{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"TORI   L ROSS","gend":1,"add":"1211 N 22ND STREET                                          ","city":"RICHMOND                      ","state":"VA","zip":"23223-5125","dob":"1989-01-20","age":"","mstatus":"","insh":6169006,"cliId":"","pno":8044671020,"cno":8043076978,"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":"VPM4","region":"CENTRAL","aligned":"","ano":"","add2":"1211 N 22ND STREET                                          ","add3":"","madd1":"1211 N 22ND STREET                                          ","madd2":"APARTMENT A                                                 ","madd3":"","mcity":"RICHMOND                      ","mstate":"VA","mzip":"23223-5125","pcpfaxno":"","pcpnpi":""},{"a":{"indx":["","1","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["F31.4","F31.30","R45.851","F12.90","J45.909","K21.9","Z91.040","R00.0","T42.71XA","F32.9","F31.32","J01.40","F31.61","R10.13","R11.10","R11.2","R09.81","L23.7","R21","Z87.891","Z79.899","F31.0","K52.9","F12.19","R03.0","Z01.419","Z11.51","Z11.3","N76.0","N39.0","R35.0","M79.644","N12","R10.9","R30.0","N28.9","N30.90","R31.9","Z68.23","M25.561","G89.29","F41.1","Z51.81","F12.20","F12.288","R10.31","K44.9","R19.7","F17.200","J06.9","F41.9","Z20.822","I45.19","R07.9","R05.9","R11.0","Z53.21","R10.84","R11.15","R06.02","R53.83","R50.9","I44.0","I49.8","R00.1","R91.1","M25.512","M54.2","M54.59","J32.9","M54.16","J10.1","N30.01","Z86.2","R51.9","R52"],"date":["2021-02-01","2020-06-08","2020-02-20","2022-11-21","2022-11-26","2020-02-20","2020-02-20","2020-02-20","2020-02-20","2020-02-20","2021-03-01","2021-04-13","2020-04-17","2021-06-03","2022-06-08","2022-11-26","2022-11-26","2020-06-16","2020-06-16","2022-11-26","2022-11-22","2021-12-07","2020-08-26","2021-06-18","2020-08-26","2020-09-22","2020-09-22","2020-09-22","2020-09-22","2020-11-01","2020-11-01","2020-12-16","2021-02-01","2022-06-14","2021-02-01","2021-02-01","2021-02-04","2021-02-04","2021-02-04","2022-11-22","2022-11-22","2022-11-22","2021-03-01","2021-06-03","2021-06-03","2021-09-23","2021-09-23","2021-09-23","2021-09-23","2021-10-10","2021-10-10","2021-10-10","2022-06-14","2022-06-14","2022-11-26","2022-06-08","2022-06-07","2022-06-08","2022-06-08","2022-06-14","2022-06-08","2022-06-08","2022-06-14","2022-06-14","2022-06-14","2022-06-14","2022-07-01","2022-07-01","2022-07-01","2022-09-12","2022-11-22","2022-11-26","2022-11-26","2022-11-26","2022-11-26","2022-11-26"],"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":[["","16571020106","DICLOFENAC","TAB 75MG DR","30","Select","Select",""],["","65862050320","AMOX\/K","TAB 875-125","14","Select","Select",""],["","00591544305","PREDNISONE","TAB 20MG","14","Select","Select",""],["","69097084507","CYCLOBENZAPR","TAB 5MG","20","Select","Select",""],["","","LORAZEPAM","TAB 0.5MG","15","Select","Select",""],["","","ONDANSETRON","TAB 4MG ODT","15","Select","Select",""],["","68180061307","QUETIAPINE","TAB 150MG ER","30","Select","Select",""],["","00093314705","CEPHALEXIN","CAP 500MG","28","Select","Select",""],["","","DICYCLOMINE","TAB 20MG","20","Select","Select",""],["","","PROMETHAZINE","TAB 25MG","15","Select","Select",""],["","66993001968","ALBUTEROL","AER HFA","18","Select","Select",""],["","","MEDROXYPR","INJ 150MG\/ML","1","Select","Select",""],["","49483060450","IBUPROFEN","TAB 800MG","30","Select","Select",""],["","65162047810","NITROFURANTN","CAP 100MG","14","Select","Select",""],["","50428034819","CAPSAICIN","CRE 0.001","42.5","Select","Select",""],["","00143993905","AMOXICILLIN","CAP 500MG","10","Select","Select",""],["","69584061250","METHOCARBAM","TAB 750MG","30","Select","Select",""],["","53746010901","HYDROCO\/APAP","TAB 5-325MG","12","Select","Select",""],["","69097015907","MELOXICAM","TAB 15MG","20","Select","Select",""],["","13668021730","ARIPIPRAZOLE","TAB 5MG","30","Select","Select",""],["","00781707787","METRONIDAZOL","GEL 0.75%VAG","70","Select","Select",""],["","45802006435","TRIAMCINOLON","CRE 0.001","30","Select","Select",""],["","68462022110","LITHIUM","CAP 300MG","60","Select","Select",""],["","00093506201","HYDROXYZ","TAB 50MG","120","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":""}]}]}