{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"NASHYAH MILLER","gend":1,"add":"1701   GRACE STREET                                         ","city":"LYNCHBURG                     ","state":"VA","zip":"24504-3215","dob":"2004-10-05","age":"","mstatus":"","insh":4469063,"cliId":"","pno":5407613414,"cno":4344739103,"email":"","ename":"","eno":"","pphy":"KADREE, MARGARET A                                          ","ppno":4349475967,"pcpadd":"320 Federal St                                              ,                                                            ","pcpcity":"Lynchburg                     ","pcpstate":"VA","pcpzip":245042306,"pcpcounty":"","pcpid":"","pcpname":"","plan":"VPHP","program":"MEDICAID","lob":"VPM4","region":"WESTERN\/ CHARLOTTESVILLE","aligned":"","ano":"","add2":"1701   GRACE STREET                                         ","add3":"","madd1":"1701   GRACE STREET                                         ","madd2":"                                                            ","madd3":"","mcity":"LYNCHBURG                     ","mstate":"VA","mzip":"24504-3215","pcpfaxno":"","pcpnpi":""},{"a":{"indx":["","1","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["F32.9","T14.91XA","F12.90","Z82.49","F48.9","X83.8XXA","F43.25","F91.2","Z62.898","F12.20","S19.9XXA","I65.29","M54.2","R07.9","S16.1XXA","J30.2","X58.XXXA","R06.02","J45.909","Z97.5","N30.00","M54.6","R82.998","Z30.431","Z30.432","Z30.40","R10.2","R58","M54.50","M54.9","R51.9","M47.812","S29.9XXA","S39.012A","R07.89","V87.7XXA","J45.21","Z79.899","Z13.6","O20.8","O23.41","R82.71","Z3A.01","O41.8X10","O26.851","O46.8X1","O99.891","O99.511","O98.311","A74.9","B96.89","O20.9","O26.891","R10.9","Z11.3","Z36.89","Z32.02","O36.80X0","Z3A.12","Z36.5","Z11.4"],"date":["2020-09-29","2020-07-22","2020-07-22","2020-07-22","2020-07-22","2020-07-22","2020-07-27","2020-07-27","2020-07-27","2020-07-27","2022-05-14","2020-07-23","2022-05-14","2022-05-14","2021-04-29","2021-04-29","2021-04-29","2022-09-15","2022-10-09","2021-04-29","2021-05-24","2021-05-24","2021-05-24","2021-07-12","2022-03-17","2022-03-17","2022-03-27","2022-03-27","2022-03-27","2022-03-27","2022-05-14","2022-05-14","2022-05-14","2022-05-14","2022-09-15","2022-05-14","2022-09-15","2022-10-09","2022-09-15","2022-10-09","2022-10-09","2022-10-09","2022-10-14","2022-10-09","2022-10-09","2022-10-09","2022-10-09","2022-10-09","2022-10-09","2022-10-09","2022-10-09","2022-10-10","2022-10-10","2022-10-10","2022-10-14","2022-11-17","2022-11-08","2022-11-10","2022-11-10","2022-11-17","2022-11-17"],"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":[["","50111033401","METRONIDAZOL","TAB 500MG","14","Select","Select",""],["","51224012230","AZITHROMYCIN","TAB 500MG","2","Select","Select",""],["","00378334053","XULANE","DIS 150-35","3","Select","Select",""],["","78206014501","NEXPLANON","IMP 68MG","1","Select","Select",""],["","00093317431","ALBUTEROL","FAT E","8.5","Select","Select",""],["","65862050220","AMOX\/K","TAB 500-125","14","Select","Select",""],["","24658031205","DOXYCYCL","TAB 100MG","28","Select","Select",""],["","49483060350","IBUPROFEN","TAB 600MG","30","Select","Select",""],["","68180012202","CEPHALEXIN","CAP 500MG","14","Select","Select",""],["","47781030301","NITROFURANTN","CAP 100MG","14","Select","Select",""],["","65162019050","NAPROXEN","TAB 500MG","20","Select","Select",""],["","00904671760","CETIRIZINE","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":""}]}]}