{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"OINOTNANOTLEF ","gend":0,"add":"      TC YRREDNODNOL 0465                         ","city":"VA BEACH                 ","state":"VA","zip":"23462-9998","dob":"1991-06-12","age":"","mstatus":"","insh":"00110432","cliId":"","pno":"1575726570","cno":7579072016,"email":"","ename":"","eno":"","pphy":"NEWMAN, ROBERT J","ppno":7574465955,"pcpadd":"825 FAIRFAX AVE 1ST FLOOR SUITE 118,HOFHEIMER HALL","pcpcity":"Norfolk","pcpstate":"VA","pcpzip":235071914,"pcpcounty":"","pcpid":"","pcpname":"GHENT FAMILY PRACTICE","plan":"VPHP","program":"MEDICARE","lob":"DSNP","region":"TIDEWATER","aligned":"Y","ano":"","add2":"                                                  ","add3":"","madd1":"2021 PLOW LANE                                    ","madd2":"                                                  ","madd3":"","mcity":"CHESAPEAKE               ","mstate":"VA","mzip":"23324-9998","pcpfaxno":"","pcpnpi":""},{"a":{"indx":["","1","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["M25.521","V67.5XXD","X58.XXXA","S52.041D","S60.811A","S60.851A","F17.210","M79.89","M79.5","E66.01","J04.0","R05","R49.0","J06.9","B97.89","S16.1XXA","M79.631","M54.2","M54.6","V59.40XA","Y92.410","S50.11XA","M25.421","S53.104A","M25.511","V44.5XXA","S09.90XA","S69.91XA","S39.93XA","S29.9XXA","M25.50","E66.3","S53.124A","T14.90XA","Z04.3","S53.134A"," "],"date":["2020-01-13","2020-01-13","2020-01-13","2020-01-13","2020-01-13","2020-01-13","2020-03-30","2020-01-14","2020-01-14","2019-02-06","2020-03-30","2020-03-30","2020-03-30","2020-03-30","2020-03-30","2019-05-04","2019-05-04","2019-05-04","2019-05-04","2019-05-04","2019-12-31","2019-05-04","2019-12-31","2019-12-31","2019-12-31","2019-12-31","2019-12-31","2019-12-31","2019-12-31","2019-12-31","2019-12-31","2019-12-31","2019-12-31","2019-12-31","2019-12-31","2019-12-31","2020-03-30"],"priorHcc":["","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","",""]}}]},{"t":"Covid Screening","q":[{"a":[]}]},{"t":"Self-Assessment and Social History","q":[{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":{"indx":["",""],"comment":["",""],"sub":[]}},{"a":{"indx":["",""],"comment":["",""],"sub":[]}},{"a":{"indx":["",""],"comment":["",""],"sub":[]}},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":{"indx":[false,false],"comment":["",""],"score":["",""]}},{"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":[]}},{"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":["",""]}},{"a":{"indx":["","1"],"comment":["",""]}},{"a":{"indx":["","1"],"comment":["",""]}},{"a":{"indx":["","1"],"comment":["",""]}},{"a":{"indx":["","1"],"comment":["",""]}},{"a":{"indx":["","1"],"comment":["",""]}},{"a":{"indx":["","1"],"comment":["",""]}},{"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":""}]}]}