{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"TIFFANY HUGHES","gend":1,"add":"2191 MT HARMONY RD","city":"KEYSVILLE","state":"VA","zip":"23947-4136","dob":"1980-06-20","age":"","mstatus":"","insh":"11012503","cliId":"","pno":4343153829,"cno":"","email":"","ename":"","eno":"","pphy":"YORK, LISA M","ppno":4346962165,"pcpadd":"200 E 5th St","pcpcity":"CHASE CITY","pcpstate":"VA","pcpzip":239241456,"pcpcounty":"","pcpid":"","pcpname":"LUNENBURG MEDICAL CENTER","plan":"VPHP","program":"MEDICARE","lob":"DSNP","region":"CHARLOTTESVILLE WESTERN","aligned":"Y","ano":"","add2":"APT B-5","add3":"","madd1":"2191 MT HARMONY RD","madd2":"APT B-5","madd3":"","mcity":"KEYSVILLE","mstate":"VA","mzip":"23947-4136","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":[["","69097012815","AMLODIPINE ","10MG","90.00","Select","Select",""],["","13107015530","PAROXETINE ","20MG","60.00","Select","Select",""],["","14539067501","HYDROXYZ ","50MG","90.00","Select","Select",""],["","67877032105","IBUPROFEN ","800MG","30.00","Select","Select",""],["","65162089909","ARIPIPRAZOLE ","15MG","30.00","Select","Select",""],["","53885039310","ONETOUCH ","LANCETS","100.00","Select","Select",""],["","70010006510","METFORMIN ","1000MG","180.00","Select","Select",""],["","13107000130","MIRTAZAPINE ","7.5MG","30.00","Select","Select",""],["","16729020101","BUSPIRONE ","7.5MG","60.00","Select","Select",""],["","00603548332","PROPRANOLOL ","20MG","60.00","Select","Select",""],["","00527169501","BUT\/APAP\/CAF ","","42.00","Select","Select",""],["","68382080510","TRAZODONE ","50MG","30.00","Select","Select",""],["","63304069201","CLINDAMYCIN ","150MG","56.00","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":""}]}]}