{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"AALIYAH CARR","gend":1,"add":"480 JEFFERSON MANOR DRIVE                                   ","city":"FOREST                        ","state":"VA","zip":"24551-2894","dob":"2001-11-29","age":"","mstatus":"","insh":4591857,"cliId":"","pno":4342370172,"cno":4348511748,"email":"","ename":"","eno":"","pphy":"KADREE, MARGARET A                                          ","ppno":4349475967,"pcpadd":"320 Federal St                                              ,                                                            ","pcpcity":"Lynchburg                     ","pcpstate":"VA","pcpzip":245042306,"pcpcounty":"","pcpid":"","pcpname":"JOHNSON HEALTH CENTER","plan":"VPHP","program":"MEDICAID","lob":"VPM4","region":"ROANOKE\/ ALLEGHANY","aligned":"","ano":"","add2":"480 JEFFERSON MANOR DRIVE                                   ","add3":"","madd1":"480 Jefferson Manor Dr                                      ","madd2":"                                                            ","madd3":"","mcity":"Forest                        ","mstate":"VA","mzip":"24551-2894","pcpfaxno":"","pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["F41.8","L08.9","L72.3","M54.5","Z32.01","R11.0","O23.41","B96.89","O99.341","F32.9","R10.31","Z3A.01","Z87.891","O26.891","N83.202","R10.2","Z11.4","Z36.89","Z36.5","Z34.81","Z34.90","Z87.448","Z36.3","Z34.82","Z23","Z36.2","Z34.83","O60.03","O09.893","Z3A.35","Z34.03","Z36.85","O47.1","Z3A.37","O99.343","Z88.8","O66.0","O80","Z37.0","Z3A.39","Z3A.00","S42.022A","I34.9","I46.9","E87.4","L03.319","F43.21","Z63.4","Z01.411","Z32.02","L03.317","N92.6","N89.8","N91.2","L25.9","Z20.822","L50.9","N89.9","Z11.3","R30.0","Z3A.23","L98.8","O40.3XX0","Z3A.30","N76.0","B08.1"],"date":["2020-12-19","2020-04-10","2020-04-10","2020-05-13","2020-05-13","2020-05-13","2020-05-27","2020-05-27","2020-05-27","2021-06-28","2020-05-27","2020-05-27","2020-12-19","2020-05-27","2020-05-27","2020-05-27","2022-06-27","2022-10-05","2022-06-27","2022-07-07","2020-06-09","2020-06-18","2022-08-30","2022-07-07","2020-10-22","2022-09-29","2020-11-19","2020-12-07","2020-12-07","2020-12-07","2020-12-28","2020-12-04","2020-12-19","2020-12-19","2020-12-19","2020-12-19","2021-01-03","2021-01-03","2021-01-03","2021-01-03","2021-01-03","2021-01-04","2021-03-19","2021-04-13","2021-04-13","2021-04-22","2021-06-28","2021-06-28","2021-07-15","2021-12-21","2021-07-19","2021-07-23","2021-07-29","2021-07-29","2021-10-24","2021-10-28","2021-11-05","2021-12-21","2022-07-07","2021-12-21","2022-08-30","2022-09-29","2022-10-12","2022-10-12","2022-11-22","2022-11-22"],"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":[["","31722070530","VALACYCLOVIR","TAB 1GM","60","Select","Select",""],["","50111033401","METRONIDAZOL","TAB 500MG","14","Select","Select",""],["","68180012202","CEPHALEXIN","CAP 500MG","14","Select","Select",""],["","00093101042","MUPIROCIN","OIN 0.02","22","Select","Select",""],["","13668013601","ESCITALOPRAM","TAB 10MG","60","Select","Select",""],["","57664049983","MIRTAZAPINE","TAB 15MG","30","Select","Select",""],["","00378064205","PREDNISONE","TAB 20MG","14","Select","Select",""],["","65862042005","SMZ\/TMP","TAB 800-160","20","Select","Select",""],["","68180016106","AZITHROMYCIN","TAB 500MG","2","Select","Select",""],["","49483060350","IBUPROFEN","TAB 600MG","30","Select","Select",""],["","00093083205","CLONAZEPAM","TAB 0.5MG","30","Select","Select",""],["","65162052110","PROMETHAZINE","TAB 25MG","40","Select","Select",""],["","14539067501","HYDROXYZ","CAP 50MG","10","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":""}]}]}