{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"TRACEY L RICHARDSON","gend":1,"add":"1105 SAINT JAMES ST","city":"RICHMOND","state":"VA","zip":"23220-9998","dob":"1982-12-08","age":"","mstatus":"","insh":"11006277","cliId":"","pno":8042931188,"cno":"","email":"","ename":"","eno":"","pphy":"BONNER, LLOYD ARDEN","ppno":8043258801,"pcpadd":"505 W Leigh St Ste 205","pcpcity":"Richmond","pcpstate":"VA","pcpzip":232203239,"pcpcounty":"","pcpid":"","pcpname":"PRIMARY HEALTH CARE ASSOCIATES","plan":"VPHP","program":"MEDICARE","lob":"DSNP","region":"CENTRAL","aligned":"Y","ano":"","add2":"APT A","add3":"","madd1":"1105 SAINT JAMES ST","madd2":"APT A","madd3":"","mcity":"RICHMOND","mstate":"VA","mzip":"23220-9998","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":[["","65162071009","COLCHICINE ","0.6MG","10.00","Select","Select",""],["","00310737020","BUDES\/FORMOT ","160-4.5","10.20","Select","Select",""],["","59310057922","PROAIR ","","8.50","Select","Select",""],["","68180021609","LOSARTAN\/HCT ","100-12.5","90.00","Select","Select",""],["","00186037020","SYMBICORT ","160-4.5","10.20","Select","Select",""],["","58160088552","FLUARIX ","2020-21","0.50","Select","Select",""],["","00603533715","PREDNISONE ","5MG","21.00","Select","Select",""],["","65162019010","NAPROXEN ","500MG","20.00","Select","Select",""],["","67877021901","CEPHALEXIN ","500MG","28.00","Select","Select",""],["","68382005101","MELOXICAM ","15MG","30.00","Select","Select",""],["","31722072320","LEVOFLOXACIN ","750MG","4.00","Select","Select",""],["","00093317431","ALBUTEROL ","E","8.50","Select","Select",""],["","65162062710","TRAMADOL ","50MG","10.00","Select","Select",""],["","00487020103","IPRATROPIUM\/ ","ALBUTER","270.00","Select","Select",""],["","00093075506","DIFLUNISAL ","500MG","20.00","Select","Select",""],["","67877021620","CEFUROXIME ","500MG","14.00","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":""}]}]}