{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"AUSTIN YOUNG","gend":0,"add":"16736 KIPOER TURN","city":"MOSELEY","state":"VA","zip":"23120-9998","dob":"1986-12-04","age":"","mstatus":"","insh":"11005399","cliId":"","pno":8043378417,"cno":"","email":"","ename":"","eno":"","pphy":"MIRANDA, ALTORY M","ppno":8045546132,"pcpadd":"2237 Rose Family Dr","pcpcity":"Midlothian","pcpstate":"VA","pcpzip":231124187,"pcpcounty":"","pcpid":"","pcpname":"VIRGINIA HEALTHCARE PC","plan":"VPHP","program":"MEDICARE","lob":"DSNP","region":"CENTRAL","aligned":"Y","ano":"","add2":"","add3":"","madd1":"16736 KIPOER TURN","madd2":"","madd3":"","mcity":"MOSELEY","mstate":"VA","mzip":"23120-9998","pcpfaxno":"","pcpnpi":""},{"a":{"indx":["","1","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"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":[]},{"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":[["","64764075030","TRINTELLIX ","20MG","30.00","Select","Select",""],["","00603243821","BENZTROPINE ","1MG","60.00","Select","Select",""],["","68180072103","AMLODIPINE ","10MG","90.00","Select","Select",""],["","65862020290","LOSARTAN ","50MG","90.00","Select","Select",""],["","64980029101","PERPHENAZINE ","4MG","30.00","Select","Select",""],["","59651017701","DOXEPIN ","100MG","30.00","Select","Select",""],["","68180023209","FENOFIBRATE ","160MG","90.00","Select","Select",""],["","61874013030","VRAYLAR ","3MG","30.00","Select","Select",""],["","58160084252","BOOSTRIX ","","0.50","Select","Select",""],["","50111056101","TRAZODONE ","100MG","30.00","Select","Select",""],["","00093083205","CLONAZEPAM ","0.5MG","60.00","Select","Select",""],["","51991029401","OXCARBAZEPIN ","600MG","60.00","Select","Select",""],["","42806016105","HYDROXYZ ","50MG","30.00","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":["",""]}},{"a":{"indx":["","1"],"comment":["",""]}},{"a":{"indx":["","1"],"comment":["",""]}},{"a":{"indx":["","1"],"comment":["",""]}},{"a":{"indx":["","1"],"comment":["",""]}},{"a":{"indx":["","1"],"comment":["",""]}},{"a":{"indx":["","1"],"comment":["",""]}},{"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":""}]}]}