{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"CHRISTOPHER MORALES FLORES","gend":0,"add":"901   PUMP ROAD                                             ","city":"RICHMOND                      ","state":"VA","zip":"23238-5538","dob":"2004-10-27","age":"","mstatus":"","insh":4606075,"cliId":"","pno":8046475825,"cno":"","email":"","ename":"","eno":"","pphy":"WILSON, CRISTI S                                            ","ppno":8042883069,"pcpadd":"7605 Forest Ave Ste 102                                     ,                                                            ","pcpcity":"Henrico                       ","pcpstate":"VA","pcpzip":232294936,"pcpcounty":"","pcpid":"","pcpname":"HENRICO PEDIATRICS","plan":"VPHP","program":"MEDICAID","lob":"VPM4","region":"CENTRAL","aligned":"","ano":"","add2":"901   PUMP ROAD                                             ","add3":"","madd1":"901   PUMP ROAD                                             ","madd2":"                                                            ","madd3":"","mcity":"RICHMOND                      ","mstate":"VA","mzip":"23238-5538","pcpfaxno":"","pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["J02.9","J45.20","G43.719","R90.89","Z68.53","G93.6","F32.9","F41.1","Z00.129","Z68.54","Z23","M25.571","S93.401A","S99.911A","X50.0XXA","Y93.66","Y92.322","I10","L73.8","S00.201A","S05.91XA","H04.123","H10.13","F39","G43.009","Z68.51","M79.89","S93.402A","M25.572","M25.472","X50.1XXA","J06.9","Z11.52","S99.912A","Z68.52","G43.001"],"date":["2022-05-19","2022-09-07","2022-03-22","2020-05-19","2020-02-11","2022-06-29","2020-08-05","2020-08-05","2022-09-29","2020-09-02","2022-09-07","2020-10-03","2020-10-03","2020-10-03","2020-10-03","2022-04-04","2020-10-03","2022-04-04","2021-08-23","2021-08-23","2021-08-25","2021-08-25","2021-08-25","2021-10-12","2022-06-29","2022-03-22","2022-04-04","2022-04-04","2022-04-04","2022-04-04","2022-04-04","2022-05-19","2022-05-19","2022-06-08","2022-06-08","2022-09-07"],"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":[["","00093310905","AMOXICILLIN","CAP 500MG","21","Select","Select",""],["","53746010901","HYDROCO\/APAP","TAB 5-325MG","8","Select","Select",""],["","49483060350","IBUPROFEN","TAB 600MG","20","Select","Select",""],["","00603254021","BUTAL\/APAP","TAB 50-325MG","20","Select","Select",""],["","00116200116","CHLORHEX","SOL 0.0012","473","Select","Select",""],["","00093317431","ALBUTEROL","FAT E","8.5","Select","Select",""],["","00093101042","MUPIROCIN","OIN 0.02","22","Select","Select",""],["","00603254428","BUT\/APAP\/CAF","TAB ","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":""}]}]}