{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"ANDREA   E MENZIES","gend":1,"add":"928 MARBLETHORPE ROAD","city":"RICHMOND","state":"VA","zip":"23236-9998","dob":"1974-10-07","age":"","mstatus":"","insh":"20032015*01","cliId":"","pno":"540\/406-7778","cno":"","email":"","ename":"","eno":"","pphy":"POWELL, DOUGLAS DO","ppno":"804\/359-1337","pcpadd":"5000 COX RD STE 100","pcpcity":"GLEN ALLEN","pcpstate":"VA","pcpzip":23060,"pcpcounty":"","pcpid":"","pcpname":"PATIENT FIRST RICHMOND MEDICAL GROUP PLLC","plan":"OHP","program":"MEDICAID","lob":"OHCC","region":"CENTRAL","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"804\/358-9861","pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["R01.1","I49.9","Z68.30","R10.2","D25.9","N94.6","Z30.011","N80.0","R39.89","Z68.28","J30.89","R19.7","J45.901","Z01.419","I10.","Z23.","R10.84","Z87.891","Z79.82","Z79.899","R35.0","Z13.220","Z83.42","Z82.49","Z01.411","Z30.41","J45.30","N80.9","Z12.31","E78.5","E34.9","S93.601A","W22.8XXA","Y92.89","Y93.89","B37.3","R30.0","L30.9","E78.2","R79.89"],"date":["2021-11-17","2019-06-07","2019-06-07","2021-08-27","2021-08-27","2021-02-23","2021-02-23","2021-08-27","2021-08-27","2019-06-07","2020-03-15","2021-09-03","2020-03-15","2021-09-27","2021-11-17","2021-10-11","2021-09-03","2021-09-03","2021-09-03","2021-09-03","2021-09-03","2019-04-14","2019-04-14","2019-04-14","2021-02-05","2021-02-05","2021-03-23","2021-03-23","2021-03-23","2021-10-11","2020-07-09","2021-06-27","2021-06-27","2021-06-27","2021-06-27","2019-08-22","2019-08-22","2020-09-22","2021-05-13","2021-05-13"],"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":[["","","LISINOPRIL"," LISINOPRIL ","30","Select","Select",""],["","","HYDROCHLOROT"," HYDROCHLOROT ","30","Select","Select",""],["","","NORETH\/ETHIN"," NORETH\/ETHIN ","21","Select","Select",""],["","","HYDROCORT"," HYDROCORT ","10","Select","Select",""],["","","CHLORTHALID"," CHLORTHALID ","30","Select","Select",""],["","","ANUCORT-HC"," ANUCORT-HC ","10","Select","Select",""],["","","SMZ\/TMP"," SMZ\/TMP ","6","Select","Select",""],["","","FLUCONAZOLE"," FLUCONAZOLE ","1","Select","Select",""],["","","TRIAMCINOLON","OIN 0.001","","Select","Select",""],["","","FLUTICASONE","SPR 50MCG","","Select","Select",""],["","","ALBUTEROL","AER HFA","","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":""}]}]}