{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"JENNIFER   N MEADE","gend":1,"add":"458   SUSSEX DRIVE                                          ","city":"EMPORIA                       ","state":"VA","zip":"23847-6424","dob":"1973-07-07","age":"","mstatus":"","insh":6156377,"cliId":"","pno":4342466359,"cno":"","email":"","ename":"","eno":"","pphy":"MATHERLEE, MICHAEL D                                        ","ppno":4342466100,"pcpadd":"12454 Hartley St                                            ,                                                            ","pcpcity":"Stony Creek                   ","pcpstate":"VA","pcpzip":238823302,"pcpcounty":"","pcpid":"","pcpname":"STONY CREEK COMMUNITY HEALTH CENTER","plan":"VPHP","program":"MEDICAID","lob":"MLTSS","region":"CENTRAL","aligned":"","ano":"","add2":"458   SUSSEX DRIVE                                          ","add3":"","madd1":"458   SUSSEX DRIVE                                          ","madd2":"                                                            ","madd3":"","mcity":"EMPORIA                       ","mstate":"VA","mzip":"23847-6424","pcpfaxno":"","pcpnpi":""},{"a":{"indx":["","1","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["D64.9","N93.8","R06.02","R10.30","N93.9","D25.9","F17.210","Z91.040","Z82.49","Z83.3","F33.9","F32.9","F14.24","D25.0","R42","M54.9","D25.1","R19.09","R55","D21.9","W22.8XXA","E87.6","F19.90","R53.83","G44.319","S09.90XA","W19.XXXA","N92.0","Z11.3","F14.10","R10.9","S80.861A","W57.XXXA","Z87.891","L02.415","L02.416","D50.0","D62","T63.301A","S81.851A","Z79.52","Z01.818","Z01.812","Z20.828","Z79.899","Z53.8","D25.2","Z98.51","F19.10","F17.200","E11.9","I10","R06.03","R06.2","N80.0","F25.1","F25.0","F33.1","L02.212","T14.8XXA","S30.860A","L08.9","S31.050A","M25.572","F10.10","A54.02","N89.8","Z20.2","Z87.42"],"date":["2021-04-21","2020-11-09","2020-12-04","2020-01-23","2020-12-04","2020-12-05","2022-07-10","2020-01-23","2020-11-05","2020-01-23","2020-06-15","2022-02-03","2020-06-23","2020-10-08","2020-10-10","2020-10-08","2020-12-04","2020-10-08","2020-10-10","2020-11-05","2020-10-10","2020-12-04","2020-10-11","2020-12-04","2020-10-10","2020-10-10","2020-10-10","2020-12-05","2020-10-12","2022-01-05","2020-11-05","2020-11-05","2021-04-21","2020-11-05","2020-11-05","2020-11-06","2020-12-05","2020-12-04","2020-11-09","2020-11-09","2020-11-09","2020-11-09","2020-11-17","2020-11-17","2021-04-21","2020-11-19","2020-12-04","2020-12-04","2020-12-04","2020-12-04","2020-12-04","2020-12-04","2020-12-04","2020-12-04","2020-12-05","2022-01-10","2022-06-20","2021-05-26","2021-04-21","2021-04-21","2021-04-21","2021-04-21","2021-04-21","2021-06-24","2021-10-01","2022-07-10","2022-07-10","2022-07-10","2022-07-10"],"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":[["","66993068130","OLANZAPINE","TAB 5MG","30","Select","Select",""],["","68180012202","CEPHALEXIN","CAP 500MG","28","Select","Select",""],["","65862042005","SMZ\/TMP","TAB 800-160","20","Select","Select",""],["","00378064205","PREDNISONE","TAB 20MG","7","Select","Select",""],["","42858010201","OXYCOD\/APAP","TAB 5-325MG","30","Select","Select",""],["","50428660019","CVS","CHW 80MG","100","Select","Select",""],["","00245010811","FERROUS","TAB 325MG EC","60","Select","Select",""],["","50111033401","METRONIDAZOL","TAB 500MG","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":""}]}]}