{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"ANTHONY   M KOBER","gend":0,"add":"10284 S CONSTITUTION RTE","city":"SCOTTSVILLE","state":"VA","zip":"24590-9998","dob":"1999-07-03","age":"","mstatus":"","insh":"20030770*01","cliId":"","pno":"434\/589-2323","cno":"434\/242-2631","email":"","ename":"","eno":"","pphy":"KNIGHT, SARAH E MD","ppno":"434\/296-9161","pcpadd":"1011 E JEFFERSON ST","pcpcity":"CHARLOTTESVILLE","pcpstate":"VA","pcpzip":22902,"pcpcounty":"","pcpid":"","pcpname":"Pediatric Associates of Charlottesville Downtown","plan":"OHP","program":"MEDICAID","lob":"OHCC","region":"CHARLOTTESVILLE WESTERN","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"434\/977-6068","pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["R00.2","F43.23","R00.0","L30.9","Z98.2","N52.9","Z76.89","R53.1","G81.94","L25.9","R51.9","F33.1","G43.109","R03.0","R07.9","Z20.822","M25.519","G43.709","F51.04","F41.9","F32.9","R07.89","R20.0","F17.210","Z72.0","D18.00","Z13.6","J32.9","M79.606","A69.20","R53.83","R06.02","R42.","F41.0","Q28.3","Z71.83","R51.","R46.89"],"date":["2020-10-30","2021-01-11","2020-10-02","2021-01-11","2021-01-11","2021-01-11","2021-01-11","2021-08-04","2021-10-05","2020-04-10","2021-03-25","2020-11-16","2021-08-04","2021-08-04","2021-08-04","2021-08-04","2020-09-14","2021-04-08","2021-04-08","2021-04-08","2021-04-08","2020-09-17","2020-09-17","2020-09-17","2020-10-02","2021-04-08","2020-09-18","2019-03-05","2019-06-13","2019-06-12","2019-06-12","2019-11-22","2019-11-22","2019-11-08","2019-01-15","2019-01-15","2019-05-10","2019-11-08"],"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":[["","35046000392","MELATONIN","TAB 10MG CR","30","Select","Select",""],["","45802004064","SELENIUM","LOT 0.025","120","Select","Select",""],["","","BUPROPN","TAB 150MG XL","","Select","Select",""],["","68001024200","ZONISAMIDE","CAP 25MG","60","Select","Select",""],["","65862062690","RIZATRIPTAN","TAB 10MG ODT","9","Select","Select",""],["","68462019005","NAPROXEN","TAB 500MG","14","Select","Select",""],["","","GNP","DIS 21MG\/24H","","Select","Select",""],["","","DULOXETINE","CAP 20MG","","Select","Select",""],["","","MOMETASONE","OIN 0.001","","Select","Select",""],["","69097083312","SERTRALINE","TAB 25MG","15","Select","Select",""],["","00143924920","AMOX\/K","TAB 875-125","20","Select","Select",""],["","57237003105","AMOXICILLIN","CAP 500MG","21","Select","Select",""],["","45802005535","TRIAMCINOLON","OIN 0.001","45","Select","Select",""],["","00143980350","DOXYCYCL","CAP 100MG","42","Select","Select",""],["","16714008310","HYDROXYZ","TAB 50MG","30","Select","Select",""],["","69543038810","KETOROLAC","TAB 10MG","10","Select","Select",""],["","00093035001","APAP\/CODEINE","TAB 300-60MG","10","Select","Select",""],["","00093005805","TRAMADOL","TAB 50MG","20","Select","Select",""],["","67877025520","CEPHALEXIN","CAP 750MG","20","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":""}]}]}