{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"JAMESHA   T LOCKETT","gend":1,"add":"1619 ROSECREST AVENUE                                       ","city":"RICHMOND                      ","state":"VA","zip":"23224-7533","dob":"1994-06-03","age":"","mstatus":"","insh":6345255,"cliId":"","pno":8047146670,"cno":"","email":"","ename":"","eno":"","pphy":"BROOKS-WILLIAMS, MALINDA                                    ","ppno":8047800840,"pcpadd":"4730 N Southside Plaza St                                   ,                                                            ","pcpcity":"Richmond                      ","pcpstate":"VA","pcpzip":232241742,"pcpcounty":"","pcpid":"","pcpname":"BERMUDA DISTRICT MEDICAL CENTER","plan":"VPHP","program":"MEDICAID","lob":"VPM4","region":"CENTRAL","aligned":"","ano":"","add2":"1619 ROSECREST AVENUE                                       ","add3":"","madd1":"1619 ROSECREST AVENUE                                       ","madd2":"                                                            ","madd3":"","mcity":"RICHMOND                      ","mstate":"VA","mzip":"23224-7533","pcpfaxno":"","pcpnpi":""},{"a":{"indx":["","1","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["J01.00","M54.2","V89.2XXA","S16.1XXA","S39.012A","S40.022A","V43.52XA","V53.5XXA","Y92.410","F31.9","J45.909","Z79.899","Z87.891","I10","F20.9","F17.200","Z92.29","I11.9","R94.31","R68.89","R79.89","R79.9","E55.9","E53.8","H93.299","H53.8","Z20.828","Z53.21","J10.1","J02.9","R11.2","Z20.822","F17.210","Z79.52"],"date":["2020-10-05","2021-02-04","2021-02-04","2021-02-04","2021-02-04","2021-02-04","2021-02-04","2021-02-04","2021-02-04","2021-02-15","2022-03-14","2021-02-15","2021-02-04","2021-02-15","2021-02-15","2022-03-14","2021-02-15","2021-02-15","2021-02-15","2021-02-15","2021-02-15","2021-02-15","2021-02-15","2021-02-15","2021-02-15","2021-02-15","2021-10-21","2021-10-21","2022-03-14","2022-03-14","2022-03-14","2022-03-14","2022-03-14","2022-03-14"],"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":[["","70010013901","NAPROXEN","TAB 500MG","20","Select","Select",""],["","00093317431","ALBUTEROL","FAT E","8.5","Select","Select",""],["","00591352530","LIDOCAINE","PAD 0.05","90","Select","Select",""],["","00603533815","PREDNISONE","PAK 10MG","21","Select","Select",""],["","65862007175","AMOXICILLIN","SUS 400\/5ML","150","Select","Select",""],["","41167424404","ALLEGRA","SUS 30MG\/5ML","120","Select","Select",""],["","00093101042","MUPIROCIN","OIN 0.02","22","Select","Select",""],["","00781613954","AMOX\/K","SUS 600\/5ML","125","Select","Select",""],["","55111018015","TIZANIDINE","TAB 4MG","30","Select","Select",""],["","65162046650","IBUPROFEN","TAB 800MG","30","Select","Select",""],["","69452015120","VITAMIN","CAP 50000UNT","12","Select","Select",""],["","69238110005","DOXYCYCL","CAP 100MG","20","Select","Select",""],["","45802062626","CETIRIZINE","SOL 1MG\/ML","50","Select","Select",""],["","52817016060","QUETIAPINE","TAB 50MG ER","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":""}]}]}