{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"MARTHA IGNATIADIS","gend":1,"add":"304 PELHAM DR","city":"WAYNESBORO","state":"VA","zip":"22980-9998","dob":"1987-03-05","age":"","mstatus":"","insh":"2128886*01","cliId":"","pno":"540\/256-5826","cno":"540\/256-5826","email":"","ename":"","eno":"","pphy":"REID, JAMES R MD","ppno":"540\/942-1200","pcpadd":"UVA PRIMARY CARE WAYNESBORO 1850 RO","pcpcity":"WAYNESBORO","pcpstate":"VA","pcpzip":22980,"pcpcounty":"","pcpid":"","pcpname":"","plan":"OHP","program":"MEDICAID","lob":"M4","region":"","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"540\/942-0151","pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["J10.1","O26.891","O21.0","O24.419","Z3A.37","Z23.","Z3A.38","O80.","Z30.9","O13.3","Z3A.31","O26.893","Z11.59","G97.1","R05.","R51.9","J02.9","Z20.828","O99.89","O21.9","Z30.2","F41.1","F32.9","Z3A.01","Z32.01","O24.429","Z3A.39","Z37.0","O89.4","O70.0","O99.02","O99.12","D56.3","Z34.83","G43.909","F31.9","F34.1","O23.03","Z3A.35","O98.511","M54.5"],"date":["2020-02-08","2020-02-08","2020-02-11","2020-09-16","2020-09-03","2020-09-09","2020-09-16","2020-09-17","2020-11-05","2020-07-22","2020-07-22","2020-07-22","2020-09-11","2020-09-19","2021-01-16","2021-01-16","2021-01-16","2021-01-16","2020-02-18","2020-02-18","2020-11-05","2020-11-25","2020-11-25","2020-02-06","2020-02-11","2020-09-17","2020-09-17","2020-09-17","2020-09-17","2020-09-17","2020-09-17","2020-09-17","2020-09-17","2020-09-17","2021-02-23","2021-02-23","2021-02-23","2020-08-19","2020-08-19","2020-02-02","2020-02-02"],"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":[["","13668013701","ESCITALOPRAM","TAB 20MG","60","Select","Select",""],["","43547030303","ARIPIPRAZOLE","TAB 5MG","30","Select","Select",""],["","52959072510","CIPRO","SUS OTIC","10","Select","Select",""],["","53885024510","ONETOUCH","TES ULTRA","100","Select","Select",""],["","00093310905","AMOXICILLIN","CAP 500MG","20","Select","Select",""],["","68462010530","ONDANSETRON","TAB 4MG","12","Select","Select",""],["","69238126601","OSELTAMIVIR","CAP 75MG","9","Select","Select",""],["","65162052110","PROMETHAZINE","TAB 25MG","56","Select","Select",""],["","68180012202","CEPHALEXIN","CAP 500MG","18","Select","Select",""],["","47781030301","NITROFURANTN","CAP 100MG","30","Select","Select",""],["","10702001801","OXYCODONE","TAB 5MG","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":""}]}]}