{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"BRITTANY   E HELTON","gend":1,"add":"1084   PROVIDENCE ROAD                                      ","city":"CENTER CROSS                  ","state":"VA","zip":"22437-2117","dob":"1991-01-22","age":"","mstatus":"","insh":6228706,"cliId":"","pno":8045176104,"cno":8046290976,"email":"","ename":"","eno":"","pphy":"MOORE, WILLIAM                                              ","ppno":8046522200,"pcpadd":"4620 S LABURNUM AVE                                         ,                                                            ","pcpcity":"RICHMOND                      ","pcpstate":"VA","pcpzip":232312424,"pcpcounty":"","pcpid":"","pcpname":"LABURNUM MEDICAL CENTER","plan":"VPHP","program":"MEDICAID","lob":"VPM4","region":"CENTRAL","aligned":"","ano":"","add2":"","add3":"","madd1":"1084   PROVIDENCE ROAD                                      ","madd2":"                                                            ","madd3":"","mcity":"CENTER CROSS                  ","mstate":"VA","mzip":"22437-2117","pcpfaxno":"","pcpnpi":""},{"a":{"indx":["","1","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["K02.9","K08.89","G89.29","F17.200","L03.311","R21","R23.8","F17.210","N76.4","L03.818","N76.2","Z86.711","R27.9","L03.314","R00.0","Z88.0","Z98.891","Z20.822","Z16.24","E83.51","B95.61","Z04.9","Z16.11","E87.8","Z48.817","M47.812","E04.1","M79.642","M54.9","M25.562","S16.1XXA","T07.XXXA","V87.7XXA","S39.012A","S29.9XXA"],"date":["2020-01-18","2020-10-09","2020-10-09","2020-10-09","2020-12-10","2020-12-10","2020-12-10","2021-08-28","2021-09-07","2021-08-28","2021-09-07","2021-08-29","2021-08-28","2021-08-29","2021-08-29","2021-08-29","2021-08-29","2021-08-29","2021-08-29","2021-08-29","2021-08-30","2021-08-29","2021-08-30","2021-08-30","2021-09-07","2022-06-09","2022-06-09","2022-06-09","2022-06-09","2022-06-09","2022-06-09","2022-06-09","2022-06-09","2022-06-09","2022-06-09"],"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":[["","68462019005","NAPROXEN","TAB 500MG","14","Select","Select",""],["","29300041519","CYCLOBENZAPR","TAB 10MG","20","Select","Select",""],["","68645056259","IBUPROFEN","TAB 600MG","15","Select","Select",""],["","65162027250","SMZ\/TMP","TAB 800-160","14","Select","Select",""],["","50111033402","METRONIDAZOL","TAB 500MG","14","Select","Select",""],["","65862018601","CLINDAMYCIN","CAP 300MG","28","Select","Select",""],["","42858000101","OXYCODONE","TAB 5MG","24","Select","Select",""],["","00116200116","CHLORHEX","SOL 0.0012","473","Select","Select",""],["","49884072703","DOXYCYC","CAP 100MG","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":""}]}]}