{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"GARYONNAE A BRIGGS","gend":1,"add":"2105 BISHOP ST APT 3A","city":"PETERSBURG","state":"VA","zip":"23805-9998","dob":"2002-03-15","age":"","mstatus":"","insh":"7840136*01","cliId":"","pno":7573733745,"cno":7573733745,"email":"","ename":"","eno":"","pphy":"NEUMAN, KENLEY DO","ppno":8048972100,"pcpadd":"1212 KOGER CENTER BLVD,","pcpcity":"NORTH CHESTERFIELD","pcpstate":"VA","pcpzip":"23235-9998","pcpcounty":"","pcpid":"","pcpname":"Virginia Physicians for Women","plan":"OHP","program":"MEDICAID","lob":"M4","region":"CENTRAL","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":8048979074,"pcpnpi":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["O80.","Z37.0","Z3A.39","Z20.822","T82.7XXA","J32.9","I10.","R19.7","Z20.828","Z03.818","L03.116","F17.200","L81.8","M79.605","J32.1","D64.9","R07.1","Z01.419","Z11.3","Z30.011","Z30.09","O42.92","Z3A.38","Z39.1","Z34.82","Z34.83","O60.13X0","Z37.9","Z3A.19","Z38.00","P05.10","N92.0","Z30.9","O70.0","Z32.02","N94.6","R42.","R51.9","O20.9","R82.90","N94.89","A56.02","A59.01","Z32.01","S43.401A","S60.812A","S80.811A","R07.9","N76.0","B96.89","Z20.2"],"date":["2021-02-05","2021-02-05","2021-02-05","2021-08-20","2022-06-15","2022-11-02","2022-11-02","2022-11-02","2022-01-21","2021-03-18","2022-06-14","2022-06-14","2022-06-15","2022-06-15","2022-01-21","2022-01-21","2022-01-21","2022-11-10","2023-06-12","2022-11-10","2022-11-10","2021-02-05","2021-02-05","2021-02-25","2021-02-25","2021-02-25","2021-02-05","2021-02-05","2021-02-05","2021-02-05","2021-02-05","2021-11-08","2021-11-08","2021-02-05","2023-09-11","2022-01-23","2022-01-23","2022-11-02","2023-06-16","2023-06-16","2023-06-12","2023-06-12","2023-06-12","2023-06-12","2023-08-23","2023-08-23","2023-08-23","2023-08-23","2023-09-11","2023-09-11","2023-09-11"],"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":[["","64380080707","IBUPROFEN","TAB 800MG","15","Select","Select",""],["","00172572860","FAMOTIDINE","TAB 20MG","30","Select","Select",""],["","59746000103","METHYLPRED","TAB 4MG","21","Select","Select",""],["","69238110005","DOXYCYCL HYC","CAP 100MG","20","Select","Select",""],["","00781185220","AMOX\/K CLAV","TAB 875-125","14","Select","Select",""],["","00093314705","CEPHALEXIN","CAP 500MG","21","Select","Select",""],["","00093101042","MUPIROCIN","OIN 0.02","22","Select","Select",""],["","65862042005","SMZ\/TMP DS","TAB 800-160","20","Select","Select",""],["","10702025350","BUT\/APAP\/CAF","TAB ","10","Select","Select",""],["","45802065087","LORATADINE","TAB 10MG","10","Select","Select",""],["","00555902658","JUNEL FE","TAB 43831","84","Select","Select",""],["","50111033401","METRONIDAZOL","TAB 500MG","14","Select","Select",""],["","00093031101","LOPERAMIDE","CAP 2MG","20","Select","Select",""],["","59746000103","METHYLPRED TAB","4MG","21","Select","Select",""],["","69238110005","DOXYCYCL HYC CAP","100MG","20","Select","Select",""],["","64380080707","IBUPROFEN TAB","800MG","15","Select","Select",""],["","00172572860","FAMOTIDINE TAB","20MG","30","Select","Select",""],["","65862042005","SMZ\/TMP DS TAB","800-160","20","Select","Select",""],["","00781185220","AMOX\/K CLAV TAB","875-125","14","Select","Select",""],["","00093314705","CEPHALEXIN CAP","500MG","21","Select","Select",""],["","00093101042","MUPIROCIN OIN","2%","22","Select","Select",""],["","45802065087","LORATADINE TAB","10MG","10","Select","Select",""],["","10702025350","BUT\/APAP\/CAF TAB","","10","Select","Select",""],["","00555902658","JUNEL FE TAB","1\/20","84","Select","Select",""],["","00093031101","LOPERAMIDE CAP","2MG","20","Select","Select",""],["","50111033401","METRONIDAZOL TAB","500MG","14","Select","Select",""],["","50111033402","METRONIDAZOLE","500 MG","14","Select","Select",""],["","68180086106","AZITHROMYCIN","250 MG","4","Select","Select",""],["","70010077001","METHOCARBAMOL","750 MG","21","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":""}]}]}