{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"L NIVEKSIRRAH ","gend":0,"add":"        YWH NOSREFFEJ 601                         ","city":"LOUISA                   ","state":"VA","zip":"23093-9998","dob":"1973-08-13","age":"","mstatus":"","insh":"00115924","cliId":"","pno":"4704588898","cno":"","email":"","ename":"","eno":"","pphy":"HARKRADER, EDWARD R","ppno":5409672202,"pcpadd":"101 WOOLFOLK AVE,","pcpcity":"Louisa","pcpstate":"VA","pcpzip":230934264,"pcpcounty":"","pcpid":"","pcpname":"LOUISA FAMILY PRACTICE PLC","plan":"VPHP","program":"MEDICARE","lob":"DSNP","region":"CHARLOTTESVILLE WESTERN","aligned":"Y","ano":"","add2":"APT C4                                            ","add3":"","madd1":"106 JEFFERSON HWY                                 ","madd2":"APT C4                                            ","madd3":"","mcity":"LOUISA                   ","mstate":"VA","mzip":"23093-9998","pcpfaxno":"","pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["I10","E11.9","E78.00","Z23","E55.9","D51.9","J20.9","M54.2","N18.30","M25.511","H25.9","Z97.3","F33.0","E78.5","N28.1","Z68.25","J06.9","D51.0","M62.81","K76.0","G43.009","R21","R35.1","R73.9","E16.2","H10.31","H92.02","M54.12","M75.51","M54.40","Z00.00"," ","L60.0","L03.031"],"date":["2022-10-10","2022-10-10","2022-10-10","2022-11-03","2021-07-15","2021-07-15","2020-01-28","2020-11-02","2020-11-02","2020-12-08","2020-12-08","2020-12-08","2020-12-08","2020-12-08","2020-12-08","2020-12-08","2019-02-07","2021-07-15","2020-09-21","2020-09-21","2020-04-17","2019-05-20","2022-04-04","2022-08-16","2019-02-25","2020-02-28","2019-07-22","2020-09-02","2020-08-24","2019-11-22","2022-10-10","2022-11-28","2022-11-22","2022-11-28"],"priorHcc":["","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","",""]}}]},{"t":"Covid Screening","q":[{"a":[]}]},{"t":"Self-Assessment and Social History","q":[{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"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":[["","00193731150","CONTOUR","TES NEXT","50","Select","Select",""],["","00378064110","PREDNISONE","TAB 10MG","25","Select","Select",""],["","00193658621","MICROLET","MIS LANCETS","100","Select","Select",""],["","00006008131","JANUMET","TAB 100-1000","90","Select","Select",""],["","68180045901","AMLOD\/BENAZP","CAP 5-20MG","90","Select","Select",""],["","68180012202","CEPHALEXIN","CAP 500MG","40","Select","Select",""],["","00193654621","BAYER","MIS LANCETS","100","Select","Select",""],["","70377002811","ATORVASTATIN","TAB 20MG","90","Select","Select",""],["","68180016013","AZITHROMYCIN","TAB 250MG","6","Select","Select",""],["","65162019050","NAPROXEN","TAB 500MG","30","Select","Select",""],["","57599080000","FREESTY","KIT 2 SENSOR","6","Select","Select",""],["","31722093612","OMEGA-3-ACID","CAP 1GM","360","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":["",""],"sub":{"indx":[["","","",""],[""],[""],[""],[""],[""]],"comment":[["","","",""],[""],[""],[""],[""],[""]],"sub":[]}}},{"a":{"indx":["1",""],"comment":["",""],"sub":[]}},{"a":{"indx":["1",""],"comment":["",""],"sub":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["1",""],"comment":["",""],"sub":{"indx":[["","",""],[""],[""],[""],[""]],"comment":[["","",""],[""],[""],[""],[""]],"sub":[]}}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"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":""}]}]}