{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"NICOLE  L SNYDER","gend":1,"add":"1947 CORNER ROCK ROAD","city":"MIDLOTHIAN","state":"VA","zip":"23113-9998","dob":"1993-12-27","age":"","mstatus":"","insh":"2276815*01","cliId":"","pno":8047623488,"cno":8047623488,"email":"","ename":"","eno":"","pphy":"FEINMAN, CAROLINE M NP","ppno":8042568282,"pcpadd":"7300 ASHLAKE PARKWAY SUITE 200,","pcpcity":"CHESTERFIELD","pcpstate":"VA","pcpzip":"23832-9998","pcpcounty":"","pcpid":"","pcpname":"VitalCare Family, LLC","plan":"OHP","program":"MEDICAID","lob":"M4","region":"CENTRAL","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":8042568288,"pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["O77.0","Z37.0","O70.0","O66.0","O99.344","Z3A.38","F60.3","F90.2","F33.1","F41.1","F31.81","F40.11","F90.9","F50.9","O99.340","Z3A.00","O99.341","Z3A.01","Z34.82","Z3A.21","O99.342","O80.","G47.33","Z39.1","M54.89","F90.0","R94.31","F41.8","Z72.0","Z01.419","Z30.430","Z32.02","NO DATA","Z3A.39","I34.8","M79.645","G89.29","S67.02XA","S60.112A"],"date":["2021-08-03","2021-08-03","2021-08-03","2021-08-03","2021-08-02","2021-08-02","2021-08-02","2022-11-17","2023-06-15","2022-11-17","2022-11-17","2023-06-15","2023-06-15","2023-06-15","2021-06-17","2021-06-17","2021-12-08","2021-12-08","2021-03-30","2021-03-30","2021-03-30","2021-08-02","2023-02-28","2021-01-21","2021-04-29","2022-05-17","2022-07-29","2022-07-25","2022-07-25","2023-05-01","2023-06-02","2023-06-02","2023-07-13","2021-08-03","2022-07-29","2023-01-16","2023-01-16","2023-01-16","2023-01-16"],"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":[]},{"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":[["","65862001305","SERTRALINE TAB","100MG","90","Select","Select",""],["","70436001102","BUPROPN HCL TAB","300MG XL","90","Select","Select",""],["","68462026630","ATOMOXETINE CAP","18MG","30","Select","Select",""],["","42806041060","BUPROPION TAB","100MG SR","60","Select","Select",""],["","13811070710","METHYLPHENID TAB","27MG ER","15","Select","Select",""],["","50458058801","CONCERTA TAB","27MG","15","Select","Select",""],["","00228306311","AMPHET\/DEXTR CAP","15MG ER","30","Select","Select",""],["","54092038501","ADDERALL XR CAP","15MG","30","Select","Select",""],["","45802088014","NYSTATIN-TRIAMCINOLONE","100000-0.1","30","Select","Select",""],["","00228306111","DEXTROAMPHETAMINE-AMPHET ER","30 MG","30","Select","Select",""],["","55111014512","FLUCONAZOLE","150 MG","2","Select","Select",""],["","49483060450","IBUPROFEN","800 MG","30","Select","Select",""],["","54092038701","ADDERALL XR","20 MG","30","Select","Select",""],["","65862086495","SIMPESSE","150-30(84)","91","Select","Select",""],["","70436001102","BUPROPION XL","300 MG","90","Select","Select",""],["","53746052101","PROMETHAZINE HCL","25 MG","12","Select","Select",""],["","59762500801","MISOPROSTOL","200 MCG","8","Select","Select",""],["","65862001305","SERTRALINE","TAB 100MG","90","Select","Select",""],["","68462026630","ATOMOXETINE","CAP 18MG","30","Select","Select",""],["","70436001102","BUPROPN HCL","TAB 300MG XL","90","Select","Select",""],["","42806041060","BUPROPION","TAB 100MG SR","30","Select","Select",""],["","13811070710","METHYLPHENID","TAB 27MG ER","15","Select","Select",""],["","50458058801","CONCERTA","TAB 27MG","15","Select","Select",""],["","00228306311","AMPHET\/DEXTR","CAP 15MG 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":""}]}]}