{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"AMANDA K MILLER","gend":1,"add":"811 MOSBY ST APT A","city":"RICHMOND","state":"VA","zip":"23223-9998","dob":"1999-11-11","age":"","mstatus":"","insh":"2326283*01","cliId":"","pno":8043850220,"cno":8043850220,"email":"","ename":"","eno":"","pphy":"EAGAN, ALEXANDRA MD","ppno":8042884084,"pcpadd":"7515 RIGHT FLANK RD,","pcpcity":"MECHANICSVILLE","pcpstate":"VA","pcpzip":"23116-9998","pcpcounty":"","pcpid":"","pcpname":"Virginia Women's Center","plan":"OHP","program":"MEDICAID","lob":"M4","region":"CENTRAL","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":8045592046,"pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["L03.113","J06.9","R05.9","Z20.822","F31.11","R60.9","K04.7","F41.1","F33.1","F31.30","F39.","NO DATA","Z59.0","F40.11","F41.0","Z62.810","O13.5","O26.891","O21.9","R19.7","A05.9","Z87.891","Z3A.12","L02.411","O9A.211","Z3A.01","U07.1","O80.","Z37.0","Z3A.00","K02.9","F33.2","F33.0","Z39.1","Z01.812","O99.824","O77.0","Z3A.39","O70.1","E66.01","O99.214","Z90.49","O99.820","Z34.83","K08.89","J02.9","A49.02","F17.200","M79.89","O14.94","Z39.0","O14.05","R09.81","Z34.82","O99.891","M25.559","Z3A.28"],"date":["2021-05-11","2021-12-23","2021-12-23","2022-02-17","2022-04-03","2022-03-14","2022-03-14","2022-03-21","2022-03-21","2022-06-12","2021-07-07","2021-08-30","2021-08-30","2021-08-30","2021-08-30","2021-08-30","2022-03-04","2023-05-06","2023-05-06","2023-05-06","2023-05-06","2023-05-06","2023-05-06","2021-03-23","2021-07-09","2021-07-09","2021-12-28","2022-02-25","2022-02-25","2022-02-25","2021-04-25","2021-08-23","2021-09-15","2022-06-12","2022-02-17","2022-02-24","2022-02-24","2022-02-25","2022-02-25","2022-02-24","2022-02-24","2022-02-24","2022-02-24","2022-06-12","2022-03-14","2021-12-21","2021-05-06","2021-05-06","2021-05-06","2022-03-10","2022-03-10","2022-03-21","2021-12-23","2022-06-12","2023-08-31","2023-08-31","2023-08-31"],"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":[["","59651036205","IBUPROFEN TAB","800MG","16","Select","Select",""],["","65862018601","CLINDAMYCIN CAP","300MG","28","Select","Select",""],["","49884012301","LABETALOL TAB","200MG","60","Select","Select",""],["","57237007710","ONDANSETRON ODT","4 MG","12","Select","Select",""],["","59651036205","IBUPROFEN","TAB 800MG","16","Select","Select",""],["","49884012301","LABETALOL","TAB 200MG","60","Select","Select",""],["","65862018601","CLINDAMYCIN","CAP 300MG","28","Select","Select",""],["","00591352530","LIDOCAINE","5 %","15","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":""}]}]}