{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"MYAH DUDLEY","gend":1,"add":"1308 ANDOVER ROAD","city":"HENRICO","state":"VA","zip":"23229-9998","dob":"2001-07-05","age":"","mstatus":"","insh":"20069508*01","cliId":"","pno":8049212593,"cno":8049212593,"email":"","ename":"","eno":"","pphy":"BAKER, KELLI J NP","ppno":8047416200,"pcpadd":",","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":["M79.671","L84.","M79.672","Z68.33","I73.00","H69.81","Z11.1","R53.83","N13.30","R31.0","N39.0","F41.1","F90.2","G56.03","Z20.822","E66.9","Z68.35","R30.0","D50.8","Z13.29","N89.8","R39.14","R31.29","R19.8","Z13.228","Z13.0","Z68.34","F31.30","J00.","D50.9","R39.11","F51.01","Z23.","G54.0","K58.2","R20.0","R20.2","R00.0","N92.6","Z87.42"],"date":["2021-01-26","2021-01-26","2021-01-26","2021-01-26","2021-02-25","2022-06-06","2021-02-25","2021-02-25","2022-08-24","2022-08-24","2022-08-24","2023-08-09","2023-08-09","2021-11-08","2021-12-30","2022-06-06","2021-12-30","2022-06-06","2022-06-06","2022-06-06","2022-06-06","2022-06-06","2022-06-06","2022-06-06","2022-06-06","2022-06-06","2022-06-06","2022-09-12","2021-12-15","2022-06-06","2022-07-27","2023-08-09","2021-08-18","2021-11-08","2022-09-12","2023-04-07","2023-04-07","2023-04-07","2021-09-28","2021-09-14"],"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":[["","00054327099","FLUTICASONE SPR","50MCG","48","Select","Select",""],["","45802014167","CICLOPIROX SOL","8%","7","Select","Select",""],["","55111078401","FEXOFENADINE TAB","180MG","90","Select","Select",""],["","47781030301","NITROFURANTN CAP","100MG","14","Select","Select",""],["","00527058601","DICYCLOMINE CAP","10MG","120","Select","Select",""],["","68180035103","SERTRALINE TAB","25MG","30","Select","Select",""],["","54092038701","ADDERALL XR CAP","20MG","30","Select","Select",""],["","00781235201","AMPHET\/DEXTR CAP","20MG ER","30","Select","Select",""],["","54092038101","ADDERALL XR","5 MG","30","Select","Select",""],["","50111064701","FLUOXETINE HCL","10 MG","60","Select","Select",""],["","00093101042","MUPIROCIN","2 %","22","Select","Select",""],["","00228306211","DEXTROAMPHETAMINE-AMPHET ER","5 MG","30","Select","Select",""],["","68180035202","SERTRALINE HCL","50 MG","30","Select","Select",""],["","50111056001","TRAZODONE HCL","50 MG","15","Select","Select",""],["","47781030301","NITROFURANTOIN MONO-MACRO","100 MG","10","Select","Select",""],["","69238207707","PROPRANOLOL HCL","10 MG","90","Select","Select",""],["","55111078401","FEXOFENADINE","TAB 180MG","90","Select","Select",""],["","00185012201","NITROFURANTN","CAP 100MG","28","Select","Select",""],["","00054327099","FLUTICASONE","SPR 50MCG","48","Select","Select",""],["","45802014167","CICLOPIROX","SOL 0.08","7","Select","Select",""],["","68180035103","SERTRALINE","TAB 25MG","30","Select","Select",""],["","00527058601","DICYCLOMINE","CAP 10MG","120","Select","Select",""],["","42858072001","AMPHET\/DEXTR","CAP 20MG ER","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":""}]}]}