{"version":"0.4","data":[{"t":"Demographics","q":[{"name":" ARDNASSNILLEM","gend":1,"add":"          TS ECARG W 7202                         ","city":"RICHMOND                 ","state":"VA","zip":"23220-9998","dob":"1958-01-29","age":"","mstatus":"","insh":"00113627","cliId":"","pno":"5340881713","cno":"","email":"","ename":"","eno":"","pphy":"FLESHMAN, DEBRA D","ppno":8046550399,"pcpadd":"204 N HAMILTON ST STE B,","pcpcity":"Richmond","pcpstate":"VA","pcpzip":232212662,"pcpcounty":"","pcpid":"","pcpname":"PETER COLEMAN MD PLLC","plan":"VPHP","program":"MEDICARE","lob":"DSNP","region":"CENTRAL","aligned":"Y","ano":"","add2":"                                                  ","add3":"","madd1":"2027 W GRACE ST                                   ","madd2":"                                                  ","madd3":"","mcity":"RICHMOND                 ","mstate":"VA","mzip":"23220-9998","pcpfaxno":"","pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["C76.0","Z11.59","D04.9","L21.9","L81.4","C44.310","L85.3","F20.9","Z79.899","F20.0","R39.81","Z20.828","C44.301","Z00.00","L60.2","L60.3","C44.1121","Z90.49","C44.1122","R32","C44.91","J44.9","D48.5","F17.210","E78.5","Z68.25","L98.9","E78.1","I10","E78.6","E78.00","Z13.89","C44.311","L98.8","R22.9","F34.9","Z72.0","Z01.818","Z12.83","D48.9","D18.01","Z85.828","R07.9","Z00.01"," "],"date":["2021-01-06","2021-01-06","2021-01-08","2022-07-08","2022-07-08","2021-01-08","2021-01-08","2021-07-08","2021-05-17","2022-10-13","2022-12-08","2022-02-15","2022-08-01","2021-09-22","2020-04-28","2020-04-28","2021-07-08","2021-05-13","2021-07-08","2019-07-22","2021-06-16","2022-11-17","2020-06-25","2022-11-17","2020-08-10","2020-08-10","2020-09-21","2022-11-17","2020-12-15","2019-08-20","2022-09-27","2022-11-17","2020-12-23","2020-10-15","2020-10-15","2019-11-26","2019-11-26","2020-12-23","2022-07-08","2022-07-08","2022-07-08","2022-07-08","2022-09-27","2022-09-27","2022-12-08"],"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":[["","50458056401","INVEGA","INJ 234\/1.5","1.5","Select","Select",""],["","00121058104","HALOPERIDOL","CON 2MG\/ML","240","Select","Select",""],["","50742061510","METOPROL","TAB 25MG ER","31","Select","Select",""],["","00093092606","LOVASTATIN","TAB 10MG","31","Select","Select",""],["","69315013801","BENZTROPINE","TAB 2MG","62","Select","Select",""],["","58160088752","FLUARIX","INJ 2021-22","0.5","Select","Select",""],["","16714095503","KETOCONAZOLE","CRE 0.02","60","Select","Select",""],["","59267100001","PFIZER","INJ COVID-19","0.3","Select","Select",""],["","33332032203","AFLURIA","INJ 2022-23","0.5","Select","Select",""],["","00781598701","CARBAMAZEPIN","TAB 200MG ER","62","Select","Select",""],["","49281041988","FLUZONE","INJ 2019-20","0.5","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":["",""],"sub":{"indx":[["","","",""],[""],[""],[""],[""],[""]],"comment":[["","","",""],[""],[""],[""],[""],[""]],"sub":[]}}},{"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":""}]}]}