{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"THOMAS BEASLEY","gend":0,"add":"521 CEDAR LEVEL ROAD","city":"HOPEWELL                      ","state":"VA","zip":"23860-4159","dob":"2002-10-01","age":"","mstatus":"","insh":6902010,"cliId":"","pno":8042953148,"cno":"","email":"","ename":"","eno":"","pphy":"YU, LANPING","ppno":8045183288,"pcpadd":"325 Charles H Dimmock Pkwy,Ste 600","pcpcity":"Colonial Heights              ","pcpstate":"VA","pcpzip":238342988,"pcpcounty":"","pcpid":"","pcpname":"YU PEDIATRICS PC","plan":"VPHP","program":"MEDICAID","lob":"VPM4","region":"CENTRAL","aligned":"","ano":"","add2":"521 CEDAR LEVEL ROAD","add3":"","madd1":"521 CEDAR LEVEL ROAD","madd2":"","madd3":"","mcity":"HOPEWELL                      ","mstate":"VA","mzip":"23860-4159","pcpfaxno":"","pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["S81.011A","M79.89","S99.911A","S60.511A","M25.571","M25.471","S89.91XA","W17.89XA","S93.401A","S93.491A","S81.821A","M25.561","S81.021D","L08.9","Z48.02","R10.10","K21.9","T78.40XA","R21","L29.9","M54.9","L70.0","Z00.121","Z23","E66.9","Z13.89","J45.909","R07.89","R07.9","R51","I10","J06.9","I49.8","R07.81","R07.2","F17.200","F31.9","Z20.828","R45.851","F41.9","F39","S63.501A","M79.641","W13.2XXA","S63.502A","W18.30XA","S69.91XA","F31.32","S60.221A","Y04.0XXA","S29.9XXA","M25.532","M79.632","V86.56XA","S59.912A","S69.92XA","S09.8XXA","W22.8XXA","S09.90XA","R51.9","W22.09XA","R40.2142","R40.2362","R40.2252","M19.012","M25.711","M25.712","M25.511","M25.512","V86.59XA","Y92.410","L03.114"],"date":["2020-01-13","2020-01-13","2020-01-13","2020-01-13","2020-01-13","2020-01-13","2020-01-13","2020-01-13","2020-01-13","2020-01-14","2020-01-14","2020-01-21","2020-01-21","2020-01-21","2020-01-28","2020-03-12","2020-08-18","2020-07-30","2020-07-30","2020-07-30","2020-08-18","2020-08-18","2020-09-04","2020-09-04","2020-09-04","2020-09-04","2020-09-20","2020-11-17","2020-11-17","2020-09-26","2020-09-26","2020-10-06","2020-11-17","2021-01-31","2020-11-16","2020-12-03","2020-12-05","2020-12-03","2020-12-05","2020-12-03","2020-12-03","2020-12-03","2021-01-03","2020-12-03","2021-09-21","2020-12-03","2021-01-03","2020-12-09","2021-01-03","2021-01-03","2021-01-31","2021-09-21","2021-01-31","2021-09-21","2021-01-31","2021-01-31","2021-02-20","2021-02-20","2021-02-20","2021-02-20","2021-02-20","2021-02-20","2021-02-20","2021-02-20","2021-04-20","2021-04-20","2021-04-20","2021-04-20","2021-04-20","2021-09-21","2021-09-21","2021-11-08"],"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":[["","21922002107","PERMETHRIN","CRE 0.05","60","Select","Select",""],["","67877021901","CEPHALEXIN","CAP 500MG","30","Select","Select",""],["","65162046650","IBUPROFEN","TAB 800MG","21","Select","Select",""],["","11822010233","PAIN","TAB 500MG","20","Select","Select",""],["","52565003330","ERYTHROMYCIN","GEL 0.02","30","Select","Select",""],["","55111015901","OMEPRAZOLE","CAP 40MG","30","Select","Select",""],["","65162003310","APAP\/CODEINE","TAB 300-30MG","20","Select","Select",""],["","11026278004","BRONCOTRON","LIQ PED","150","Select","Select",""],["","69097012303","TOPIRAMATE","TAB 50MG","60","Select","Select",""],["","68382080501","TRAZODONE","TAB 50MG","30","Select","Select",""],["","00904672080","ACETAMIN","TAB 500MG","30","Select","Select",""],["","65862052201","NAPROXEN","TAB 500MG","20","Select","Select",""],["","59746017506","PREDNISONE","TAB 20MG","15","Select","Select",""],["","16571020210","DICLOFENAC","TAB 50MG DR","20","Select","Select",""],["","00172572960","FAMOTIDINE","TAB 40MG","5","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":""}]}]}