{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"RAYA YOUNG","gend":1,"add":"620 MASSACHUSETTS AVE","city":"NORFOLK","state":"VA","zip":"23508-9998","dob":"2003-09-07","age":"","mstatus":"","insh":"2272366*01","cliId":"","pno":"757\/376-7798","cno":"","email":"","ename":"","eno":"","pphy":"STRAUSS, PATRICIA M MD","ppno":"757\/461-6342","pcpadd":"STE 200 885 KEMPSVILLE RD","pcpcity":"NORFOLK","pcpstate":"VA","pcpzip":23502,"pcpcounty":"","pcpid":"","pcpname":"CMG - Children's Hospital of The King's Daughters - Pediatric Specialists - Kempsville Office","plan":"OHP","program":"MEDICAID","lob":"M4","region":"TIDEWATER","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"757\/461-8507","pcpnpi":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["L70.0","Z79.899","K13.0","R22.31","M24.531","Z13.31","L73.0","L81.0","Z00.129","Z68.52","Z23.","M54.9","Z30.430","M67.431","M25.531","Z98.890","N62.","Z30.431","M25.562","Z01.818","E32.8","N94.4","Z30.09","D24.1","E28.2","Z30.011","Z30.41","M54.6","M40.04","NO DATA","M79.18","M25.551","M76.11","R29.4","Z30.432","N91.3","M40.14","M54.2","R93.7","M79.604","M79.605","N60.01","R51.","L60.0","V58.89","Z91.19","R10.2","L30.9","M25.559","G95.89","N64.89","G89.29"],"date":["2021-06-14","2021-03-08","2021-03-08","2020-07-01","2020-06-18","2021-03-08","2020-07-02","2020-07-02","2020-09-17","2020-09-17","2020-09-17","2021-03-03","2021-05-12","2020-10-30","2020-10-30","2020-10-30","2021-10-19","2021-12-22","2020-06-02","2020-06-16","2021-06-22","2021-12-22","2021-12-22","2021-12-22","2020-11-20","2020-11-20","2021-04-14","2021-06-03","2021-06-03","2021-10-19","2021-06-03","2021-08-13","2021-08-13","2021-10-18","2021-12-29","2020-09-16","2021-06-23","2021-06-23","2021-06-23","2020-05-18","2020-05-18","2020-09-11","2020-09-11","2020-09-11","2021-10-18","2021-10-18","2021-12-27","2020-08-06","2021-01-11","2021-06-01","2021-10-19","2021-10-19"],"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":[["","00187516045","RETIN-A","CRE 0.00025","45","Select","Select",""],["","00168042446","ADAPALENE","CRE 0.001","45","Select","Select",""],["","00781107710","ALPRAZOLAM","TAB 0.5MG","2","Select","Select",""],["","42571025830","MEFENAM","CAP 250MG","30","Select","Select",""],["","","AMNESTEEM","CAP 40MG","","Select","Select",""],["","","OXYCOD\/APAP","TAB 5-325MG","","Select","Select",""],["","","CLARAVIS","CAP 30MG","","Select","Select",""],["","","MYORISAN","CAP 30MG","","Select","Select",""],["","","MUPIROCIN","OIN 0.02","","Select","Select",""],["","","NAPROXEN","TAB 250MG","","Select","Select",""],["","","CEPHALEXIN","CAP 500MG","","Select","Select",""],["","","APAP\/CODEINE","TAB 300-30MG","","Select","Select",""],["","","ISIBLOOM","TAB ","","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":""}]}]}