{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"ASHLEY   N STINOGLE","gend":1,"add":"11191 ALIFF DRIVE                                           ","city":"CHURCH ROAD                   ","state":"VA","zip":"23833-2243","dob":"1986-02-04","age":"","mstatus":"","insh":6827719,"cliId":"","pno":8044546003,"cno":"","email":"","ename":"","eno":"","pphy":"CARDONE, JENNIFER A                                         ","ppno":8044693731,"pcpadd":"7101 JAHNKE RD                                              ,SUITE 611                                                   ","pcpcity":"RICHMOND                      ","pcpstate":"VA","pcpzip":232254017,"pcpcounty":"","pcpid":"","pcpname":"DINWIDDIE MEDICAL CENTER","plan":"VPHP","program":"MEDICAID","lob":"VPM4","region":"CENTRAL","aligned":"","ano":"","add2":"11191 ALIFF DRIVE                                           ","add3":"","madd1":"11191 ALIFF DRIVE                                           ","madd2":"CHURCH ROAD                                                 ","madd3":"","mcity":"CHURCH ROAD                   ","mstate":"VA","mzip":"23833-2243","pcpfaxno":"","pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["N89.8","N94.10","N80.9","A60.9","Z01.812","R10.2","N73.6","D25.9","N94.6","L13.0","Z88.8","F41.8","Q66.89","M25.375","R26.9","M79.672","L57.8","D18.01","D23.71","L70.0","Z01.419","Z12.4","R10.31","Z87.410","Z68.27","E88.81","R68.89","M54.6","Z68.26","J32.9","J30.9","J34.89","J30.89","R05.9","Z20.822","J10.1","J30.1","H61.22","F33.1","F41.1","F41.0"],"date":["2020-01-24","2020-02-28","2020-02-03","2020-02-12","2020-02-21","2020-02-28","2020-02-28","2020-02-28","2020-02-28","2020-02-28","2020-02-28","2020-02-28","2020-07-14","2020-07-14","2020-07-14","2020-07-22","2020-08-07","2020-08-07","2020-08-07","2020-08-07","2022-07-18","2020-12-02","2020-12-02","2020-12-02","2022-07-18","2021-01-15","2021-01-15","2021-01-15","2021-01-15","2022-05-23","2021-12-22","2022-01-18","2022-01-18","2022-01-18","2022-01-18","2022-01-18","2022-05-14","2022-05-23","2022-07-18","2022-10-26","2022-10-26"],"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":[["","70954005930","PREDNISONE","PAK 10MG","21","Select","Select",""],["","68462034690","LEVOCETIRIZI","TAB 5MG","30","Select","Select",""],["","00378427577","VALACYCLOVIR","TAB 500MG","30","Select","Select",""],["","00135061503","FLONASE","SUS 27.5MCG","9.1","Select","Select",""],["","69238126601","OSELTAMIVIR","CAP 75MG","10","Select","Select",""],["","00781107710","ALPRAZOLAM","TAB 0.5MG","45","Select","Select",""],["","31722072250","LEVOFLOXACIN","TAB 500MG","10","Select","Select",""],["","00093005301","BUSPIRONE","TAB 5MG","60","Select","Select",""],["","43547028910","BUPROPION","TAB 150MG SR","60","Select","Select",""],["","23155050105","HYDROXYZ","TAB 25MG","60","Select","Select",""],["","00781185220","AMOX\/K","TAB 875-125","42","Select","Select",""],["","16571020150","DICLOFENAC","TAB 75MG DR","20","Select","Select",""],["","60505083305","AZELASTINE","SPR 0.001","30","Select","Select",""],["","43598081115","CETIRIZINE","TAB 10MG","30","Select","Select",""],["","59746000103","METHYLPRED","TAB 4MG","21","Select","Select",""],["","65862018601","CLINDAMYCIN","CAP 300MG","14","Select","Select",""],["","41167580005","NASACORT","SPR 55MCG\/AC","16.9","Select","Select",""],["","64380080707","IBUPROFEN","TAB 800MG","40","Select","Select",""],["","00406051205","OXYCOD\/APAP","TAB 5-325MG","12","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":""}]}]}