{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"KEMARVIA   N FITZGERALD","gend":1,"add":"4009  N NORTH AVENUE                                        ","city":"RICHMOND                      ","state":"VA","zip":"23222-1145","dob":"2001-11-13","age":"","mstatus":"","insh":6876932,"cliId":"","pno":8047736603,"cno":8049373363,"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":"4009  N NORTH AVENUE                                        ","add3":"","madd1":"4009  N NORTH AVENUE                                        ","madd2":"APT 7                                                       ","madd3":"","mcity":"RICHMOND                      ","mstate":"VA","mzip":"23222-1145","pcpfaxno":"","pcpnpi":""},{"a":{"indx":["","1","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["O23.11","N30.90","B37.9","Z3A.01","R10.9","O98.811","O99.511","J45.909","O21.0","Z32.01","N30.00","O23.10","R11.2","O99.519","Z3A.00","Z79.899","Z34.01","Z3A.10","Z33.1","Z36.82","Z3A.12","O36.80X0","O99.352","R51.9","R11.0","Z3A.16","O26.892","Z36.3","Z3A.19","Z34.90","O23.41","O20.9","N39.0","O23.591","O23.42","N76.0","Z3A.24","O99.613","K52.9","O99.283","E86.0","Z3A.29","O21.8","O98.513","U07.1","O36.8130","O99.013","D56.3","D50.9","O99.513","Z36.2","O36.5990","Z3A.32","O26.893","Z3A.37","O99.891","M54.5","O76","O80","Z37.0","O70.1","O99.02","O99.52","O99.824","Z20.822","O42.02","P00.2","Z00.129","Z23","J06.9","K21.9","R50.9","J34.89","R05.9","R50.81","N89.8","B96.89","Z01.411","Z11.3","Z71.6","K08.89","K14.6","R68.84","Z79.51"],"date":["2021-02-18","2021-02-18","2021-02-18","2021-02-18","2021-02-18","2021-02-18","2021-07-06","2022-07-28","2021-03-11","2021-03-11","2021-03-11","2021-03-11","2021-03-11","2021-03-11","2021-03-11","2021-07-06","2021-03-17","2021-03-17","2021-07-20","2021-03-31","2021-03-31","2021-03-31","2021-05-05","2021-05-05","2021-05-05","2021-05-05","2021-05-05","2021-05-20","2021-05-20","2021-07-20","2021-07-06","2021-07-06","2021-07-06","2021-07-06","2021-07-06","2022-04-22","2021-07-06","2021-08-02","2021-08-02","2021-08-02","2021-08-02","2021-08-02","2021-08-02","2021-08-02","2021-08-02","2021-08-02","2021-09-22","2021-09-27","2021-09-27","2021-09-22","2021-08-20","2021-08-20","2021-08-20","2021-09-22","2021-09-28","2021-09-22","2021-09-22","2021-09-27","2021-09-28","2021-09-28","2021-09-28","2021-09-27","2021-09-27","2021-09-27","2021-09-27","2021-09-28","2021-09-30","2022-04-08","2022-04-08","2021-12-28","2022-04-08","2022-03-10","2022-03-10","2022-03-10","2022-03-10","2022-04-22","2022-04-22","2022-04-22","2022-04-22","2022-04-22","2022-07-28","2022-06-25","2022-06-25","2022-07-28"],"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":[["","50111033402","METRONIDAZOL","TAB 500MG","14","Select","Select",""],["","57237004105","PENICILLN","TAB 500MG","14","Select","Select",""],["","64380080807","IBUPROFEN","TAB 600MG","30","Select","Select",""],["","00904759080","FEROSUL","TAB 325MG","30","Select","Select",""],["","13811071910","NITROFURANTN","CAP 100MG","14","Select","Select",""],["","68382004001","PROMETHAZINE","TAB 12.5MG","20","Select","Select",""],["","00527169505","BUT\/APAP\/CAF","TAB ","15","Select","Select",""],["","52565001480","TRIAMCINOLON","OIN 0.001","80","Select","Select",""],["","00093314705","CEPHALEXIN","CAP 500MG","14","Select","Select",""],["","65862018730","ONDANSETRON","TAB 4MG","10","Select","Select",""],["","00904530760","BANOPHEN","CAP 50MG","15","Select","Select",""],["","00168034646","TERCONAZOLE","CRE 0.004","45","Select","Select",""],["","49022008436","CLOTRIMAZOLE","CRE 1% VAG","45","Select","Select",""],["","68462029855","CLOTRIM\/BETA","CRE DIPROP","45","Select","Select",""],["","54838000650","VITAMIN","DRO 10MCG\/ML","50","Select","Select",""],["","49022008444","MICONAZOLE","CRE 0.02","45","Select","Select",""],["","50580033830","IMODIUM","TAB RELIEF","24","Select","Select",""],["","65862037401","ESCITALOPRAM","TAB 10MG","30","Select","Select",""],["","57237000511","FLUCONAZOLE","TAB 150MG","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":""}]}]}