{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"SUMMER   R MYERS","gend":1,"add":"63 SHELOR DRIVE                                             ","city":"LYNCHBURG                     ","state":"VA","zip":"24502-5529","dob":"2000-07-15","age":"","mstatus":"","insh":4734595,"cliId":"","pno":4345096564,"cno":"","email":"","ename":"","eno":"","pphy":"KRZYZANOWSKI, SUZANNE K                                     ","ppno":4342005200,"pcpadd":"1613 OAKWOOD ST                                             ,SUITE 201                                                   ","pcpcity":"BEDFORD                       ","pcpstate":"VA","pcpzip":245231213,"pcpcounty":"","pcpid":"","pcpname":"LYNCHBURG FAMILY MEDICINE CENTER","plan":"VPHP","program":"MEDICAID","lob":"VPM4","region":"WESTERN\/ CHARLOTTESVILLE","aligned":"","ano":"","add2":"63 SHELOR DRIVE                                             ","add3":"","madd1":"63 Shelor Dr                                                ","madd2":"                                                            ","madd3":"","mcity":"Lynchburg                     ","mstate":"VA","mzip":"24502-5529","pcpfaxno":"","pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["M54.5","S39.012A","S70.01XA","M54.31","B34.9","M47.816","N39.0","J02.8","F41.9","R10.84","B97.89","S60.221A","N89.8","Z91.410","B37.3","Z32.02","K30","O20.0","O36.80X0","F43.21","Z11.4","Z36.5","Z36.89","Z34.01","Z36.3","R30.0","O46.91","Z3A.14","Z34.02","O36.8120","Z3A.25","O99.512","O99.322","F19.10","Z88.8","Z23","Z34.03","O26.893","O23.43","O99.513","Z3A.30","J45.909","Z79.899","O47.03","Z39.1","Z11.3","Z36.85","O47.1","Z3A.37","R10.2","Z3A.39","Z03.71","O69.81X0","O80","Z37.0","O92.70","Z39.2","Z13.32","Z30.430","O99.893","H70.92","R51.9","R42","M62.81","H70.002","Z30.431","F41.1","F32.9","F33.1","Z30.432","F43.23","Z20.822","R53.83","J02.9","Z11.1","H61.23","R68.84","T78.40XA","R21","U07.1","R06.02","R07.89","R07.9"],"date":["2020-03-04","2020-01-17","2020-01-02","2020-01-02","2020-01-21","2020-03-04","2020-03-11","2020-04-03","2020-05-06","2020-04-03","2020-04-03","2020-04-11","2021-10-11","2020-04-22","2020-04-22","2022-03-17","2020-05-06","2020-06-26","2020-07-08","2020-07-09","2020-07-17","2020-12-04","2020-12-04","2020-11-20","2020-10-20","2020-08-13","2020-08-24","2020-08-24","2020-10-20","2020-11-13","2020-11-13","2020-11-13","2020-11-13","2020-11-13","2021-02-16","2020-12-04","2021-02-11","2021-02-01","2020-12-14","2021-02-16","2020-12-14","2021-02-16","2020-12-14","2020-12-14","2021-01-19","2021-10-11","2021-01-26","2021-02-16","2021-02-01","2021-10-11","2021-03-02","2021-02-16","2021-02-20","2021-03-02","2021-03-02","2021-04-08","2021-03-26","2021-09-20","2021-03-26","2021-03-31","2021-03-31","2022-04-08","2021-03-31","2021-03-31","2021-04-20","2021-05-07","2021-09-20","2021-09-20","2021-09-20","2021-09-20","2021-11-02","2021-12-28","2021-12-28","2021-12-28","2022-03-03","2022-03-17","2022-03-17","2022-07-22","2022-07-22","2022-07-24","2022-10-14","2022-10-14","2022-10-14"],"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":[["","68682045570","METRONIDAZOL","GEL 0.75%VAG","70","Select","Select",""],["","49483060450","IBUPROFEN","TAB 800MG","30","Select","Select",""],["","00591544305","PREDNISONE","TAB 20MG","10","Select","Select",""],["","65862050320","AMOX\/K","TAB 875-125","20","Select","Select",""],["","53489011905","DOXYCYCL","CAP 100MG","20","Select","Select",""],["","65862001501","AMOXICILLIN","TAB 875MG","20","Select","Select",""],["","65862042005","SMZ\/TMP","TAB 800-160","14","Select","Select",""],["","75826011410","PHENAZOPYRID","TAB 100MG","6","Select","Select",""],["","47781030301","NITROFURANTN","CAP 100MG","10","Select","Select",""],["","68462010530","ONDANSETRON","TAB 4MG","20","Select","Select",""],["","29300012510","MELOXICAM","TAB 15MG","30","Select","Select",""],["","70710113908","FLUCONAZOLE","TAB 150MG","1","Select","Select",""],["","45802075930","PROMETHAZINE","SUP 25MG","12","Select","Select",""],["","14539067501","HYDROXYZ","CAP 50MG","30","Select","Select",""],["","16571020210","DICLOFENAC","TAB 50MG DR","20","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":""}]}]}