{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"KEDRICK   A WHITBY","gend":0,"add":"5517 POPLAR HALL DR","city":"NORFOLK","state":"VA","zip":"23502-9998","dob":"2003-01-25","age":"","mstatus":"","insh":"9593365*01","cliId":"","pno":"757\/901-5426","cno":"","email":"","ename":"","eno":"","pphy":"MITCHELL, DOUGLAS MD","ppno":"757\/855-6800","pcpadd":"1529 INTERNATIONAL BLVD STE 103","pcpcity":"NORFOLK","pcpstate":"VA","pcpzip":23513,"pcpcounty":"","pcpid":"","pcpname":"CMG - Children's Hospital of The King's Daughters - Norfolk Pediatrics","plan":"OHP","program":"MEDICAID","lob":"M4","region":"TIDEWATER","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"757\/855-7771","pcpnpi":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["D57.1","F43.23","Z51.81","Z55.8","H31.003","E66.9","R79.89","R41.89","R03.0","F43.22","F28.","Z91.14","H31.001","D57.20","D57.00","M79.604","E66.8","Z81.8","J02.9","R05.","R11.0","F41.9","R09.81","M54.5","R53.81","R50.9","Z20.828","M25.512","E55.9","F32.9","Z65.8","K59.03","T40.2X5A","R07.9","M54.9","R68.83","F43.25","Z03.89","R07.89","R50.81","R51.","R16.1","D69.59","Z09.","F43.9","M25.511"],"date":["2021-12-10","2020-01-29","2021-09-21","2020-01-29","2020-10-21","2021-11-03","2021-09-21","2021-03-29","2021-03-29","2021-11-03","2021-12-10","2020-12-01","2021-09-02","2021-09-02","2021-05-17","2021-05-17","2021-12-10","2021-12-10","2019-02-13","2019-02-13","2019-02-13","2019-02-13","2019-02-13","2019-02-13","2019-02-13","2019-09-25","2019-02-13","2019-01-10","2019-01-10","2019-10-16","2019-10-16","2019-10-16","2019-10-16","2019-10-18","2019-10-18","2019-10-18","2019-11-25","2019-05-09","2019-10-16","2019-09-25","2019-09-25","2019-09-30","2019-09-30","2019-09-30","2019-10-16","2019-10-16"],"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":[["","","OXYCODONE"," OXYCODONE ","30","Select","Select",""],["","","HYDROXYUREA"," HYDROXYUREA ","120","Select","Select",""],["","","VITAMIN"," VITAMIN ","3","Select","Select",""],["","","FOLIC"," FOLIC ","30","Select","Select",""],["","","IBUPROFEN"," IBUPROFEN ","100","Select","Select",""],["","","IBU"," IBU ","100","Select","Select",""],["","","OSELTAMIVIR"," OSELTAMIVIR ","10","Select","Select",""],["","","TAMIFLU"," TAMIFLU ","10","Select","Select",""],["","","CERAVE"," CERAVE ","355","Select","Select",""],["","","FLINTSTONES"," FLINTSTONES ","60","Select","Select",""],["","","ACETAMINOPHE"," ACETAMINOPHE ","100","Select","Select",""],["","","PAIN"," PAIN ","100","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":""}]}]}