{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"SAVANNAH   L MILLNER","gend":1,"add":"3938 RED HOUSE ROAD","city":"APPOMATTOX","state":"VA","zip":"24522-9998","dob":"1999-06-17","age":"","mstatus":"","insh":"20032152*01","cliId":"","pno":"540\/886-1873","cno":"","email":"","ename":"","eno":"","pphy":"KILEL, JENNIFER NP","ppno":"434\/947-5967","pcpadd":"320 FEDERAL ST","pcpcity":"LYNCHBURG","pcpstate":"VA","pcpzip":24504,"pcpcounty":"","pcpid":"","pcpname":"JOHNSON HEALTH CENTER","plan":"OHP","program":"MEDICAID","lob":"OHCC","region":"CHARLOTTESVILLE WESTERN","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"434\/947-5971","pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["Z23.","O76.","Z3A.00","Z37.0","Z30.2","Z30.430","Z30.09","O36.8120","Z3A.24","O36.8330","O36.5930","O36.8130","Z3A.29","J06.9","Z34.03","B36.0","O46.92","Z3A.30","R00.0","F33.2","Z13.32","Z13.89","O60.14X0","O24.429","E66.9","O13.4","O99.214","F32.9","F41.9","O99.344","O99.334","F17.200","D64.9","O99.02","O69.81X0","V23.87","Z87.51","O34.211","O99.342","F41.8","O99.112","D68.62","O99.332","F17.210","R07.89","Z39.2","N94.89","O36.0930","R60.0","Z3A.28","Z32.01","N83.202","Z79.01","Z79.899","D68.61","O26.892","R10.2","Z3A.27","O99.89","Z30.432","O20.0","D62.","O99.12","Z87.891","NO DATA","Z01.411","R05.","R10.9","O23.40","N39.0","R55.","R30.0","Z3A.12","Z04.3","Z3A.17","K29.70","R11.2","F90.0"],"date":["2020-12-22","2021-01-03","2021-01-03","2021-01-03","2021-01-03","2020-04-15","2020-05-13","2020-11-27","2020-11-27","2021-01-02","2021-01-02","2021-01-02","2021-01-02","2020-01-15","2020-02-25","2020-06-30","2020-10-13","2021-01-03","2021-04-21","2021-08-20","2021-02-10","2020-01-02","2020-03-03","2020-03-03","2020-03-03","2020-03-03","2020-03-03","2020-03-03","2020-03-03","2020-03-03","2020-03-03","2021-04-21","2020-03-03","2021-01-02","2020-03-03","2020-07-30","2020-09-04","2021-01-02","2020-11-27","2020-11-27","2020-11-27","2020-11-27","2020-11-27","2020-11-27","2021-04-21","2021-02-10","2021-08-12","2020-02-25","2020-12-25","2020-12-25","2020-07-03","2020-07-03","2020-07-03","2020-07-03","2021-01-02","2020-02-16","2020-02-16","2020-02-16","2020-02-16","2020-05-13","2020-07-15","2021-01-02","2021-01-02","2021-01-02","2021-03-23","2019-04-08","2019-09-26","2019-09-26","2019-12-10","2019-12-10","2019-12-10","2019-11-08","2019-11-08","2019-12-11","2019-12-11","2019-08-27","2019-07-08","2019-07-08"],"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":[["","","FLUCONAZOLE","TAB 150MG","","Select","Select",""],["","","NIFEDIPINE","TAB 30MG ER","","Select","Select",""],["","43598075201","BUPROPION","TAB 150MG SR","90","Select","Select",""],["","","SERTRALINE","TAB 25MG","","Select","Select",""],["","","XULANE","DIS 150-35","","Select","Select",""],["","47781030301","NITROFURANTN","CAP 100MG","14","Select","Select",""],["","","PROMETHAZINE","TAB 25MG","","Select","Select",""],["","","ENOXAPARIN","INJ 40\/0.4ML","","Select","Select",""],["","","KETOCONAZOLE","SHA 0.02","","Select","Select",""],["","","ONDANSETRON","TAB 4MG","","Select","Select",""],["","68180012202","CEPHALEXIN","CAP 500MG","14","Select","Select",""],["","42806034301","AMPHET\/DEXTR","TAB 15MG","15","Select","Select",""],["","66993040832","CARBAMAZEPIN","CAP 200MG ER","30","Select","Select",""],["","50111033401","METRONIDAZOL","TAB 500MG","14","Select","Select",""],["","51672130406","TERCONAZOLE","CRE 0.004","45","Select","Select",""],["","00472016615","NYSTATIN","OIN 100000","15","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":""}]}]}