{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"ZYKEI   M WILLIAMS","gend":0,"add":"1453   JENNIE SCHER ROAD                                    ","city":"RICHMOND                      ","state":"VA","zip":"23231-1052","dob":"2002-11-19","age":"","mstatus":"","insh":10120688,"cliId":"","pno":8047799422,"cno":8047799422,"email":"","ename":"","eno":"","pphy":"REYNOLDS-CANE, DIANNE LENA","ppno":"","pcpadd":"2809 North Ave Ste 206","pcpcity":"Richmond                      ","pcpstate":"VA","pcpzip":232223647,"pcpcounty":"","pcpid":"P9307360","pcpname":"GREATER FULTON MEDICAL CENTER","plan":"VPHP","program":"MEDICAID","lob":"VPM4","region":"CENTRAL","aligned":"","ano":"","add2":"                                                            ","add3":"","madd1":"1453   JENNIE SCHER ROAD                                    ","madd2":"                                                            ","madd3":"","mcity":"RICHMOND                      ","mstate":"VA","mzip":"23231-1052","pcpfaxno":"","pcpnpi":""},{"a":{"indx":["","1","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["F90.1","Z00.121","F90.9","M79.645","M79.661","V89.2XXA","M79.662","R07.81","S09.90XA","S80.01XA","S80.11XA","S80.12XA","S20.212A","V47.6XXA","Y92.410","Z04.1","S80.812A","S80.811A","N34.2","R36.9","Z20.2","R30.0","F17.200","M25.571","S96.911A","V49.40XA","Z79.1"],"date":["2019-11-09","2019-11-06","2019-11-06","2019-11-06","2020-05-19","2021-08-26","2020-05-19","2020-05-19","2020-05-19","2020-05-19","2020-05-19","2020-05-19","2020-05-19","2020-05-19","2021-08-26","2020-05-19","2020-05-19","2020-05-19","2021-06-26","2021-05-05","2021-05-05","2021-06-26","2021-08-26","2021-08-26","2021-08-26","2021-08-26","2021-08-26"],"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":[]},{"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":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Allergies \/ Medications","q":[{"a":[]},{"a":{"comment":"","sub":[["","67877031901","IBUPROFEN","400MG","20","Select","Select",""],["","67877031901","IBUPROFEN ","TAB 400MG","20","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","",""],["N\/A","Select","","","","","Select","",""],["N\/A","Select","","","","","Select","",""],["N\/A","Select","","","","","Select","",""],["N\/A","Select","","","","","Select","",""],["No","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":""}]}]}