{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"JAZZMIN   R BROWNING","gend":1,"add":"1011   A STREET                                             ","city":"MARTINSVILLE                  ","state":"VA","zip":"24112-3428","dob":"2001-12-15","age":"","mstatus":"","insh":6861251,"cliId":"","pno":2762246992,"cno":"","email":"","ename":"","eno":"","pphy":"SNIDER, ZAIRHA G                                            ","ppno":5406395188,"pcpadd":"202 8th St                                                  ,                                                            ","pcpcity":"Radford                       ","pcpstate":"VA","pcpzip":241412426,"pcpcounty":"","pcpid":"","pcpname":"NEW RIVER VALLEY PEDIATRICS","plan":"VPHP","program":"MEDICAID","lob":"VPM4","region":"ROANOKE\/ ALLEGHANY","aligned":"","ano":"","add2":"1011   A STREET                                             ","add3":"","madd1":"1011   A STREET                                             ","madd2":"APT A                                                       ","madd3":"","mcity":"MARTINSVILLE                  ","mstate":"VA","mzip":"24112-3428","pcpfaxno":"","pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["Z34.82","O09.32","Z11.3","Z67.91","O23.42","Z3A.25","Z91.048","N76.0","O09.33","Z13.1","R79.9","Z34.83","O47.03","Z3A.38","Z00.00","O80","Z37.0","U07.1","O98.513","Z91.040","R06.2","M54.5","Z04.3","W19.XXXA","F64.0","Z79.890","E27.1","D68.51","Z86.718","Z79.01","E10.40","Z79.4","F17.220","Z30.017","M25.551","T14.90XA","Z03.818","Z11.59","Z20.828","H52.13","Z13.5","J01.80","R51.9","R32","N39.0","R10.9","R53.83","R10.84","Z20.822","J06.9","L03.115","F53.0","L02.91","N92.1","Z68.22","B00.9","B37.3","Z68.23"],"date":["2020-03-30","2020-02-03","2022-05-19","2020-03-30","2020-03-08","2020-03-08","2020-09-20","2022-11-15","2020-06-08","2020-03-30","2020-03-30","2020-05-21","2020-06-07","2020-06-10","2020-06-08","2020-06-10","2020-06-10","2020-06-10","2020-06-10","2020-06-10","2020-07-02","2021-05-16","2020-08-09","2020-08-09","2020-08-09","2020-08-09","2020-08-09","2020-08-09","2020-08-09","2020-08-09","2020-08-09","2020-08-09","2020-08-09","2020-08-13","2020-08-17","2020-09-20","2020-11-15","2020-11-16","2020-11-27","2021-04-14","2021-04-14","2021-05-16","2021-05-16","2021-05-16","2022-06-09","2021-05-16","2021-05-16","2021-05-16","2022-11-15","2022-11-15","2019-03-05","2019-03-05","2019-03-08","2019-05-01","2022-04-16","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":{"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":[["","68180012202","CEPHALEXIN","CAP 500MG","30","Select","Select",""],["","70710113803","FLUCONAZOLE","TAB 100MG","5","Select","Select",""],["","68180016006","AZITHROMYCIN","TAB 250MG","4","Select","Select",""],["","71930002643","BROM\/PSE\/DM","SYP ","300","Select","Select",""],["","50111033401","METRONIDAZOL","TAB 500MG","14","Select","Select",""],["","68382079101","ACYCLOVIR","TAB 400MG","21","Select","Select",""],["","68180065208","DOXYCYC","CAP 100MG","14","Select","Select",""],["","24658031205","DOXYCYCL","TAB 100MG","20","Select","Select",""],["","45802065078","LORATADINE","TAB 10MG","14","Select","Select",""],["","00378064205","PREDNISONE","TAB 20MG","10","Select","Select",""],["","75826011510","PHENAZOPYRID","TAB 200MG","9","Select","Select",""],["","00052433001","NEXPLANON","IMP 68MG","1","Select","Select",""],["","16500009713","FLINTSTONES","CHW COMPLETE","30","Select","Select",""],["","00591565810","CYCLOBENZAPR","TAB 10MG","30","Select","Select",""],["","65162019050","NAPROXEN","TAB 500MG","30","Select","Select",""],["","51672130406","TERCONAZOLE","CRE 0.004","45","Select","Select",""],["","47781030301","NITROFURANTN","CAP 100MG","10","Select","Select",""],["","69097083512","SERTRALINE","TAB 100MG","30","Select","Select",""],["","65862042005","SMZ\/TMP","TAB 800-160","20","Select","Select",""],["","59762453701","MEDROXYPR","INJ 150MG\/ML","1","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":""}]}]}