{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"MYA   J TRUITT","gend":1,"add":"1107 ABERDEEN RD APT F","city":"HAMPTON","state":"VA","zip":"23666-9998","dob":"2000-04-13","age":"","mstatus":"","insh":"6249116*01","cliId":"","pno":"318\/762-2129","cno":"","email":"","ename":"","eno":"","pphy":"CORDES, LAURA R MD","ppno":"757\/223-9794","pcpadd":"STE 110 860 OMNI BLVD","pcpcity":"NEWPORT NEWS","pcpstate":"VA","pcpzip":23606,"pcpcounty":"","pcpid":"","pcpname":"TPMG OBGYN AND GYNECOLOGY","plan":"OHP","program":"MEDICAID","lob":"M4","region":"TIDEWATER","aligned":"","ano":"3185929260, 3187622129","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"757\/223-9168","pcpnpi":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["O60.14X0","O45.93","Z37.0","O98.32","A60.09","O99.02","D57.3","O99.824","O99.344","F32.9","F43.10","Z87.891","Z3A.36","Z67.91","O36.0130","N91.2","O41.8X10","O46.8X1","O21.9","Z00.00","O80.","Z3A.00","O20.8","Z3A.01","Z39.1","Z34.82","Z34.83","N89.8","A60.9","Z30.013","N93.9","Z32.02","O23.11","D50.9","O99.011","R10.30","Z39.0","N39.0","Z3A.33","R51.9"],"date":["2020-11-07","2020-11-06","2020-11-08","2020-11-06","2020-11-06","2020-11-06","2020-11-06","2020-11-07","2020-11-06","2020-11-06","2020-11-06","2020-11-06","2020-11-08","2020-11-06","2020-11-07","2021-12-30","2021-12-30","2021-12-30","2021-12-30","2021-12-30","2020-11-06","2020-11-06","2021-12-28","2021-12-28","2020-12-02","2020-12-02","2020-12-02","2021-01-13","2021-01-13","2021-01-13","2021-10-03","2021-10-03","2021-12-28","2021-12-28","2021-12-28","2021-12-28","2020-11-09","2020-10-14","2020-10-14","2021-06-13"],"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":[["","","METRONIDAZOL","TAB 500MG","","Select","Select",""],["","65862039010","ONDANSETRON","TAB 4MG ODT","12","Select","Select",""],["","","PRENATAL","CHW 0.4-32.5","","Select","Select",""],["","55494012060","BONJESTA","TAB 20-20MG","60","Select","Select",""],["","68180012202","CEPHALEXIN","CAP 500MG","21","Select","Select",""],["","59762453701","MEDROXYPR","INJ 150MG\/ML","1","Select","Select",""],["","","STOOL","CAP 100MG","","Select","Select",""],["","","ARTHRTS","TAB 650MG","","Select","Select",""],["","","ERRIN","TAB 0.35MG","","Select","Select",""],["","","VALACYCLOVIR","TAB 500MG","","Select","Select",""],["","","FLUCONAZOLE","TAB 150MG","","Select","Select",""],["","","VITAMIN","TAB 2000UNIT","","Select","Select",""],["","","FERROUS","TAB 325MG","","Select","Select",""],["","","NITROFURANTN","CAP 100MG","","Select","Select",""],["","","CLOTRIMAZOLE","CRE 0.02","","Select","Select",""],["","","CVS","CHW GUMMY","","Select","Select",""],["","","SERTRALINE","TAB 50MG","","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":""}]}]}