{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"ALEJANDRA   K SMITH","gend":1,"add":"450   JOI STREET                                            ","city":"CHRISTIANSBURG                ","state":"VA","zip":"24073-5255","dob":"2004-10-31","age":"","mstatus":"","insh":4382938,"cliId":"","pno":2762352942,"cno":"","email":"","ename":"","eno":"","pphy":"MCGUIRE, MARIA B","ppno":2762368166,"pcpadd":"606 E Stuart Dr                                             ,                                                            ","pcpcity":"Galax                         ","pcpstate":"VA","pcpzip":243332317,"pcpcounty":"","pcpid":"","pcpname":"GALAX PEDIATRIC CARE CENTER","plan":"VPHP","program":"MEDICAID","lob":"VPM4","region":"ROANOKE\/ ALLEGHANY","aligned":"","ano":"","add2":"450   JOI STREET                                            ","add3":"","madd1":"450   JOI STREET                                            ","madd2":"                                                            ","madd3":"","mcity":"CHRISTIANSBURG                ","mstate":"VA","mzip":"24073-5255","pcpfaxno":"","pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["R68.89","F91.3","R10.9","R11.10","R42","F45.8","R07.9","R06.02","Z20.828","R06.4","Z20.822","S20.211A","R51.9","R53.83","R07.89","V00.131A","Y93.51","S09.90XA","R40.2362","R40.2142","R40.2252","F17.200","Z04.1","R55","Z13.6","Z03.818","R00.0","R00.2","R05.9","R09.89","N91.0","Z32.01","O36.80X0","Z3A.12","Z34.00","Z36.89","Z3A.20","Z34.92","Z36.9","O26.859","Z3A.22","Z23","O99.011","O26.891","O99.281","E87.6","E83.42","Z3A.01"],"date":["2020-02-11","2020-04-07","2020-08-19","2020-08-19","2020-08-19","2020-08-19","2022-05-30","2020-08-19","2021-09-17","2020-08-19","2022-07-06","2022-02-21","2022-02-21","2022-02-21","2022-12-05","2022-02-21","2022-02-21","2022-02-21","2022-02-21","2022-02-21","2022-02-21","2022-02-21","2022-02-21","2022-12-05","2022-05-30","2022-07-06","2022-07-20","2022-11-17","2022-07-20","2022-07-20","2022-09-22","2022-09-22","2022-09-22","2022-09-22","2022-11-17","2022-11-17","2022-11-17","2022-11-17","2022-11-17","2022-12-01","2022-12-01","2022-12-01","2022-12-05","2022-12-05","2022-12-05","2022-12-05","2022-12-05","2022-12-05"],"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":[]},{"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":[["","47781030301","NITROFURANTN","CAP 100MG","14","Select","Select",""],["","65862039010","ONDANSETRON","TAB 4MG ODT","12","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":""}]}]}