{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"ALKERIA   L JOHNSON","gend":1,"add":"1968 ACCOMMODATION STREET","city":"RICHMOND","state":"VA","zip":"23223-4216","dob":"1993-08-18","age":"","mstatus":"","insh":6316456,"cliId":"","pno":8045442777,"cno":8047812390,"email":"","ename":"","eno":"","pphy":"BEDOYA, PABLO","ppno":8048283144,"pcpadd":"1300 E Marshall St, ","pcpcity":"Richmond","pcpstate":"VA","pcpzip":232985054,"pcpcounty":"","pcpid":"","pcpname":"MCV MAIN HOSPITAL","plan":"VPHP","program":"MEDICAID","lob":"VPM4","region":"CENTRAL","aligned":"","ano":"","add2":"1901 WHITCOMB STREET APARTMENT 1","add3":"","madd1":"1968 Accommodation St","madd2":"","madd3":"","mcity":"Richmond","mstate":"VA","mzip":"23223-4216","pcpfaxno":"","pcpnpi":""},{"a":{"indx":["","1","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["F31.4","M54.2","S16.1XXA","W22.8XXA","Z30.430","F25.0","F41.9","F33.9","F33.1","J45.21","R06.2","F17.210","Z79.899","Z91.040","J45.901","R00.0","R06.02","F31.9","J06.9","J45.909","F17.200","Z20.828","R68.89","N83.201","N83.202","N39.0","R10.2","R10.32","M54.9","F31.81","N92.6","A74.9","A54.9","Z97.5","F31.32","F25.9","F43.10","F90.2","R52","R53.81","S70.362A","W57.XXXA","Z79.1","Z79.51","L02.212","Z11.3","J02.9","Z20.822","Z79.52","R10.30","N30.01"],"date":["2020-05-29","2020-06-09","2020-06-09","2020-06-09","2020-06-11","2021-02-17","2020-06-26","2021-05-05","2021-06-28","2020-08-24","2020-09-19","2020-08-24","2022-04-01","2020-08-24","2021-10-21","2020-08-24","2020-09-19","2020-09-09","2020-09-19","2022-04-01","2022-04-01","2020-09-19","2020-09-19","2021-01-25","2021-01-25","2021-01-07","2021-01-25","2021-01-07","2021-01-07","2021-01-12","2021-01-25","2021-01-25","2021-01-25","2021-01-25","2021-04-16","2021-05-05","2021-05-05","2021-03-29","2021-07-28","2021-07-28","2021-07-28","2021-07-28","2022-04-01","2021-10-21","2022-04-01","2021-10-19","2021-10-21","2021-10-21","2021-10-21","2022-04-01","2022-04-01"],"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":{"indx":[false,false],"comment":["",""],"score":["",""]}},{"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":[["","65162027210","SMZ\/TMP","TAB 800-160","14","Select","Select",""],["","65862037401","ESCITALOPRAM","TAB 10MG","30","Select","Select",""],["","00832712311","DIVALPROEX","TAB 250MG DR","60","Select","Select",""],["","29300014801","QUETIAPINE","TAB 50MG","30","Select","Select",""],["","68180065208","DOXYCYC","CAP 100MG","28","Select","Select",""],["","67877021901","CEPHALEXIN","CAP 500MG","10","Select","Select",""],["","65162046650","IBUPROFEN","TAB 800MG","20","Select","Select",""],["","69238110005","DOXYCYCL","CAP 100MG","14","Select","Select",""],["","16571066401","METRONIDAZOL","TAB 500MG","14","Select","Select",""],["","00143924920","AMOX\/K","TAB 875-125","14","Select","Select",""],["","66993001968","ALBUTEROL","AER HFA","18","Select","Select",""],["","59746017506","PREDNISONE","TAB 20MG","15","Select","Select",""],["","65162019010","NAPROXEN","TAB 500MG","60","Select","Select",""],["","50111064801","FLUOXETINE","CAP 20MG","30","Select","Select",""],["","33342006807","OLANZAPINE","TAB 5MG","30","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":""}]}]}