{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"LANIYIA   M DANIELS-BODDIE","gend":1,"add":"1490 E TANNERS CREEK DR","city":"NORFOLK","state":"VA","zip":"23513-9998","dob":"2004-10-29","age":"","mstatus":"","insh":"1576820*01","cliId":"","pno":"757\/553-6663","cno":"","email":"","ename":"","eno":"","pphy":"BURROWS, ADAYNA MD","ppno":"757\/962-8605","pcpadd":"1682 CHURCH STREET","pcpcity":"NORFOLK","pcpstate":"VA","pcpzip":23504,"pcpcounty":"","pcpid":"","pcpname":"TIDEWATER PEDIATRIC CONSULTANTS PC","plan":"OHP","program":"MEDICAID","lob":"M4","region":"TIDEWATER","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"757\/962-8915","pcpnpi":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["F90.2","F34.81","A54.9","A74.9","Z30.42","K08.89","R51.","N89.8","Z11.3","Z30.46","J06.9","R06.00","A56.09","Z30.9","F44.9","R41.82","N92.6","Z30.09","Z32.02","R40.4","R42.","F43.21","Z81.8","L70.9","Z01.411","N91.2","Z01.419","R55.","F06.1","R51.9","Z55.9","J02.9","R09.81","Z00.121","Z72.51","Z13.89","Z01.00","Z00.129","F44.5","F81.0","F41.9","Z00.00","R11.10","F44.7","F43.22","R05.","V62.84","R46.89","R56.9","H92.01","N64.4","Z86.19","G40.909","NO DATA","Z20.822","R05.9","J10.1"],"date":["2019-05-21","2019-06-07","2019-11-13","2021-01-11","2019-08-29","2020-03-01","2020-03-01","2021-12-07","2021-12-07","2022-02-16","2022-05-23","2019-01-07","2019-11-13","2021-06-11","2021-06-08","2021-06-08","2021-06-11","2021-06-11","2022-02-11","2021-08-04","2021-08-04","2021-08-04","2021-08-04","2021-03-12","2020-12-11","2021-01-11","2020-12-11","2021-02-25","2021-02-25","2021-06-08","2021-06-15","2021-07-22","2022-11-13","2020-09-09","2020-09-09","2020-09-09","2020-09-09","2020-09-09","2021-01-28","2021-01-28","2022-02-27","2021-06-08","2021-01-28","2021-01-29","2021-01-29","2021-07-22","2022-02-27","2022-02-27","2022-02-26","2022-05-23","2022-05-23","2022-02-11","2022-02-27","2022-02-27","2022-02-27","2022-11-13","2022-11-13"],"priorHcc":["","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","",""]}}]},{"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":[]},{"a":{"indx":[false,false],"comment":["",""],"score":["",""]}},{"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":[["","50111078810","AZITHROMYCIN","TAB 500MG","2","Select","Select",""],["","68645056259","IBUPROFEN","TAB 600MG","20","Select","Select",""],["","57896010110","NON-ASPIRIN","TAB 325MG","24","Select","Select",""],["","57896010410","ACETAMINOPHE","TAB 325MG","24","Select","Select",""],["","50580049660","TYLENOL","TAB 325MG","24","Select","Select",""],["","00555901658","SPRINTEC","TAB 28 DAY","84","Select","Select",""],["","42806054701","VITAMIN","CAP 1.25MG","8","Select","Select",""],["","45802021696","BENZOYL","GEL 0.05","60","Select","Select",""],["","50111033402","METRONIDAZOL","TAB 500MG","14","Select","Select",""],["","","CLINDAMYCIN","CAP 150MG","","Select","Select",""],["","","MEDROXYPR","TAB 10MG","","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":["",""],"sub":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"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":""}]}]}