{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"AMY   M BARBOUR","gend":1,"add":"2540   WILSON BOULEVARD                                     ","city":"WINCHESTER                    ","state":"VA","zip":"22601-3533","dob":"1992-09-13","age":"","mstatus":"","insh":4615598,"cliId":"","pno":5407711692,"cno":"","email":"","ename":"","eno":"","pphy":"TICKNOR, ARTHUR                                             ","ppno":5405362755,"pcpadd":"621 E Jubal Early Dr                                        ,                                                            ","pcpcity":"Winchester                    ","pcpstate":"VA","pcpzip":226015178,"pcpcounty":"","pcpid":"","pcpname":"VALLEY HEALTH WINCHESTER FAMILY PRACTICE","plan":"VPHP","program":"MEDICAID","lob":"VPM4","region":"NORTHERN\/ WINCHESTER","aligned":"","ano":"","add2":"2540   WILSON BOULEVARD                                     ","add3":"","madd1":"2540   WILSON BOULEVARD                                     ","madd2":"APT 301                                                     ","madd3":"","mcity":"WINCHESTER                    ","mstate":"VA","mzip":"22601-3533","pcpfaxno":"","pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["F11.20","R50.9","R31.9","N39.0","F33.1","Z77.21","I10","F41.1","F17.200","F41.0","F11.11","F32.9","F41.9","R76.8","N30.00","M20.11","M25.571","F10.231","R44.0","Y90.0","G93.41","E72.20","E46","N17.9","F29","Z20.822","E83.42","D64.9","F17.210","F10.239","R41.0","E86.0","K72.90","E87.6","F23","F43.10","R41.82","F14.90","I87.2","R60.0","F19.10","Z03.89","F10.20","S62.624A","S69.90XA","M79.89","S62.624D","E05.90","E05.80"],"date":["2022-02-25","2020-01-02","2020-01-03","2021-06-22","2022-10-07","2020-10-09","2022-10-11","2022-10-07","2021-08-31","2022-10-07","2020-04-20","2020-07-16","2020-04-20","2020-10-02","2020-10-02","2021-02-08","2021-03-23","2021-06-22","2021-06-22","2021-06-22","2021-06-24","2021-06-22","2021-06-22","2021-06-22","2021-06-22","2021-06-22","2021-06-22","2021-06-22","2021-06-22","2021-06-24","2021-06-24","2021-06-24","2021-06-22","2021-06-22","2021-06-22","2021-06-22","2021-06-22","2022-02-11","2022-04-07","2022-04-07","2022-04-07","2022-04-07","2022-08-09","2022-08-15","2022-08-11","2022-08-15","2022-09-13","2022-10-11","2022-10-11"],"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":[["","51991081701","PROPRANOLOL","CAP 60MG ER","30","Select","Select",""],["","10370010150","BUPROPN","TAB 150MG XL","30","Select","Select",""],["","12496120803","SUBOXONE","MIS 8-2MG","32","Select","Select",""],["","59651036205","IBUPROFEN","TAB 800MG","20","Select","Select",""],["","65162036111","FOLIC","TAB 1MG","30","Select","Select",""],["","68180012202","CEPHALEXIN","CAP 500MG","20","Select","Select",""],["","10006070011","VITAMIN","TAB 100MG","30","Select","Select",""],["","65862042005","SMZ\/TMP","TAB 800-160","14","Select","Select",""],["","47781035703","BUPREN\/NALOX","MIS 8-2MG","56","Select","Select",""],["","70710122801","AMITRIPTYLIN","TAB 75MG","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":""}]}]}