{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"LAKESHA D WILSON","gend":1,"add":"12 Ranalet Dr  ","city":"Hampton  ","state":"VA","zip":"23664-1602","dob":"1982-03-06","age":"","mstatus":"","insh":11004436,"cliId":"7NF3JY9EX91","pno":7577769964,"cno":7576225171,"email":"","ename":"","eno":"","pphy":"MACK, ALEXANDRA SLEDD","ppno":7574465955,"pcpadd":"825 Fairfax Ave,Ste 118","pcpcity":"NORFOLK  ","pcpstate":"VA","pcpzip":235071914,"pcpcounty":"","pcpid":"P0060129","pcpname":"GHENT FAMILY PRACTICE","plan":"VPHP","program":"MEDICARE","lob":"DSNP","region":"TIDEWATER","aligned":"Y","ano":"","add2":"","add3":"","madd1":"12 Ranalet Dr  ","madd2":"","madd3":"","mcity":"Hampton  ","mstate":"VA","mzip":"23664-1602","pcpfaxno":"","pcpnpi":""},{"a":{"indx":["","1","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Current Conditions \/ Suspect Codes","q":[{"a":{"diag":["Z01.419","Z30.46","Z30.017","I10","Z32.02","Z11.3","K04.01","R05","R50.9","K08.89","Z71.89","Z20.828","B37.3","L29.2","R10.9","R30.0","Z20.2","N30.00","Z79.899","K62.89","N30.90","E66.9","M79.10","R09.89","R91.8","R07.9","E66.01","K83.9","R06.83","R53.83","R51.9","Z65.9","H61.21","H92.01","J34.89","R09.81","Z87.42","G47.33","J02.9","J06.9","N39.0","N76.0","Z20.822"],"date":["2020-05-07","2020-05-07","2020-05-07","2021-09-08","2020-05-07","2020-05-07","2020-06-09","2021-09-08","2020-06-09","2020-06-09","2020-06-09","2020-11-19","2020-07-17","2020-07-17","2020-07-17","2020-07-17","2020-07-17","2020-07-17","2020-07-17","2020-09-03","2020-09-03","2020-09-03","2020-11-19","2020-11-19","2020-11-19","2020-11-19","2020-12-01","2020-12-01","2020-12-01","2020-12-01","2020-12-01","2020-12-01","2019-12-19","2019-12-19","2019-12-19","2021-09-08","2019-12-19","2021-03-16","2021-09-08","2021-09-08","2021-09-08","2021-09-08","2021-09-08"],"priorHcc":["","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","",""]}},{"a":[]}]},{"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":{"indx":["","",""],"comment":["","",""],"sub":[]}},{"a":{"indx":["","",""],"comment":["","",""],"sub":[]}}]},{"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":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Allergies \/ Medications","q":[{"a":[]},{"a":{"comment":"","sub":[["","47781030301","NITROFURANTN","CAP 100MG","","Select","Select",""],["","68682000750","DILTIAZEM","TAB 60MG","","Select","Select",""],["","68180012202","CEPHALEXIN","CAP 500MG","","Select","Select",""],["","93310905","AMOXICILLIN","CAP 500MG","","Select","Select",""],["","71930005552","APAP\/CODEINE","TAB 300-30MG","","Select","Select",""],["","70710113908","FLUCONAZOLE","TAB 150MG","","Select","Select",""],["","65162019050","NAPROXEN","TAB 500MG","","Select","Select",""],["","68180016013","AZITHROMYCIN","TAB 250MG","","Select","Select",""],["","47781030301","NITROFURANTN ","CAP 100MG","10","Select","Select",""],["","68682000750","DILTIAZEM ","TAB 60MG","10","Select","Select",""],["","70710113908","FLUCONAZOLE ","TAB 150MG","1","Select","Select",""],["","68180012202","CEPHALEXIN ","CAP 500MG","14","Select","Select",""],["","93310905","AMOXICILLIN ","CAP 500MG","21","Select","Select",""],["","68180016013","AZITHROMYCIN ","250MG","6","Select","Select",""],["","65162019050","NAPROXEN ","500MG","20","Select","Select",""],["","71930005552","APAP\/CODEINE ","300-30MG","9","Select","Select",""]]}},{"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":[]}]},{"t":"Pain","q":[{"a":[]}]},{"t":"Vital Signs","q":[{"a":[]},{"a":[]}]},{"t":"Exam Review","q":[{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Screenings Needed","q":[[["No","Select","","","","","Select","",""],["No","Select","","","","","Select","",""],["No","Select","","","","","Select","",""],["No","Select","","","","","Select","",""],["No","Select","","","","","Select","",""],["No","Select","","","","","Select","",""],["N\/A","Select","","","","","Select","",""]]]},{"t":"Mini-Cog","q":[{"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":""}]}]}