{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"KAYLA CARTER","gend":1,"add":"435 WESTMORELAND DRIVE","city":"STEPHENS CITY","state":"VA","zip":"22655-2559","dob":"1995-02-17","age":"","mstatus":"","insh":5052107,"cliId":"","pno":7035999280,"cno":"","email":"","ename":"","eno":"","pphy":"LAMAS RODRIGUEZ, CANDY","ppno":5407222369,"pcpadd":"525 Amherst St Ste 104, ","pcpcity":"Winchester","pcpstate":"VA","pcpzip":226013881,"pcpcounty":"","pcpid":"","pcpname":"WINCHESTER FAMILY HEALTH CENTER","plan":"VPHP","program":"MEDICAID","lob":"VPM4","region":"NORTHERN\/ WINCHESTER","aligned":"","ano":"","add2":"","add3":"","madd1":"435 WESTMORELAND DRIVE","madd2":"","madd3":"","mcity":"STEPHENS CITY","mstate":"VA","mzip":"22655-2559","pcpfaxno":"","pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["F15.259","N76.0","B96.89","N89.8","F25.0","F41.1","R53.1","M79.89","R60.0","K21.9","K59.00","I10","R07.9","O46.93","O99.333","F17.210","O99.323","F15.10","Z3A.29","Z34.90","Z34.03","O35.9XX0","Z3A.33","Z36.2","O99.810","Z36.85","O34.211","Z3A.39","Z82.3","Z37.0","O99.334","O34.219","Z39.2","Z30.430"],"date":["2021-08-31","2020-03-11","2020-03-11","2021-12-30","2020-07-20","2020-10-19","2021-04-01","2021-04-01","2021-04-01","2021-07-30","2021-07-30","2021-07-30","2021-07-30","2019-05-31","2019-05-31","2019-08-05","2019-05-31","2019-05-31","2019-05-31","2019-08-01","2019-06-25","2019-06-25","2019-06-25","2019-06-25","2019-07-05","2019-07-24","2019-08-05","2019-08-05","2019-08-05","2019-08-05","2019-08-05","2019-08-05","2019-10-24","2019-10-24"],"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":{"indx":[false,false],"comment":["",""],"score":["",""]}},{"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":[["","00228212750","CLONIDINE","TAB 0.1MG","60","Select","Select",""],["","50458056401","INVEGA","INJ 234\/1.5","1.5","Select","Select",""],["","00093506110","HYDROXYZ","TAB 25MG","90","Select","Select",""],["","68382050010","OMEPRAZOLE","CAP 40MG","30","Select","Select",""],["","68180098003","LISINOPRIL","TAB 10MG","30","Select","Select",""],["","68180035202","SERTRALINE","TAB 50MG","30","Select","Select",""],["","16729020312","BUSPIRONE","TAB 15MG","60","Select","Select",""],["","00378130001","LITHIUM","TAB 300MG ER","60","Select","Select",""],["","50111033401","METRONIDAZOL","TAB 500MG","14","Select","Select",""],["","65162028103","PALIPERIDONE","TAB ER 3MG","30","Select","Select",""],["","67877024910","QUETIAPINE","TAB 50MG","30","Select","Select",""],["","76385010310","BENZTROPINE","TAB 0.5MG","60","Select","Select",""],["","13107003134","MIRTAZAPINE","TAB 15MG","30","Select","Select",""],["","68462026830","ATOMOXETINE","CAP 40MG","30","Select","Select",""],["","61314063006","NEO\/POLY\/DEX","SUS 0.1% OP","5","Select","Select",""],["","42858010201","OXYCOD\/APAP","TAB 5-325MG","7","Select","Select",""],["","69547035302","NARCAN","SPR ","2","Select","Select",""],["","65862001905","CEPHALEXIN","CAP 500MG","14","Select","Select",""],["","13107005999","APAP\/CODEINE","TAB 300-30MG","14","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":""}]}]}