{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"JANIE TYREE","gend":1,"add":"110 NASH LANE                                               ","city":"GLADYS                        ","state":"VA","zip":"24554-3133","dob":"2002-11-11","age":"","mstatus":"","insh":4478687,"cliId":"","pno":5408759235,"cno":4349071806,"email":"","ename":"","eno":"","pphy":"COLE, CHARLES JE                                            ","ppno":5404566710,"pcpadd":"7849 Rockfish Valley Hwy                                    ,                                                            ","pcpcity":"Afton                         ","pcpstate":"VA","pcpzip":229203203,"pcpcounty":"","pcpid":"","pcpname":"AFTON FAMILY MEDICINE","plan":"VPHP","program":"MEDICAID","lob":"VPM4","region":"WESTERN\/ CHARLOTTESVILLE","aligned":"","ano":"","add2":"110 NASH LANE                                               ","add3":"","madd1":"110 NASH LANE                                               ","madd2":"LOT 1                                                       ","madd3":"","mcity":"GLADYS                        ","mstate":"VA","mzip":"24554-3133","pcpfaxno":"","pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["O26.893","R10.9","M54.5","Z3A.39","Z91.02","Z91.018","O99.343","F43.10","F41.9","Z86.19","O47.1","Z34.83","O70.0","O62.9","Z30.430","Z83.3","Z3A.40","Z37.0","O80","Z3A.00","Z39.2","T83.32XA","Z00.129","Z23","S09.90XA","L22","D64.9","Z76.89","Z86.59","G47.00","E66.9","Z63.79","Z20.828","R05","R06.02","J02.9","R50.9","L03.316","Z11.59","J06.9","H66.003","A08.4","R11.2","R19.7","Z72.0","R07.0","R09.81","B34.9","Z20.822","N91.2","R31.9","R82.79","R82.998","R39.9","S19.9XXA","T71.193A","M54.2","Y09","Z11.3","N94.6","N89.8","Z01.419","Z11.4","E88.09","R63.1","R63.4","G47.9","R45.89","Z13.31","K76.9","R93.2","R35.0","R11.0","Z30.09","Z97.5","Z30.432","N94.10"],"date":["2020-01-02","2020-01-02","2020-01-02","2020-01-02","2020-01-03","2020-01-03","2020-01-02","2020-01-02","2020-07-09","2020-01-02","2020-01-02","2020-01-02","2020-01-03","2020-01-03","2020-01-03","2020-01-03","2020-01-03","2020-01-03","2020-01-03","2020-01-03","2020-01-17","2020-08-31","2020-05-06","2020-05-06","2020-06-18","2020-06-30","2020-07-09","2020-07-09","2020-07-09","2020-07-09","2020-07-09","2020-07-09","2020-12-28","2021-08-21","2020-09-24","2021-06-03","2021-07-24","2020-11-10","2020-12-28","2021-06-03","2021-06-05","2021-07-18","2022-06-09","2021-07-24","2021-07-26","2022-02-22","2021-08-21","2021-08-21","2021-08-21","2021-12-23","2021-12-23","2021-12-23","2021-12-23","2021-12-23","2022-02-22","2022-02-22","2022-02-22","2022-02-22","2022-04-15","2022-04-15","2022-04-15","2022-04-15","2022-04-15","2022-06-02","2022-06-02","2022-06-09","2022-06-02","2022-06-02","2022-06-02","2022-06-09","2022-06-09","2022-07-16","2022-07-16","2022-08-02","2022-08-02","2022-08-02","2022-08-02"],"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",""],["","50111056001","TRAZODONE","TAB 50MG","15","Select","Select",""],["","65162027250","SMZ\/TMP","TAB 800-160","14","Select","Select",""],["","65862039010","ONDANSETRON","TAB 4MG ODT","10","Select","Select",""],["","71930002643","BROM\/PSE\/DM","SYP ","120","Select","Select",""],["","65862001501","AMOXICILLIN","TAB 875MG","20","Select","Select",""],["","00378064110","PREDNISONE","TAB 10MG","30","Select","Select",""],["","59651000305","OMEPRAZOLE","CAP 40MG","30","Select","Select",""],["","68180012202","CEPHALEXIN","CAP 500MG","20","Select","Select",""],["","64380071307","BENZONATATE","CAP 200MG","60","Select","Select",""],["","00054327099","FLUTICASONE","SPR 50MCG","16","Select","Select",""],["","69842081266","MUCUS","TAB 60-1200","28","Select","Select",""],["","69097014260","ALBUTEROL","AER HFA","6.7","Select","Select",""],["","00143122701","DICYCLOMINE","TAB 20MG","28","Select","Select",""],["","13107015490","PAROXETINE","TAB 10MG","30","Select","Select",""],["","00245010811","FERROUS","TAB 325MG EC","60","Select","Select",""],["","50428049435","VITAMIN","TAB 250MG","60","Select","Select",""],["","00093101042","MUPIROCIN","OIN 0.02","22","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":""}]}]}