{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"DESTINY   N WOOD","gend":1,"add":"14220   GALA COURT                                          ","city":"CHESTER                       ","state":"VA","zip":"23831-7696","dob":"2003-10-02","age":"","mstatus":"","insh":5030663,"cliId":"","pno":8042953215,"cno":8045928940,"email":"","ename":"","eno":"","pphy":"BROOKS-WILLIAMS, MALINDA                                    ","ppno":8047800840,"pcpadd":"4730 N Southside Plaza St                                   ,                                                            ","pcpcity":"Richmond                      ","pcpstate":"VA","pcpzip":232241742,"pcpcounty":"","pcpid":"","pcpname":"BERMUDA DISTRICT MEDICAL CENTER","plan":"VPHP","program":"MEDICAID","lob":"VPM4","region":"CENTRAL","aligned":"","ano":"","add2":"14220   GALA COURT                                          ","add3":"","madd1":"2513 MALCOLM                                                ","madd2":"                                                            ","madd3":"","mcity":"CHESTER                       ","mstate":"VA","mzip":"23831-9998","pcpfaxno":"","pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["N39.0","R30.0","R35.0","R07.89","O26.891","R10.32","Z3A.01","O26.899","R10.9","R11.2","O21.9","S00.531A","Y04.0XXA","N91.2","Z11.3","Z13.71","Z36.87","Z3A.13","Z36.82","Z3A.19","Z36.9","O99.512","O26.892","R07.9","R05","J06.9","O21.2","Z20.828","Z3A.22","Z03.818","R10.2","O23.42","R10.30","O99.012","D64.9","O99.112","B96.20","D69.6","Z3A.23","Z11.59","O99.119","O26.92","O26.843","Z3A.29","O36.5130","Z3A.32","O24.410","O36.5930","Z3A.33","Z36.4","Z3A.34","O99.810","Z34.03","Z36.85","O26.893","Z3A.28","Z3A.38","R12","O36.8130","O76","O12.04","Z37.0","Z3A.39","O47.1","Z34.90","Z3A.00","O82","G89.18","O90.2","O99.893","K91.871","N93.9","L25.9","R21","U07.1","R50.9","K52.9","R19.7","F17.200","R11.0","Z53.21","O23.01","N12","Z3A.12","Z3A.11","R10.31","R10.11","Z3A.16","O23.02","N23","O99.891","R10.84","R82.71","R05.1","R09.89","Z20.822","Z3A.24"],"date":["2022-05-24","2020-12-21","2020-01-05","2020-01-19","2022-09-05","2020-03-02","2020-03-02","2022-08-18","2022-10-03","2022-05-24","2022-11-15","2020-03-21","2020-03-21","2022-11-02","2020-05-04","2020-05-04","2020-05-06","2020-05-06","2020-06-16","2020-06-16","2020-06-16","2020-06-29","2022-11-15","2022-08-18","2020-06-29","2020-06-29","2020-06-29","2020-06-29","2022-11-15","2020-06-29","2020-06-30","2022-10-03","2022-11-15","2020-07-09","2020-07-09","2020-07-09","2020-07-09","2020-07-10","2020-07-09","2020-07-09","2020-07-09","2020-07-10","2020-10-22","2020-08-25","2020-09-16","2020-09-16","2020-09-23","2020-09-23","2020-09-23","2020-09-30","2020-09-30","2020-10-05","2020-10-22","2020-10-05","2020-10-20","2020-10-20","2020-10-22","2020-10-22","2020-10-31","2020-11-01","2020-10-31","2020-11-01","2020-11-01","2020-10-31","2020-10-31","2022-11-16","2020-11-01","2020-11-10","2020-11-10","2020-11-10","2020-11-10","2020-12-21","2021-01-22","2021-01-22","2021-11-11","2022-11-16","2022-05-24","2022-05-24","2022-05-24","2022-08-18","2022-08-18","2022-09-03","2022-09-03","2022-09-03","2022-09-05","2022-09-05","2022-09-05","2022-10-03","2022-10-03","2022-10-03","2022-11-16","2022-11-15","2022-11-16","2022-11-16","2022-11-16","2022-11-16","2022-11-16"],"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":[["","00093314705","CEPHALEXIN","CAP 500MG","14","Select","Select",""],["","65862042005","SMZ\/TMP","TAB 800-160","10","Select","Select",""],["","68462015713","ONDANSETRON","TAB 4MG ODT","6","Select","Select",""],["","70954068910","PROCHLORPER","TAB 10MG","12","Select","Select",""],["","65862085901","FAMOTIDINE","TAB 20MG","30","Select","Select",""],["","43598081115","CETIRIZINE","TAB 10MG","14","Select","Select",""],["","50428027137","CVS","TAB 27-0.8MG","30","Select","Select",""],["","70954005840","PREDNISONE","PAK 5MG","48","Select","Select",""],["","00406051205","OXYCOD\/APAP","TAB 5-325MG","20","Select","Select",""],["","67877031905","IBUPROFEN","TAB 400MG","24","Select","Select",""],["","00904198260","MAPAP","TAB 325MG","24","Select","Select",""],["","00904645760","DOK","CAP 100MG","30","Select","Select",""],["","13811071910","NITROFURANTN","CAP 100MG","14","Select","Select",""],["","11917017184","PRENTAT","CAP PLUS DHA","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":""}]}]}