{"version":"0.4","data":[{"t":"Demographics","q":[{"name":" OZNESELAGNAK G","gend":1,"add":"MRA 4051DR DLEIF","city":"RICHMOND","state":"VA","zip":"23225-9998","dob":"1989-01-29","age":"","mstatus":"","insh":"00112462","cliId":"","pno":"2940838116","cno":8047313497,"email":"","ename":"","eno":"","pphy":"KOCHURANI CHERIAN PUTHUMANA","ppno":8045268640,"pcpadd":"215 TEMPLE AVE,","pcpcity":"Colonial Heights","pcpstate":"VA","pcpzip":238342827,"pcpcounty":"","pcpid":"","pcpname":"KOCHURANI PUTHUMANA","plan":"VPHP","program":"MEDICARE","lob":"DSNP","region":"CENTRAL","aligned":"Y","ano":"","add2":"                                                  ","add3":"","madd1":"1504 ARMFIELD RD","madd2":"                                                  ","madd3":"","mcity":"RICHMOND","mstate":"VA","mzip":"23225-9998","pcpfaxno":"","pcpnpi":""},{"a":{"indx":["","1","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["G43.829","R05","Z71.89","Z71.3","Z20.828","M51.27","R63.0","Z09","M21.6X1","M21.6X2","G57.90","G60.9","G62.9","M21.40","L03.011","D18.03","R10.9","K29.00","M54.2","M54.12","M75.42","M25.519","M46.96","M54.5","Z79.899","N89.8","M47.816","E55.9","F39","Z71.9","Z20.822","Z03.818","Q04.8","D18.09","R10.11","L81.4","L81.0","L02.02","M62.830","T23.402A","M25.562","M25.561","V43.52XA","W22.10XA","Y92.410","T14.8XXA","T65.91XA","T23.562A","T32.0","Z23","M25.511","Z01.419","B96.89","N76.0","R11.10","M51.37","M46.97","S43.122A","M51.26","Z00.01","M72.2","U07.1","R09.89","R50.9","R09.81","M94.0","F41.9","M41.9","M54.6","M43.8X4"],"date":["2020-01-06","2020-01-06","2020-01-06","2020-01-06","2021-04-18","2020-08-13","2022-01-12","2021-12-01","2020-08-25","2020-08-25","2020-08-25","2020-08-25","2020-08-25","2020-08-25","2020-09-19","2019-12-04","2019-12-04","2019-12-04","2022-08-17","2020-09-01","2020-09-01","2020-03-18","2020-07-16","2020-07-23","2020-07-16","2018-01-10","2020-01-10","2022-05-05","2022-01-12","2022-08-03","2021-04-18","2021-04-18","2020-09-04","2019-12-04","2019-12-04","2022-08-30","2022-08-30","2022-01-04","2018-02-15","2018-02-15","2018-02-15","2018-02-15","2018-02-15","2018-02-15","2018-02-15","2018-02-15","2018-02-15","2018-02-15","2018-02-15","2018-09-20","2022-08-03","2018-01-24","2018-01-24","2018-01-24","2019-12-04","2020-01-10","2020-01-10","2020-01-10","2020-07-23","2021-12-01","2020-11-06","2022-05-03","2022-05-03","2022-05-03","2022-05-03","2022-05-05","2022-08-03","2022-08-02","2022-08-17","2022-08-02"],"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":[["","65162019011","NAPROXEN","TAB 500MG","28","Select","Select",""],["","68645056354","IBUPROFEN","TAB 800MG","60","Select","Select",""],["","00781261305","AMOXICILLIN","CAP 500MG","21","Select","Select",""],["","00406012401","HYDROCO\/APAP","TAB 7.5-325","10","Select","Select",""],["","68382005105","MELOXICAM","TAB 15MG","30","Select","Select",""],["","10702000709","CYCLOBENZAPR","TAB 10MG","30","Select","Select",""],["","65862042005","SMZ\/TMP","TAB 800-160","20","Select","Select",""],["","51991083801","CYPROHEPTAD","TAB 4MG","30","Select","Select",""],["","68645014059","FAMOTIDINE","TAB 20MG","60","Select","Select",""],["","00781286810","OMEPRAZOLE","CAP 20MG DR","30","Select","Select",""],["","70010077005","METHOCARBAM","TAB 750MG","30","Select","Select",""],["","50111064701","FLUOXETINE","CAP 10MG","30.00","Select","Select",""],["","00093321915","KETOCONAZOLE","CRE 0.02","30.00","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":""}]}]}