{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"DEBORAH   D TURNER","gend":1,"add":"2306   PHAUP STREET                                         ","city":"RICHMOND                      ","state":"VA","zip":"23223-4021","dob":"1963-08-12","age":"","mstatus":"","insh":5053993,"cliId":"","pno":8048529109,"cno":8047799238,"email":"","ename":"","eno":"","pphy":"VCU CENTER FOR ADVANCED HEALTH                              ","ppno":"","pcpadd":"MCV Physicians                                              ,2116 W Laburnum Ave Ste 100                                 ","pcpcity":"Richmond                      ","pcpstate":"VA","pcpzip":232274359,"pcpcounty":"","pcpid":"","pcpname":"VCU CENTER FOR ADVANCED HEALTH-SL","plan":"VPHP","program":"MEDICAID","lob":"MLTSS","region":"CENTRAL","aligned":"","ano":"","add2":"2306   PHAUP STREET                                         ","add3":"","madd1":"2306   PHAUP STREET                                         ","madd2":"                                                            ","madd3":"","mcity":"RICHMOND                      ","mstate":"VA","mzip":"23223-4021","pcpfaxno":"","pcpnpi":""},{"a":{"indx":["","1","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["F33.0","F31.31","B20","I10","G40.409","F33.1","L40.9","F43.10","G40.109","I25.10","I25.82","R06.02","J45.909","F17.210","E78.5","R41.3","G40.909","E66.01","Z95.5","G40.219","F17.200","I16.9","R42","I25.2","I16.1","Z91.14","Z79.899","Z72.0","F12.90","J45.30","Z11.1","Z11.3","J31.0","G40.919","R06.00","Z21","Z20.822","J98.4","I08.0","I77.810","Z71.6","G47.33","Z79.51","F41.9","K21.9","R89.9","R05.9","M25.561","R94.31","I70.0","J98.6","I87.8","M47.819","R10.84","E87.6","R10.9","I70.8","I70.1","Z72.51","K59.00","Z76.89","G31.89","Z13.228","F33.2","F41.1","F32.1","G31.84","G40.804","Z79.52","Z79.82"],"date":["2020-05-18","2020-02-10","2022-10-20","2022-04-21","2020-04-10","2022-07-08","2021-04-13","2022-06-01","2022-02-22","2021-06-15","2021-06-15","2021-04-04","2020-10-06","2022-02-22","2022-10-20","2022-05-02","2020-10-06","2020-10-06","2021-06-15","2022-04-21","2022-04-21","2020-10-13","2020-11-19","2022-01-06","2020-11-19","2021-04-04","2022-07-29","2021-10-21","2021-04-04","2022-04-21","2021-04-13","2022-10-20","2022-04-21","2021-06-10","2021-07-14","2022-02-22","2021-06-28","2021-08-10","2021-08-10","2021-08-10","2021-08-10","2021-08-10","2021-08-10","2022-07-29","2022-04-21","2021-10-21","2022-04-21","2021-11-02","2022-01-06","2022-01-06","2022-01-06","2022-01-06","2022-01-06","2022-01-06","2022-01-06","2022-01-06","2022-01-06","2022-01-06","2022-04-21","2022-04-21","2022-04-21","2022-05-02","2022-05-02","2022-06-01","2022-06-01","2022-07-29","2022-07-29","2022-07-29","2022-07-29","2022-07-29"],"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":[["","00378623201","CITALOPRAM","TAB 20MG","14","Select","Select",""],["","65862016001","ZOLPIDEM","TAB 10MG","30","Select","Select",""],["","65862033530","ABACA\/LAMIVU","TAB 600-300","30","Select","Select",""],["","68180072003","AMLODIPINE","TAB 5MG","90","Select","Select",""],["","29300012810","HYDROCHLOROT","TAB 25MG","30","Select","Select",""],["","68180037803","LOSARTAN","TAB 100MG","30","Select","Select",""],["","49702022813","TIVICAY","TAB 50MG","30","Select","Select",""],["","00131248035","VIMPAT","TAB 200MG","60","Select","Select",""],["","66993001968","ALBUTEROL","AER HFA","18","Select","Select",""],["","68180011416","LEVETIRACETA","TAB 750MG","96","Select","Select",""],["","78206012701","DULERA","AER 100-5MCG","13","Select","Select",""],["","62175011843","OMEPRAZOLE","CAP 20MG","30","Select","Select",""],["","60505082901","FLUTICASONE","SPR 50MCG","16","Select","Select",""],["","00591352530","LIDOCAINE","PAD 0.05","30","Select","Select",""],["","64380071306","BENZONATATE","CAP 200MG","30","Select","Select",""],["","00536124801","STIMULANT","TAB 8.6-50MG","60","Select","Select",""],["","43598044774","NICOTINE","DIS 14MG\/24H","28","Select","Select",""],["","00093005401","BUSPIRONE","TAB 10MG","60","Select","Select",""],["","45802006436","TRIAMCINOLON","CRE 0.001","80","Select","Select",""],["","00173069600","ADVAIR","AER 250\/50","60","Select","Select",""],["","69097052444","DICLOFENAC","GEL 0.01","100","Select","Select",""],["","59267100001","PFIZER","INJ COVID-19","0.3","Select","Select",""],["","49281042150","FLUZONE","INJ 2021-22","0.5","Select","Select",""],["","50111043302","TRAZODONE","TAB 50MG","22","Select","Select",""],["","55111012205","ATORVASTATIN","TAB 20MG","15","Select","Select",""],["","61958200201","DESCOVY","TAB 200\/25","30","Select","Select",""],["","00115180401","HYDROXYZ","CAP 50MG","42","Select","Select",""],["","52565001315","FLUOCIN","OIN 0.00025","15","Select","Select",""],["","65862001705","AMOXICILLIN","CAP 500MG","23","Select","Select",""],["","00378932132","WIXELA","AER 250\/50","60","Select","Select",""],["","33332032001","AFLURIA","INJ 2020-21","0.5","Select","Select",""],["","64380080707","IBUPROFEN","TAB 800MG","60","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":""}]}]}