{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"RICHELLE   A PRICE","gend":1,"add":"3028 HEATHER RIDGE DR","city":"HENRICO","state":"VA","zip":"23231-9998","dob":"1990-11-20","age":"","mstatus":"","insh":"2177032*01","cliId":"","pno":"804\/754-5169","cno":"","email":"","ename":"","eno":"","pphy":"HADDAD, JOSEPH MD","ppno":"804\/282-2848","pcpadd":"8002 DISCOVERY DRIVE STE 101","pcpcity":"RICHMOND","pcpstate":"VA","pcpzip":23229,"pcpcounty":"","pcpid":"","pcpname":"PRIVIA MEDICAL GROUP LLC","plan":"OHP","program":"MEDICAID","lob":"M4","region":"CENTRAL","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"804\/673-3546","pcpnpi":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["M54.5","F33.1","F43.10","F31.31","F41.9","N91.2","Z39.1","O76.","Z37.0","Z3A.37","Z20.828","J20.9","M22.41","M22.42","O36.5130","Z3A.36","R10.31","R11.15","F12.10","K52.9","O28.1","Z36.82","Z3A.19","O36.5930","Z88.2","Z88.5","O80.","Z3A.38","R11.0","R11.2","R19.7","F33.9","F11.20","F31.9","O03.4","O03.9","F32.9","F17.200","F32.1","R30.0","N39.0","Z30.432","J02.9","Z87.09","Z90.89","Z32.01","O02.1","M62.830"],"date":["2021-03-16","2021-07-25","2021-07-25","2020-01-27","2020-01-27","2020-08-04","2021-02-26","2021-03-04","2021-03-04","2021-03-04","2021-12-15","2021-12-15","2021-06-18","2021-06-18","2021-02-25","2021-02-25","2021-12-19","2021-04-17","2021-04-17","2021-04-17","2020-10-29","2020-10-29","2020-10-29","2021-03-04","2021-03-04","2021-03-04","2021-03-04","2021-03-04","2021-12-19","2021-04-17","2021-04-17","2019-08-01","2019-09-17","2019-09-09","2019-07-19","2019-07-20","2019-07-20","2019-07-20","2019-06-22","2019-04-07","2019-04-07","2019-04-19","2019-05-03","2019-05-03","2019-05-03","2019-06-21","2019-07-23","2019-10-25"],"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":[["","65862017601","PENICILLN","TAB 500MG","28","Select","Select",""],["","57237007710","ONDANSETRON","TAB 4MG ODT","15","Select","Select",""],["","10702001801","OXYCODONE","TAB 5MG","4","Select","Select",""],["","29300012510","MELOXICAM","TAB 15MG","20","Select","Select",""],["","68462017901","NAPROXEN","TAB 550MG","60","Select","Select",""],["","68382004101","PROMETHAZINE","TAB 25MG","15","Select","Select",""],["","00093342210","CYCLOBENZAPR","TAB 10MG","15","Select","Select",""],["","53746010901","HYDROCO\/APAP","TAB 5-325MG","15","Select","Select",""],["","16571020106","DICLOFENAC","TAB 75MG DR","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":""}]}]}