{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"DIANNA   M LICHLITER","gend":1,"add":"201 PARKWAY STREET","city":"WINCHESTER                    ","state":"VA","zip":"22601-5143","dob":"1983-10-06","age":"","mstatus":"","insh":4348816,"cliId":"","pno":5405502711,"cno":"","email":"","ename":"","eno":"","pphy":"CUNNINGHAM, JENNIFER D","ppno":5404773808,"pcpadd":"5173 Main St,","pcpcity":"Mount Jackson                 ","pcpstate":"VA","pcpzip":228429513,"pcpcounty":"","pcpid":"","pcpname":"NOT FOUND","plan":"VPHP","program":"MEDICAID","lob":"VPM4","region":"NORTHERN\/ WINCHESTER","aligned":"","ano":"","add2":"201 PARKWAY STREET","add3":"","madd1":"201 PARKWAY STREET","madd2":"","madd3":"","mcity":"WINCHESTER                    ","mstate":"VA","mzip":"22601-5143","pcpfaxno":"","pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["F31.81","F43.10","D35.2","F41.9","F41.0","G43.909","Z86.59","E66.9","E23.7","R87.629","R51","F17.200","E55.9","J02.0","K04.7","Z88.0","F41.1","F32.0","R06.09","D12.6","E78.5","Z13.0","Z13.1","J44.9","R06.02","F17.210","Q21.1","R55","J43.9","R91.1","R91.8","Z09","Z87.74","J45.50","R79.89","F31.61","J98.11","S82.034A","S89.91XA","W10.9XXA","Y93.01","S82.044A","R29.6","S82.034D","I36.1","R06.00","R00.0","R07.9","Z53.21","F17.290","G90.9","D89.40","D89.89","R10.9","N28.1","K76.0","E27.9","N83.202","N83.201","E27.8","K59.00","M54.50","R10.31"],"date":["2021-01-04","2021-12-20","2020-12-09","2020-09-09","2020-02-12","2020-02-12","2020-02-12","2020-02-12","2020-02-12","2020-03-10","2020-09-09","2020-12-09","2020-12-09","2020-03-25","2020-03-25","2020-03-25","2020-08-20","2020-08-20","2021-06-08","2020-09-09","2020-12-09","2020-09-09","2020-09-09","2020-11-10","2021-01-06","2021-04-05","2021-04-05","2021-06-24","2020-11-05","2021-08-24","2021-04-05","2021-04-02","2020-11-10","2021-07-07","2020-12-09","2020-12-09","2021-04-02","2021-04-08","2021-04-08","2021-04-08","2021-04-08","2021-04-08","2021-04-08","2021-06-02","2021-06-08","2021-08-24","2021-08-09","2021-08-12","2021-12-27","2021-08-24","2021-10-07","2021-10-07","2021-10-07","2021-12-27","2021-12-28","2021-12-28","2021-12-28","2021-12-28","2021-12-28","2021-12-28","2021-12-28","2021-12-28","2021-12-28"],"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":[["","69584009250","BUSPIRONE","TAB 10MG","60","Select","Select",""],["","00093083205","CLONAZEPAM","TAB 0.5MG","30","Select","Select",""],["","29300011416","LAMOTRIGINE","TAB 200MG","180","Select","Select",""],["","43598016430","OLANZAPINE","TAB 5MG","30","Select","Select",""],["","68462013701","OXCARBAZEPIN","TAB 150MG","60","Select","Select",""],["","67877024901","QUETIAPINE","TAB 50MG","30","Select","Select",""],["","43547034106","RISPERIDONE","TAB 1MG","30","Select","Select",""],["","00186091612","PULMICORT","INH 180MCG","1","Select","Select",""],["","16729011917","MONTELUKAST","TAB 10MG","30","Select","Select",""],["","00406012301","HYDROCO\/APAP","TAB 5-325MG","25","Select","Select",""],["","68001040008","FLUOXETINE","CAP 20MG","270","Select","Select",""],["","59310057922","PROAIR","AER ","8.5","Select","Select",""],["","00597007541","SPIRIVA","CAP HANDIHLR","30","Select","Select",""],["","69315012710","FOLIC","TAB 1000MCG","20","Select","Select",""],["","00536589488","NICOTINE","DIS 7MG\/24HR","14","Select","Select",""],["","00186037020","SYMBICORT","AER 160-4.5","10.2","Select","Select",""],["","46122017708","GNP","LOZ 4MG MINT","288","Select","Select",""],["","74312019377","VITAMIN","CAP 5000UNIT","30","Select","Select",""],["","70954002010","PRAZOSIN","CAP 2MG","30","Select","Select",""],["","13107003134","MIRTAZAPINE","TAB 15MG","30","Select","Select",""],["","00185067401","HYDROXYZ","CAP 25MG","90","Select","Select",""],["","42571025201","CLINDAMYCIN","CAP 300MG","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":""}]}]}