{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"KEZIAH CASHWELL","gend":1,"add":"6224 S OLD MILL RD APT F48","city":"LYNCHBURG","state":"VA","zip":"24502-9998","dob":"2003-04-15","age":"","mstatus":"","insh":"20025134*01","cliId":"","pno":4344447011,"cno":4344447011,"email":"","ename":"","eno":"","pphy":"JUN, JEAN NP","ppno":4349294357,"pcpadd":"200 Amelon Square,","pcpcity":"MADISON HEIGHTS","pcpstate":"VA","pcpzip":"24572-9998","pcpcounty":"","pcpid":"","pcpname":"","plan":"OHP","program":"MEDICAID","lob":"OHCC","region":"CHARLOTTESVILLE WESTERN","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":4349291093,"pcpnpi":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["F33.1","V62.84","F17.210","Z88.8","F33.2","F90.0","F15.10","R05.9","R00.2","F90.9","F32.9","Z20.822","Z13.32","F33.0","O98.32","A60.09","F20.9","O99.344","Z37.0","F43.10","O99.334","F41.9","Z3A.39","Z79.899","Z91.410","Z82.49","Z83.3","A54.9","A59.09","O21.9","O99.320","F12.10","F10.10","Z3A.01","N92.6","Z32.02","N39.0","R00.0","M79.601","F19.10","F29.","J02.9","F34.81","R40.4","R58.","R41.82","R06.89","R45.6","R10.9","M54.9","Z3A.20","J34.89","Z11.52","R09.81","O47.1","G89.18","Z98.891","F91.3","H10.45","L50.8","L50.1","L29.8","T78.3XXA","Z72.89","R06.4","Z72.0","R10.11","R11.0","O26.892","O82.","Z3A.00","R10.84","R52.","F90.2","F60.3","F10.20","F12.20","Z91.5","E66.3","F10.929","R40.0","O47.03","Z3A.29","O98.313","F43.25"],"date":["2022-04-27","2021-08-01","2022-07-22","2021-07-29","2021-08-20","2022-07-22","2021-10-14","2021-10-14","2021-10-14","2021-10-14","2022-07-22","2021-10-14","2022-08-17","2022-08-17","2022-07-22","2022-07-22","2022-07-22","2022-07-22","2022-07-22","2022-07-22","2022-07-22","2022-07-22","2022-07-22","2022-07-22","2022-07-22","2022-07-22","2022-07-22","2021-09-29","2021-09-29","2021-11-30","2021-11-30","2021-11-30","2021-11-30","2021-11-30","2023-01-10","2023-01-10","2021-07-06","2021-07-06","2021-07-09","2021-07-09","2021-07-09","2021-08-01","2021-08-01","2021-11-03","2021-11-03","2021-11-03","2022-07-26","2021-11-03","2022-07-26","2022-03-10","2022-03-10","2022-06-23","2022-06-23","2022-06-23","2022-07-21","2022-07-26","2022-07-26","2021-05-11","2022-12-12","2021-02-01","2021-03-05","2021-03-05","2021-03-05","2021-05-10","2021-05-10","2021-08-01","2022-03-09","2022-03-09","2022-03-09","2022-07-22","2022-07-22","2022-07-26","2022-07-26","2021-07-06","2021-07-06","2021-07-06","2021-07-06","2021-07-06","2021-07-06","2021-07-06","2021-07-06","2022-07-20","2022-05-10","2022-07-22","2021-11-04"],"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":[["","68462010530","ONDANSETRON","TAB 4MG","10","Select","Select",""],["","68180012202","CEPHALEXIN","CAP 500MG","21","Select","Select",""],["","70710113908","FLUCONAZOLE","TAB 150MG","1","Select","Select",""],["","00781717250","AZELAIC ACID","GEL 0.15","30","Select","Select",""],["","73473030030","CLINDAMYCIN","GEL 0.01","30","Select","Select",""],["","65862085901","FAMOTIDINE","TAB 20MG","28","Select","Select",""],["","51672130406","TERCONAZOLE","CRE 0.004","45","Select","Select",""],["","31722070530","VALACYCLOVIR","TAB 1GM","30","Select","Select",""],["","10702001801","OXYCODONE","TAB 5MG","10","Select","Select",""],["","00054327099","FLUTICASONE","SPR 50MCG","16","Select","Select",""],["","78206014603","NUVARING","MIS ","1","Select","Select",""],["","00093310905","AMOXICILLIN","500 MG","21","Select","Select",""],["","68462010530","ONDANSETRON TAB","4MG","10","Select","Select",""],["","68180012202","CEPHALEXIN CAP","500MG","21","Select","Select",""],["","70710113908","FLUCONAZOLE TAB","150MG","1","Select","Select",""],["","00781717250","AZELAIC ACID GEL","15%","30","Select","Select",""],["","73473030030","CLINDAMYCIN GEL","1%","30","Select","Select",""],["","65862085901","FAMOTIDINE TAB","20MG","28","Select","Select",""],["","00054327099","FLUTICASONE SPR","50MCG","16","Select","Select",""],["","51672130406","TERCONAZOLE CRE","0.4%","45","Select","Select",""],["","78206014603","NUVARING MIS","","1","Select","Select",""],["","10702001801","OXYCODONE TAB","5MG","10","Select","Select",""],["","31722070530","VALACYCLOVIR TAB","1GM","30","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":""}]}]}