{"version":"0.4","data":[{"t":"Demographics","q":[{"name":" C ALEGNASREDNUAS","gend":1,"add":"   EUNEVA SGNIMMUC E  002                         ","city":"HAMPTON                  ","state":"VA","zip":"23663-1610","dob":"1970-06-01","age":"","mstatus":"","insh":"00115841","cliId":"","pno":"0521991019","cno":7574502487,"email":"","ename":"","eno":"","pphy":"SOLES, DONALD ELWOOD","ppno":7575943800,"pcpadd":"10510 JEFFERSON AVE STE A,","pcpcity":"Newport News","pcpstate":"VA","pcpzip":236013102,"pcpcounty":"","pcpid":"","pcpname":"RIVERSIDE BRENTWOOD MEDICAL CENTER FAMILY MEDICINE","plan":"VPHP","program":"MEDICARE","lob":"DSNP","region":"TIDEWATER","aligned":"Y","ano":"","add2":"APARTMENT 3                                       ","add3":"","madd1":"200  E CUMMINGS AVENUE                            ","madd2":"APARTMENT 3                                       ","madd3":"","mcity":"HAMPTON                  ","mstate":"VA","mzip":"23663-1610","pcpfaxno":"","pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["M21.372","Z12.31","M79.672","M25.472","M76.02","M21.172","R26.1","R26.81","Z86.73","G81.94","R25.2","R47.01","G40.909","I69.320","I69.354","R60.0","Z68.23","Z79.899","E66.3","Z13.220","B07.0","R56.9","I69.953","F43.23","M21.6X2","Z00.00","Z12.11","M77.42","M20.42","L97.522","J30.2","Z86.69","R26.0","L82.1","Q82.5","Z01.419","M62.81","I69.351","R29.6","R26.89","D22.9","L97.501","G57.60","L97.521","M77.52","M25.572","M25.562"," ","M25.462","I10","I69.398","Z79.82","Z88.1","Z91.02","Z91.018"],"date":["2022-11-01","2021-11-18","2021-01-21","2021-01-21","2021-03-25","2021-03-25","2021-03-25","2021-03-25","2022-06-14","2019-10-21","2019-10-21","2019-10-21","2022-11-01","2018-08-06","2020-04-23","2018-08-06","2019-12-09","2022-11-01","2021-10-12","2021-10-12","2020-10-06","2022-06-14","2022-06-14","2018-04-23","2021-09-13","2021-10-12","2021-10-12","2021-02-12","2020-11-10","2020-11-10","2019-12-09","2019-12-09","2021-02-12","2019-03-07","2019-03-07","2019-03-12","2018-07-06","2019-04-29","2021-01-27","2021-02-04","2019-02-08","2022-09-20","2022-09-20","2022-06-28","2022-06-08","2022-06-08","2022-11-01","2022-11-01","2022-11-01","2022-11-01","2022-11-01","2022-11-01","2022-11-01","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":[["","31722053705","LEVETIRACETA","TAB 500MG","180","Select","Select",""],["","68462019005","NAPROXEN","TAB 500MG","20","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":""}]}]}