{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"TYLER LUDWIG","gend":0,"add":"300   LAKE DRIVE                                            ","city":"NEW MARKET                    ","state":"VA","zip":"22844-3704","dob":"2004-08-30","age":"","mstatus":"","insh":4735028,"cliId":"","pno":5404772603,"cno":"","email":"","ename":"","eno":"","pphy":"NERI, ANTHONY                                               ","ppno":5404593435,"pcpadd":"759 S Main St                                               ,                                                            ","pcpcity":"Woodstock                     ","pcpstate":"VA","pcpzip":226641127,"pcpcounty":"","pcpid":"","pcpname":"SHENANDOAH PEDIATRICS PC","plan":"VPHP","program":"MEDICAID","lob":"VPM4","region":"NORTHERN\/ WINCHESTER","aligned":"","ano":"","add2":"300   LAKE DRIVE                                            ","add3":"","madd1":"300   LAKE DRIVE                                            ","madd2":"                                                            ","madd3":"","mcity":"NEW MARKET                    ","mstate":"VA","mzip":"22844-3704","pcpfaxno":"","pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["J06.9","J02.9","S81.812A","W26.8XXA","Z23","L05.91","M54.5","M53.3","R93.7","E66.01","Z68.54","Z13.1","F39","S39.012A","L05.92","X58.XXXA","J30.9","S39.012S","M47.816","U07.1","R50.9","R05.9","R09.81","M79.10","Z71.89","L05.01","R04.0","L98.9","J10.1","Z20.822"],"date":["2020-02-06","2020-02-06","2020-09-14","2020-09-14","2021-08-02","2022-02-15","2021-09-30","2020-11-05","2020-11-05","2021-02-23","2021-02-23","2021-02-23","2021-02-23","2021-09-11","2021-09-11","2021-09-11","2021-09-13","2021-09-13","2021-09-30","2022-01-11","2022-01-11","2022-05-05","2022-01-11","2022-01-11","2022-01-11","2022-02-01","2022-02-15","2022-02-15","2022-05-05","2022-05-05"],"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":[["","67877021905","CEPHALEXIN","CAP 500MG","28","Select","Select",""],["","68462019005","NAPROXEN","TAB 500MG","60","Select","Select",""],["","29300041510","CYCLOBENZAPR","TAB 10MG","15","Select","Select",""],["","45802091987","CETIRIZINE","TAB 10MG","30","Select","Select",""],["","68382005105","MELOXICAM","TAB 15MG","30","Select","Select",""],["","00115681110","BUPROPN","TAB 150MG XL","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":""}]}]}