{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"HAYLEE   M POINDEXTER","gend":1,"add":"204 MCDONALD   STREET                                       ","city":"LOUISA                        ","state":"VA","zip":"23093-9130","dob":"2004-05-20","age":"","mstatus":"","insh":4562214,"cliId":"","pno":4344148507,"cno":"","email":"","ename":"","eno":"","pphy":"HAINSTOCK, LISA M                                           ","ppno":4349824215,"pcpadd":"2270 Ivy Rd                                                 ,                                                            ","pcpcity":"Charlottesville               ","pcpstate":"VA","pcpzip":229034977,"pcpcounty":"","pcpid":"","pcpname":"UVA PRIMARY CARE CENTER","plan":"VPHP","program":"MEDICAID","lob":"VPM4","region":"WESTERN\/ CHARLOTTESVILLE","aligned":"","ano":"","add2":"204 MCDONALD   STREET                                       ","add3":"","madd1":"204 MCDONALD   STREET                                       ","madd2":"APARTMENT 2A                                                ","madd3":"","mcity":"LOUISA                        ","mstate":"VA","mzip":"23093-9130","pcpfaxno":"","pcpnpi":""},{"a":{"indx":["","1","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["J02.9","J02.0","F32.9","Z65.8","Z86.59","Z65.3","F41.0","Z55.9","R52","M25.531","S69.91XA","M25.541","M25.431","F34.1","F40.01","F45.21","F39","R45.851","F43.20","Z63.4","F40.00","F90.0","T50.992A","T14.91XA","Z11.59","F40.10","F33.1","F43.8","Z20.828","K29.00","A69.20","Z23","N20.0","R10.9","R31.9","R10.31","N20.1","N20.2","R25.9","R51.9","R40.4","R40.2421","R56.9","G40.901","R40.20","R41.82","C91.01","Z86.69","R46.89","F41.1","F17.210"],"date":["2020-09-29","2020-09-29","2020-03-11","2020-02-06","2020-02-06","2020-01-23","2020-01-23","2020-01-23","2020-01-23","2020-01-24","2020-01-24","2020-01-24","2020-01-24","2020-02-06","2020-03-11","2020-02-19","2020-02-25","2020-02-25","2020-02-25","2020-02-25","2020-02-25","2020-02-25","2020-02-25","2020-02-25","2020-09-29","2021-01-20","2021-01-20","2020-11-11","2020-12-11","2021-02-15","2021-04-16","2021-08-12","2021-11-08","2021-11-05","2021-11-05","2021-11-05","2021-11-08","2021-11-08","2022-01-31","2022-01-31","2022-01-31","2022-01-31","2022-01-31","2022-01-31","2022-01-31","2022-01-31","2022-01-31","2022-01-31","2022-02-07","2022-05-02","2022-05-02"],"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":[["","50111064701","FLUOXETINE","CAP 10MG","30","Select","Select",""],["","00143980305","DOXYCYCL","CAP 100MG","42","Select","Select",""],["","55111015810","OMEPRAZOLE","CAP 20MG","30","Select","Select",""],["","57237001401","TAMSULOSIN","CAP 0.4MG","14","Select","Select",""],["","64380080807","IBUPROFEN","TAB 600MG","30","Select","Select",""],["","00093310905","AMOXICILLIN","CAP 500MG","20","Select","Select",""],["","00116200116","CHLORHEX","SOL 0.0012","473","Select","Select",""],["","59746000103","METHYLPRED","TAB 4MG","21","Select","Select",""],["","00406012301","HYDROCO\/APAP","TAB 5-325MG","8","Select","Select",""],["","00093532862","JUNEL","TAB 43831","28","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":""}]}]}