{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"TAYLOR K FLEMING","gend":1,"add":"3821 HAWTHORNE AVE","city":"RICHMOND","state":"VA","zip":"23222-9998","dob":"1994-02-20","age":"","mstatus":"","insh":"11007664","cliId":"","pno":8043758037,"cno":8046758037,"email":"","ename":"","eno":"","pphy":"BROOKS-WILLIAMS, MALINDA","ppno":8047800840,"pcpadd":"4730 N Southside Plaza St","pcpcity":"Richmond","pcpstate":"VA","pcpzip":232241742,"pcpcounty":"","pcpid":"","pcpname":"NORTHSIDE MEDICAL CENTER","plan":"VPHP","program":"MEDICARE","lob":"DSNP","region":"CENTRAL","aligned":"N","ano":"","add2":"APT 1","add3":"","madd1":"6018 Club Rd Apt A","madd2":"","madd3":"","mcity":"Henrico","mstate":"VA","mzip":"23228-5700","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":[["","00378718705","METFORMIN ","1000MG","90.00","Select","Select",""],["","60432053760","NYSTATIN ","100000","60.00","Select","Select",""],["","27437005101","SOLOSEC ","2GM","1.00","Select","Select",""],["","50383077504","LIDOCAINE ","2% VISC","120.00","Select","Select",""],["","65862001205","SERTRALINE ","50MG","30.00","Select","Select",""],["","65862042005","SMZ\/TMP ","800-160","6.00","Select","Select",""],["","57237000511","FLUCONAZOLE ","150MG","1.00","Select","Select",""],["","00406055201","OXYCODONE ","5MG","12.00","Select","Select",""],["","00591505210","PREDNISONE ","5MG","21.00","Select","Select",""],["","60505265301","TRAZODONE ","50MG","30.00","Select","Select",""],["","00093317431","ALBUTEROL ","E","8.50","Select","Select",""],["","64679096401","AZITHROMYCIN ","500MG","2.00","Select","Select",""],["","00472037915","CLOTRIM\/BETA ","DIPROP","15.00","Select","Select",""],["","55111012701","CIPROFLOXACN ","500MG","14.00","Select","Select",""],["","00093506201","HYDROXYZ ","50MG","20.00","Select","Select",""],["","57237007710","ONDANSETRON ","4MG ODT","10.00","Select","Select",""],["","52817033200","CYCLOBENZAPR ","10MG","15.00","Select","Select",""],["","69452023420","PROGESTERONE ","200MG","12.00","Select","Select",""],["","50111033402","METRONIDAZOL ","500MG","21.00","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":""}]}]}