{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"H KRAMRENRO","gend":0,"add":"         DR DOOWEKAL 2013                         ","city":"GLEN ALLEN               ","state":"VA","zip":"23059-9998","dob":"1970-01-01","age":"","mstatus":"","insh":"00116397","cliId":"","pno":"0940853378","cno":8046739003,"email":"","ename":"","eno":"","pphy":"BAKER, KELLI","ppno":8047416200,"pcpadd":"9600 PATTERSON AVE STE B,","pcpcity":"Henrico","pcpstate":"VA","pcpzip":232296053,"pcpcounty":"","pcpid":"","pcpname":"BON SECOURS ST MARYS HOSPITAL OF RICHMOND LLC","plan":"VPHP","program":"MEDICARE","lob":"DSNP","region":"CENTRAL","aligned":"Y","ano":"","add2":"                                                  ","add3":"","madd1":"3102 LAKEWOOD RD                                  ","madd2":"                                                  ","madd3":"","mcity":"GLEN ALLEN               ","mstate":"VA","mzip":"23059-9998","pcpfaxno":"","pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["F71","F43.24","H26.8","Z86.69","I10","Z00.00","Z68.34","Z79.899","G40.909","H61.23","Z20.822","E66.9","R73.02","R26.89","Z68.32","K62.5","K64.1","K62.89","L29.0","K59.00","Z80.0","G40.209","F42.9","Z01.812","Z12.11","K64.0","J45.909","E78.00","Z87.19","Z86.010","Z91.19","N40.1","R35.0","Z71.89","Z23","Z20.828","U07.1","Z68.33"," ","R53.83","G25.0"],"date":["2022-11-17","2022-11-17","2020-01-13","2020-01-13","2022-05-13","2022-01-31","2022-01-31","2022-01-31","2022-01-31","2022-01-31","2022-05-13","2021-11-01","2021-04-16","2021-04-16","2021-04-16","2021-11-01","2021-06-04","2021-06-04","2021-06-04","2021-08-19","2021-11-01","2022-08-12","2019-09-11","2021-10-28","2021-11-01","2021-11-01","2021-11-01","2021-11-01","2021-11-01","2021-11-01","2021-11-01","2020-11-05","2020-11-05","2020-11-05","2020-11-05","2020-12-08","2022-05-13","2022-05-13","2022-11-17","2022-11-09","2022-08-12"],"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":[["","63402030830","LATUDA","TAB 80MG","30","Select","Select",""],["","70377000812","ROSUVASTATIN","TAB 20MG","30","Select","Select",""],["","62756016013","TAMSULOSIN","CAP 0.4MG","30","Select","Select",""],["","68382000105","PAROXETINE","TAB 40MG","30","Select","Select",""],["","43547035311","LISINOPRIL","TAB 10MG","30","Select","Select",""],["","00781598701","CARBAMAZEPIN","TAB 200MG ER","30","Select","Select",""],["","51991081701","PROPRANOLOL","CAP 60MG ER","30","Select","Select",""],["","52268001201","SUPREP","SOL PREP KIT","354","Select","Select",""],["","00116200116","CHLORHEX","SOL 0.0012","473","Select","Select",""],["","58160082311","SHINGRIX","INJ 50MCG","1","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":""}]}]}