03-12","2021-03-12","2021-03-12","2021-04-07","2021-04-07","2021-04-07","2021-04-07","2022-02-25","2021-08-17","2021-08-21","2022-02-16","2022-01-23","2022-02-01","2022-02-25","2022-02-16","2022-03-07","2022-02-25","2022-02-25","2019-11-06","2019-07-31","2019-01-28","2019-03-12","2019-04-04","2019-11-19","2019-04-30","2019-05-10","2019-05-10","2019-05-10","2019-05-10","2019-05-10","2019-05-10","2019-05-10","2019-05-10","2019-05-10","2019-05-10","2019-05-10","2019-05-10","2019-08-06","2019-08-06","2019-11-23","2019-11-23"],"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":[["","00168009915","KETOCONAZOLE","CRE 0.02","30","Select","Select",""],["","13668021730","ARIPIPRAZOLE","TAB 5MG","8","Select","Select",""],["","64380071206","BENZONATATE","CAP 100MG","15.00","Select","Select",""],["","68462015713","ONDANSETRON","TAB 4MG ODT","12.00","Select","Select",""],["","29300012510","MELOXICAM","TAB 15MG","30","Select","Select",""],["","64380080707","IBUPROFEN","TAB 800MG","20","Select","Select",""],["","51672128202","TRIAMCINOLON","CRE 0.001","30","Select","Select",""],["","00781808926","AZITHROMYCIN","TAB 250MG","6.00","Select","Select",""],["","43598081115","CETIRIZINE","TAB 10MG","30.00","Select","Select",""],["","65862048901","QUETIAPINE","TAB 25MG","18","Select","Select",""],["","69543042510","NAPROXEN","TAB 375MG","12","Select","Select",""],["","59417010510","VYVANSE","CAP 50MG","30","Select","Select",""],["","00143993905","AMOXICILLIN","CAP 500MG","15","Select","Select",""],["","41100080319","CLARITIN-D","TAB 5-120MG","10","Select","Select",""],["","00093506105","HYDROXYZ","TAB 25MG","60","Select","Select",""],["","65862001905","CEPHALEXIN","CAP 500MG","14","Select","Select",""],["","31722063231","OSELTAMIVIR","CAP 75MG","10","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":""}]}]}