{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"CASEY   A DAVIS","gend":0,"add":"1730 FLOYD AVE","city":"RICHMOND","state":"VA","zip":"23220-9998","dob":"1991-10-15","age":"","mstatus":"","insh":"20050913*01","cliId":"","pno":"703\/965-1395","cno":"703\/965-1395","email":"","ename":"","eno":"","pphy":"DESHMUKH, PRAVIN M MD","ppno":"804\/612-2980","pcpadd":"STE 204 12320 W BROAD ST","pcpcity":"RICHMOND","pcpstate":"VA","pcpzip":23233,"pcpcounty":"","pcpid":"","pcpname":"BON SECOURS SHORT PUMP PRIMARY CARE","plan":"OHP","program":"MEDICAID","lob":"OHCC","region":"CENTRAL","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"804\/360-2437","pcpnpi":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["F31.2","Z01.818","Z11.59","F16.20","F25.0","M87.051","F25.9","J45.901","R41.82","S79.912A","M87.00","F29.","J45.909","B35.3","F17.210","Z91.018","Z91.010","M79.671","M87.052","M87.851","F20.9","R03.0","R05.","Z79.899","Z87.892","R00.0","Z00.00","F20.3","E55.9","Z11.3","H53.8","Z68.35","T50.904A","F28.","L84.","F17.200","Z59.0","M79.672","M25.551","M25.552","Z20.2","Z53.29","F31.9","Z20.6"],"date":["2021-09-21","2021-01-16","2021-01-16","2022-07-10","2021-09-06","2022-05-18","2021-08-16","2021-07-26","2021-09-06","2020-01-02","2020-04-20","2021-05-31","2022-05-18","2021-08-16","2021-09-06","2021-08-16","2021-09-06","2021-08-16","2022-05-18","2020-04-20","2020-04-20","2021-06-20","2021-06-20","2021-09-06","2021-09-06","2021-09-06","2022-05-18","2022-05-18","2022-05-18","2022-05-18","2022-05-18","2022-05-18","2021-05-29","2021-06-02","2021-08-02","2021-08-02","2021-08-02","2021-08-02","2020-01-23","2020-01-23","2021-06-20","2021-06-20","2021-06-20","2021-06-20"],"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":[]},{"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":[["","00115180401","HYDROXYZ","CAP 50MG","180","Select","Select",""],["","55111018901","QUETIAPINE","TAB 200MG","30","Select","Select",""],["","00781552810","BUPROPN","TAB 150MG XL","30","Select","Select",""],["","00093101042","MUPIROCIN","OIN 0.02","22","Select","Select",""],["","65162027250","SMZ\/TMP","TAB 800-160","20","Select","Select",""],["","42858010201","OXYCOD\/APAP","TAB 5-325MG","80","Select","Select",""],["","51672127501","CLOTRIMAZOLE","CRE 0.01","15","Select","Select",""],["","59310057922","PROAIR","AER ","8","Select","Select",""],["","13668021830","ARIPIPRAZOLE","TAB 10MG","14","Select","Select",""],["","66993001968","ALBUTEROL","AER HFA","18","Select","Select",""],["","10702000709","CYCLOBENZAPR","TAB 10MG","15","Select","Select",""],["","68645056259","IBUPROFEN","TAB 600MG","15","Select","Select",""],["","10147095403","PALIPERIDONE","TAB ER 9MG","30","Select","Select",""],["","50458055001","INVEGA","TAB 3MG","90","Select","Select",""],["","68462022401","LITHIUM","TAB 450MG ER","60","Select","Select",""],["","00093005805","TRAMADOL","TAB 50MG","28","Select","Select",""],["","65162018810","NAPROXEN","TAB 250MG","28","Select","Select",""],["","50228018005","GABAPENTIN","CAP 300MG","14","Select","Select",""],["","57896092101","ASPIRIN","TAB 325MG EC","60","Select","Select",""],["","27241000450","RISPERIDONE","TAB 2MG","60","Select","Select",""],["","00143928501","AMOXICILLIN","TAB 875MG","20","Select","Select",""],["","69547035302","NARCAN","SPR ","2","Select","Select",""],["","00173068220","VENTOLIN","AER ","18","Select","Select",""],["","42806071401","BENZONATATE","CAP 100MG","21","Select","Select",""],["","53746010901","HYDROCO\/APAP","TAB 5-325MG","40","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":""}]}]}