{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"M TERAGRAMLLERTTUL ","gend":1,"add":"     TS NUODUOL HTRON 533                         ","city":"WINCHESTER               ","state":"VA","zip":"22601-9998","dob":"1975-04-21","age":"","mstatus":"","insh":"00111727","cliId":"","pno":"0404533799","cno":5404099733,"email":"","ename":"","eno":"","pphy":"APPIAH, VICTOR","ppno":5406672100,"pcpadd":"500 W JUBAL EARLY DR STE 110,","pcpcity":"Winchester","pcpstate":"VA","pcpzip":226016508,"pcpcounty":"","pcpid":"","pcpname":"VICTOR APPIAH MD","plan":"VPHP","program":"MEDICARE","lob":"DSNP","region":"NORTHERN & WINCHESTER","aligned":"Y","ano":"","add2":"APT 2C                                            ","add3":"","madd1":"335 NORTH LOUDOUN ST                              ","madd2":"APT 2C                                            ","madd3":"","mcity":"WINCHESTER               ","mstate":"VA","mzip":"22601-9998","pcpfaxno":"","pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["K21.9","R11.2","Z20.828","E03.9","R73.01","D72.829","Z00.00","Z12.11","Z12.31","F32.9","Z68.32","F33.0","A60.9","G40.309","Z71.9","F31.9","M84.422A","M19.122","S42.402D","R05","R56.9","S42.412A","M25.522","W10.8XXA","Y92.009","F10.929","R29.6","S42.402A","K21.00","K21.0","R93.3","Z90.49","R45.4","R07.0","S49.92XA","M19.022","S42.412D","G56.02","R42","Z68.36","E66.9","Z71.3","Z79.890","E78.00","R73.03","G80.9","F33.40","J20.9"," "],"date":["2022-05-04","2021-02-03","2021-03-27","2022-11-01","2022-03-15","2022-11-01","2021-09-21","2021-09-21","2022-05-24","2022-05-04","2020-10-23","2021-12-29","2020-04-10","2022-03-15","2020-04-10","2022-03-15","2021-09-21","2021-09-21","2021-12-09","2021-03-25","2020-03-26","2021-09-03","2021-09-03","2021-09-03","2021-09-03","2021-09-03","2021-09-03","2021-09-09","2022-11-01","2021-01-20","2021-02-03","2021-02-03","2021-08-05","2021-10-14","2021-09-03","2021-11-05","2021-11-05","2022-01-24","2020-06-02","2022-03-30","2022-03-30","2022-03-30","2022-03-30","2022-11-01","2022-11-01","2022-11-01","2022-10-26","2022-11-01","2022-11-01"],"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":[["","64764017590","DEXILANT","CAP 60MG DR","30","Select","Select",""],["","50111064801","FLUOXETINE","CAP 20MG","30","Select","Select",""],["","58160089052","FLUARIX","INJ 2022-23","0.5","Select","Select",""],["","69238183301","LEVOTHYROXIN","TAB 88MCG","90","Select","Select",""],["","65162062711","TRAMADOL","TAB 50MG","30","Select","Select",""],["","68180011302","LEVETIRACETA","TAB 500MG","30","Select","Select",""],["","65862044890","VALACYCLOVIR","TAB 500MG","90","Select","Select",""],["","65862050320","AMOX\/K","TAB 875-125","14","Select","Select",""],["","781808926","AZITHROMYCIN","TAB 250MG","6","Select","Select",""],["","68180096301","ALBUTEROL","AER HFA","8.5","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":["",""]}},{"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":""}]}]}