{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"STARIYANA   L PATTERSON","gend":1,"add":"1614 BILL ST","city":"NORFOLK","state":"VA","zip":"23518-9998","dob":"2001-05-27","age":"","mstatus":"","insh":"20047609*01","cliId":"","pno":"724\/910-1275","cno":"","email":"","ename":"","eno":"","pphy":"LEE HENDRICKS, JEAN E MD","ppno":"757\/668-6500","pcpadd":"STE B 171 KEMPSVILLE RD","pcpcity":"NORFOLK","pcpstate":"VA","pcpzip":23502,"pcpcounty":"","pcpid":"","pcpname":"CMG - Children's Hospital of The King's Daughters - Tidewater Children's Associates","plan":"OHP","program":"MEDICAID","lob":"OHCC","region":"TIDEWATER","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"757\/668-6506","pcpnpi":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["F31.13","F43.12","R07.89","F31.32","N94.10","R10.2","Z11.3","Z32.02","J00.","R50.9","G43.709","F31.9","H93.19","F43.10","F90.2","F43.20","Z20.828","A56.09","Z30.40","J02.9","J06.9","NO DATA","R05.","R50.81","N76.0","B96.89","H93.A2","N92.6","Z30.018","G43.909","M54.5","R42.","Z30.9","T80.89XA","R22.2","F41.9","Z79.899","M54.2","F32.9","A54.9","R51.9","N73.9","Z87.42","M51.16","R20.8","R51.","R07.9","N30.01","R10.11","Z87.448","Z20.822","T80.90XA","N89.8","H57.10","Z20.2","H91.93","H93.12","G93.2","R07.0","R22.1","T18.9XXA","A54.03","F31.10","Z30.09","Q04.9","G43.111","Z82.0","Z82.49","Z83.3","G43.119","R11.2","H53.149","N20.0","R31.0","Z01.419","G43.019","Z91.14","G40.011","J02.0","Z23.","R09.81","F90.9","G43.919","A74.9","F31.5","F43.25","F91.3","F12.10","F60.3"],"date":["2021-02-22","2021-09-13","2021-01-26","2021-09-13","2021-09-02","2021-09-02","2021-09-02","2021-09-02","2021-11-17","2021-11-17","2021-09-27","2021-09-27","2020-02-19","2020-12-03","2020-12-03","2020-12-03","2020-12-06","2020-11-18","2020-11-18","2020-12-06","2020-12-06","2020-12-06","2021-09-27","2020-12-06","2021-05-03","2021-05-03","2020-08-05","2021-03-04","2021-03-04","2021-03-21","2021-05-10","2021-03-21","2020-01-28","2020-07-26","2020-07-26","2021-01-26","2020-07-26","2021-01-26","2021-01-26","2021-03-29","2021-03-21","2021-03-22","2021-03-29","2021-05-10","2021-05-10","2020-01-29","2020-09-17","2020-04-10","2020-04-10","2020-04-10","2021-04-22","2020-07-26","2021-02-05","2021-09-27","2020-05-28","2020-07-22","2020-07-22","2020-07-22","2020-09-18","2020-09-18","2020-09-18","2021-02-11","2019-06-12","2019-09-18","2019-06-25","2019-02-01","2019-02-01","2019-02-01","2019-02-01","2019-02-01","2019-02-20","2019-02-20","2019-08-20","2019-07-29","2019-06-14","2019-01-29","2019-01-29","2019-02-01","2019-02-01","2019-02-11","2019-02-20","2019-03-13","2019-06-25","2019-11-07","2019-06-11","2019-02-12","2019-06-11","2019-06-11","2019-06-11"],"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":[["","00002143611","EMGALITY","INJ 120MG\/ML","1","Select","Select",""],["","65162018810","NAPROXEN","TAB 250MG","30","Select","Select",""],["","42806031250","DOXYCYCL","TAB 100MG","14","Select","Select",""],["","00378334053","XULANE","DIS 150-35","9","Select","Select",""],["","00536109194","FLUTICASONE","SPR 50MCG","16","Select","Select",""],["","68645056354","IBUPROFEN","TAB 800MG","20","Select","Select",""],["","13668022030","ARIPIPRAZOLE","TAB 20MG","30","Select","Select",""],["","00406012301","HYDROCO\/APAP","TAB 5-325MG","16","Select","Select",""],["","63304069205","CLINDAMYCIN","CAP 150MG","30","Select","Select",""],["","00023600201","NORCO","TAB 5-325MG","16","Select","Select",""],["","50111078810","AZITHROMYCIN","TAB 500MG","2","Select","Select",""],["","50111033402","METRONIDAZOL","TAB 500MG","14","Select","Select",""],["","00143924920","AMOX\/K","TAB 875-125","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":""}]}]}