{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"MELODY LEHMAN","gend":1,"add":"1900   POCHANTAS STREET                                     ","city":"LYNCHBURG                     ","state":"VA","zip":"24501-9998","dob":"1991-09-01","age":"","mstatus":"","insh":6801133,"cliId":"","pno":4349410476,"cno":"","email":"","ename":"","eno":"","pphy":"ROWLAND, MICHAEL C                                          ","ppno":5405862441,"pcpadd":"1613 Oakwood St                                             ,                                                            ","pcpcity":"Bedford                       ","pcpstate":"VA","pcpzip":245231213,"pcpcounty":"","pcpid":"","pcpname":"CENTRA MEDICAL GROUP AMHERST","plan":"VPHP","program":"MEDICAID","lob":"VPM4","region":"WESTERN\/ CHARLOTTESVILLE","aligned":"","ano":"","add2":"1900   POCHANTAS STREET                                     ","add3":"","madd1":"1900 Pocahontas St                                          ","madd2":"                                                            ","madd3":"","mcity":"Lynchburg                     ","mstate":"VA","mzip":"24501-4418","pcpfaxno":"","pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["R42","Z91.89","G43.919","G47.20","D64.9","G47.411","F32.9","F41.9","J45.909","F15.10","Z00.01","R11.0","R10.2","R35.0","N30.01","R51","N93.9","R05","Z20.828","H66.003","H66.90","G43.019","K04.7","H92.01","H92.21","K08.89","H93.8X1","R07.9","S20.219A","R53.1","S19.9XXA","S09.90XA","S29.9XXA","S39.92XA","S79.921A","S09.93XA","S49.90XA","S69.92XA","T71.191A","H05.239","R07.89","F17.210","S90.819A","S99.922A","J45.901","R06.2","J96.00","Z72.0","Z83.3","Z82.49","R06.02","R06.89","Z87.898","J45.41","F17.200","G47.34","J01.00","J02.9","R09.89","B85.2","J45.30","G47.10","N83.201","R10.31","R10.32","N83.209","R10.9","B37.3","T14.8XXA","X58.XXXA","N91.2","Z20.822","J06.9","L08.9","R11.10","R05.9","J40","S60.419A","M25.532","Z23","Z11.52"],"date":["2020-02-06","2020-02-06","2020-02-06","2020-02-06","2020-02-06","2020-02-06","2020-02-06","2022-05-24","2021-05-06","2020-07-29","2020-02-27","2022-04-22","2020-04-21","2020-04-21","2020-04-29","2020-08-15","2020-08-15","2020-12-08","2020-12-08","2021-01-21","2021-02-16","2021-02-16","2021-03-22","2021-03-30","2021-03-22","2021-03-22","2021-03-30","2022-04-22","2021-07-06","2021-07-06","2021-07-06","2021-07-06","2021-07-06","2021-07-06","2021-07-06","2021-07-06","2021-07-06","2022-08-01","2021-07-06","2021-07-06","2022-04-22","2021-07-06","2021-09-21","2021-09-21","2021-12-20","2021-12-19","2021-12-20","2022-03-28","2021-12-19","2021-12-19","2021-12-19","2021-12-19","2021-12-20","2022-08-10","2021-12-27","2021-12-27","2022-03-10","2022-08-01","2022-03-10","2019-01-14","2022-03-28","2022-03-28","2022-04-22","2022-04-22","2022-04-22","2022-05-23","2022-04-22","2022-04-22","2022-04-22","2022-04-22","2022-05-23","2022-05-24","2022-05-24","2022-08-01","2022-08-01","2022-08-01","2022-08-01","2022-08-01","2022-08-01","2022-08-01","2022-08-01"],"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":[["","49035019502","EQ","DIS 14MG\/24H","28.00","Select","Select",""],["","42192060716","BROM\/PSE\/DM","SYP 2\/30\/10","280","Select","Select",""],["","13668001001","CITALOPRAM","TAB 20MG","30","Select","Select",""],["","65162019050","NAPROXEN","TAB 500MG","10","Select","Select",""],["","29300041319","CYCLOBENZAPR","TAB 5MG","30","Select","Select",""],["","00173069600","ADVAIR","AER 250\/50","60.00","Select","Select",""],["","00143924920","AMOX\/K","TAB 875-125","20","Select","Select",""],["","55111015330","ONDANSETRON","TAB 4MG","21","Select","Select",""],["","69238110002","DOXYCYCL","CAP 100MG","14","Select","Select",""],["","69097015807","MELOXICAM","TAB 7.5MG","7","Select","Select",""],["","53746010901","HYDROCO\/APAP","TAB 5-325MG","20","Select","Select",""],["","57664037718","TRAMADOL","TAB 50MG","30","Select","Select",""],["","68180096301","ALBUTEROL","AER HFA","8.5","Select","Select",""],["","50111078710","AZITHROMYCIN","TAB 250MG","4","Select","Select",""],["","29300022019","MONTELUKAST","TAB 10MG","30","Select","Select",""],["","59746017509","PREDNISONE","TAB 20MG","10","Select","Select",""],["","33342009441","RIZATRIPTAN","TAB 10MG ODT","12","Select","Select",""],["","57237004101","PENICILLN","TAB 500MG","28","Select","Select",""],["","63304069205","CLINDAMYCIN","CAP 150MG","40","Select","Select",""],["","16714008210","HYDROXYZ","TAB 25MG","60","Select","Select",""],["","65162027250","SMZ\/TMP","TAB 800-160","20","Select","Select",""],["","00472024260","PERMETHRIN","CRE 0.05","120","Select","Select",""],["","65162047810","NITROFURANTN","CAP 100MG","20","Select","Select",""],["","31722063231","OSELTAMIVIR","CAP 75MG","10","Select","Select",""],["","61783000012","FC2","MIS CONDOM","24","Select","Select",""],["","00378728353","NORETH\/ETHIN","TAB FE 1\/20","28","Select","Select",""],["","68180085211","MY","TAB 1.5MG","2","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":""}]}]}