{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"TREBORROTCE ","gend":0,"add":"          RD GNILRETS 417                         ","city":"WINCHESTER               ","state":"VA","zip":"22601-9998","dob":"1951-01-11","age":"","mstatus":"","insh":"00111978","cliId":"","pno":"4504570285","cno":"","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":"                                                  ","add3":"","madd1":"714 STERLING DR                                   ","madd2":"                                                  ","madd3":"","mcity":"WINCHESTER               ","mstate":"VA","mzip":"22601-9998","pcpfaxno":"","pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["C92.00","C95.00","R39.81","R15.9","F81.89","D64.9","M71.571","D72.819","E53.9","E11.22","E11.65","I10","E78.00","D72.818","F84.0","D47.9","F20.9","R62.50","E78.5","I12.9","N18.9","Z79.4","R09.02","N28.9","E11.9","D75.89","Z51.11","I51.7","R91.8","R09.89","Z45.2","R20.0","I66.03","I66.21","Z85.6","Z86.73","R26.81","M79.601","N18.2","K22.70","D70.9","F41.9","E11.59","F20.0","F31.9","M54.5","S30.0XXA","Z79.84","Z79.899","Z98.42","Z98.41","F41.1","M25.512","R26.89","Z23","F32.9","Z95.828","D69.6","R53.83","D84.9"," ","J06.9"],"date":["2022-12-06","2021-01-08","2022-10-15","2022-10-15","2022-10-15","2022-11-16","2020-01-22","2020-02-19","2020-04-02","2022-09-26","2020-03-16","2022-09-26","2022-09-26","2022-06-09","2022-09-20","2020-02-19","2022-09-20","2020-02-20","2021-06-16","2021-06-16","2020-02-20","2020-02-20","2020-02-20","2020-02-21","2022-06-09","2020-02-21","2022-06-09","2020-02-22","2020-03-02","2020-03-02","2020-03-03","2020-07-06","2020-03-04","2021-06-16","2020-03-04","2020-03-04","2020-03-10","2020-03-10","2022-09-26","2022-09-20","2022-09-09","2022-06-09","2021-06-16","2021-06-16","2021-06-16","2021-08-16","2021-08-16","2020-09-11","2020-09-11","2020-09-11","2020-09-11","2019-09-20","2019-09-20","2019-09-20","2022-09-26","2019-09-30","2022-11-16","2022-09-09","2022-09-09","2022-09-09","2022-12-06","2022-11-23"],"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":[["","31722077705","ACYCLOVIR","TAB 400MG","60","Select","Select",""],["","08290324911","INSULIN","MIS 0.5\/31G","100","Select","Select",""],["","00088222033","LANTUS","INJ 100\/ML","10","Select","Select",""],["","50924097110","SOFTCLIX","MIS LANCETS","100","Select","Select",""],["","65702043810","ACCU-CHEK","TES AVIVA PL","100","Select","Select",""],["","68645058259","METFORMIN","TAB 500MG","180","Select","Select",""],["","57599000200","FREESTYLE    MIS READER","MIS READER","1","Select","Select",""],["","57599000101","FREESTYLE    KIT SENSOR","KIT SENSOR","2","Select","Select",""],["","16714074703","OMEPRAZOLE","CAP 20MG","30","Select","Select",""],["","00093100301","BUSPIRONE","TAB 15MG","90","Select","Select",""],["","00143924920","AMOX\/K","TAB 875-125","60","Select","Select",""],["","00093505998","ATORVASTATIN","TAB 20MG","90","Select","Select",""],["","68645051654","AMLODIPINE","TAB 10MG","90","Select","Select",""],["","68180044601","QUETIAPINE","TAB 50MG","90","Select","Select",""],["","68645055354","LISINOPRIL","TAB 20MG","90","Select","Select",""],["","16714035201","FLUOXETINE","CAP 20MG","90","Select","Select",""],["","50383066730","LIDO\/PRILOCN","CRE 2.5-2.5%","30","Select","Select",""],["","80777027399","MODERNA","INJ COVID-19","0.25","Select","Select",""],["","68645057559","GLIPIZIDE","TAB 10MG","90","Select","Select",""],["","00054418425","DEXAMETHASON","TAB 4MG","10","Select","Select",""],["","69315090401","LORAZEPAM","TAB 0.5MG","60","Select","Select",""],["","16714022132","GRANISETRON","TAB 1MG","6","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":""}]}]}