{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"MICHELLE   P FREEMAN","gend":1,"add":"3107 SNEAD COURT                                            ","city":"RICHMOND                      ","state":"VA","zip":"23224-6062","dob":"1979-02-10","age":"","mstatus":"","insh":5585952,"cliId":"","pno":8043041482,"cno":"","email":"","ename":"","eno":"","pphy":"ARMISTEAD, SCOTT                                            ","ppno":8043201333,"pcpadd":"4730 N Southside Plaza St                                   ,                                                            ","pcpcity":"Richmond                      ","pcpstate":"VA","pcpzip":232241742,"pcpcounty":"","pcpid":"","pcpname":"VCUHS HAYES E WILLIS HEALTH CENTER","plan":"VPHP","program":"MEDICAID","lob":"MLTSS","region":"CENTRAL","aligned":"","ano":"","add2":"3107 SNEAD COURT                                            ","add3":"","madd1":"3107 SNEAD COURT                                            ","madd2":"                                                            ","madd3":"","mcity":"RICHMOND                      ","mstate":"VA","mzip":"23224-6062","pcpfaxno":"","pcpnpi":""},{"a":{"indx":["","1","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["D64.9","R22.0","R51","R22.1","D50.9","K50.90","F12.90","F17.210","K04.7","Z88.2","I49.9","R60.0","D50.0","K60.3","K61.0","R19.7","D61.818","R10.9","K59.00","G89.29","K50.119","Z20.822","K50.913","Z87.19","K63.89","K62.89","E46","Z01.818","K50.10","K50.118","G89.18","D63.8","L73.2","Z23","Z98.51","Z68.21","Z88.8","G89.11","R10.30","Z43.3","Z48.815","Z79.01","K94.09","K58.9","L29.0","Z93.3","F17.200","R21","K50.80","A41.51","A41.9","R65.21","N17.0","K90.9","G93.40","R64","N12","K50.114","Z16.23","K61.1","K50.113","E86.1","N17.9","E86.0","J98.09","N28.89","K82.8","N88.8","R50.9","I95.9","R53.1","R63.8","R00.0","K50.918","R03.1","Z79.899","M25.50","K62.4","K51.90","M79.10","Z79.620"],"date":["2022-09-22","2020-06-24","2020-06-24","2020-06-25","2022-02-21","2022-10-04","2021-09-29","2022-03-03","2020-06-27","2020-06-27","2020-06-27","2020-06-28","2022-09-22","2022-09-21","2020-10-14","2020-10-14","2021-02-17","2021-02-17","2021-02-17","2022-03-03","2021-10-06","2022-03-03","2021-09-01","2021-11-29","2022-04-27","2022-03-23","2022-02-21","2021-09-25","2022-11-01","2021-09-29","2021-10-01","2022-03-03","2021-09-29","2021-09-29","2021-09-29","2021-09-29","2021-09-29","2021-10-01","2021-10-01","2021-12-23","2021-11-11","2021-10-06","2022-11-26","2021-11-29","2021-12-23","2022-03-03","2021-12-23","2022-01-26","2022-02-03","2022-02-21","2022-03-03","2022-03-03","2022-02-21","2022-02-21","2022-02-21","2022-02-21","2022-02-21","2022-02-21","2022-02-21","2022-03-03","2022-03-23","2022-02-21","2022-03-03","2022-02-20","2022-02-20","2022-02-20","2022-02-20","2022-02-20","2022-02-20","2022-02-20","2022-02-20","2022-02-20","2022-02-21","2022-03-03","2022-03-03","2022-03-03","2022-10-04","2022-09-21","2022-09-21","2022-10-04","2022-10-27"],"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":[["","50111033401","METRONIDAZOL","TAB 500MG","60","Select","Select",""],["","70710122600","AMITRIPTYLIN","TAB 25MG","30","Select","Select",""],["","42858010201","OXYCOD\/APAP","TAB 5-325MG","120","Select","Select",""],["","00074055402","HUMIRA","INJ 40\/0.4ML","2","Select","Select",""],["","43386009019","GAVILYTE-G","SOL ","4,000.00","Select","Select",""],["","43598075058","NALOXONE","INJ 2MG\/2ML","4","Select","Select",""],["","49348092710","SM","TAB 200MG","100","Select","Select",""],["","00264315511","CEFTRIAX\/DEX","INJ 2GM","4","Select","Select",""],["","45802086802","POLYETH","POW 3350 NF","476","Select","Select",""],["","70710113803","FLUCONAZOLE","TAB 100MG","14","Select","Select",""],["","80681017401","VITAMIN","CAP 1.25MG","4","Select","Select",""],["","59779030602","CVS","POW ","238","Select","Select",""],["","65862007701","CIPROFLOXACN","TAB 500MG","60","Select","Select",""],["","00093117701","NEOMYCIN","TAB 500MG","6","Select","Select",""],["","00054001925","PREDNISONE","TAB 50MG","15","Select","Select",""],["","50428166363","BISACODYL","TAB 5MG EC","8","Select","Select",""],["","00548560200","ENOXAPARIN","INJ 40\/0.4ML","8.4","Select","Select",""],["","70010075405","METHOCARBAM","TAB 500MG","15","Select","Select",""],["","65862050320","AMOX\/K","TAB 875-125","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":""}]}]}