{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"LEYNA  C DENTON","gend":1,"add":"7711 ALVARADO ROAD","city":"HENRICO","state":"VA","zip":"23229-9998","dob":"1985-08-26","age":"","mstatus":"","insh":"20056938*01","cliId":"","pno":8045197844,"cno":8045197844,"email":"","ename":"","eno":"","pphy":"FOUNTAIN-ELLIS, TAMI MD","ppno":8047416200,"pcpadd":"9600 PATTERSON AVENUE,","pcpcity":"RICHMOND","pcpstate":"VA","pcpzip":"23229-9998","pcpcounty":"","pcpid":"","pcpname":"Patterson Avenue Family Practice","plan":"OHP","program":"MEDICAID","lob":"OHCC","region":"CENTRAL","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":8047416213,"pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["R41.840","Z91.89","F41.8","E66.01","R10.9","G89.29","Z68.43","F43.10","F41.9","F32.1","F90.0","F84.0","F45.0","N36.42","Z01.818","N39.46","J45.990","E03.9","E78.00","K21.9","Z86.2","R13.14","R13.10","NO DATA","Z68.42","H40.013","H04.123","Z01.419","Z11.3","B37.2","Z12.9","R41.3","F32.9","M54.41","M47.814","M79.605","G57.92","Z51.81","Z79.899","R11.0","D72.829","J31.0","J34.89","M26.609","R43.9","J34.2","N39.3","N81.9","N32.81","N30.10","M25.511","M54.2","J18.0","Z20.828","L70.9","F52.0","Z23.","K58.1","M21.372","M76.72","T78.40XA"],"date":["2021-08-12","2021-04-29","2021-09-16","2022-11-15","2021-04-29","2023-04-14","2023-01-10","2022-05-24","2022-05-24","2022-05-24","2022-05-24","2022-05-24","2022-05-24","2022-10-25","2022-10-25","2022-10-25","2022-10-25","2022-10-25","2022-10-25","2023-05-23","2022-10-25","2023-04-10","2023-05-23","2021-12-13","2021-12-13","2023-01-11","2023-01-11","2023-05-02","2023-05-02","2023-05-02","2023-05-02","2021-08-12","2021-08-12","2021-09-16","2021-09-16","2021-09-16","2021-09-16","2021-09-16","2021-09-16","2021-09-16","2023-01-10","2023-03-07","2022-09-30","2022-09-30","2023-03-09","2023-03-07","2022-12-07","2022-12-07","2022-12-07","2022-12-07","2023-06-14","2023-06-14","2023-05-18","2021-08-22","2022-04-20","2022-04-20","2023-05-23","2023-05-23","2021-05-03","2021-05-03","2022-11-15"],"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":[["","69097081307","GABAPENTIN CAP","100MG","60","Select","Select",""],["","51991074810","DULOXETINE CAP","60MG","90","Select","Select",""],["","00069024230","TOVIAZ TAB","4MG","30","Select","Select",""],["","69238183007","LEVOTHYROXIN TAB","25MCG","90","Select","Select",""],["","21922000909","DICLOFENAC GEL","1%","100","Select","Select",""],["","00555902542","JUNEL","1MG-20MCG","84","Select","Select",""],["","80064014104","VYLEESI INJ","1.75\/0.3","1","Select","Select",""],["","43598024730","FESOTERODINE TAB","4MG ER","90","Select","Select",""],["","27241019230","TOLTERODINE CAP","4MG ER","30","Select","Select",""],["","67877032005","IBUPROFEN TAB","600MG","50","Select","Select",""],["","00093681673","BUDESONIDE SUS","0.5MG\/2","60","Select","Select",""],["","73336007530","GEMTESA TAB","75MG","30","Select","Select",""],["","80777028299","MODERNA BIVA INJ BA","4\/BA5","0","Select","Select",""],["","68462039030","ESOMEPRAZOLE MAGNESIUM","20 MG","30","Select","Select",""],["","00472016630","NYSTATIN","100000\/G","30","Select","Select",""],["","27241009903","DULOXETINE HCL","60 MG","30","Select","Select",""],["","73336007530","GEMTESA","75 MG","30","Select","Select",""],["","21922000909","DICLOFENAC SODIUM","1 %","100","Select","Select",""],["","62135098505","DOXYCYCLINE HYCLATE","100 MG","20","Select","Select",""],["","42806071401","BENZONATATE","100 MG","15","Select","Select",""],["","13668019090","TOLTERODINE TARTRATE ER","4 MG","90","Select","Select",""],["","00378180010","LEVOTHYROXINE SODIUM","25 MCG","90","Select","Select",""],["","69097015907","MELOXICAM","15 MG","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":""}]}]}