{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"AICIRTAPNELLA L ","gend":1,"add":"         TS SSELNACCM 912                         ","city":"SOUTH BOSTON             ","state":"VA","zip":"24592-9998","dob":"1990-10-25","age":"","mstatus":"","insh":"00116788","cliId":"","pno":"4443403366","cno":4344711481,"email":"","ename":"","eno":"","pphy":"ARTHUR, MELISSA P P","ppno":4345173539,"pcpadd":"2232 WILBORN AVENUE,","pcpcity":"SOUTH BOSTON","pcpstate":"VA","pcpzip":245921662,"pcpcounty":"","pcpid":"","pcpname":"HALIFAX PRIMARY CARE","plan":"VPHP","program":"MEDICARE","lob":"DSNP","region":"CHARLOTTESVILLE WESTERN","aligned":"Y","ano":"","add2":"                                                  ","add3":"","madd1":"219 MCCANLESS ST                                  ","madd2":"                                                  ","madd3":"","mcity":"SOUTH BOSTON             ","mstate":"VA","mzip":"24592-9998","pcpfaxno":"","pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["R51","S09.90XA","S19.9XXA","S01.01XA","V89.2XXA","Y92.481","Z23","M54.5","R51.9","Z11.52","R07.9","U07.1","R06.02","R05.9","R52","F17.210","R55","T22.232A","T23.202A","T31.0","W29.2XXA","T22.20XA","T22.052A","R11.2","M79.672","M79.671","L84","L11.0","L57.0","J02.9"," ","J02.0","Z20.822"],"date":["2020-06-18","2020-06-01","2020-06-01","2020-06-01","2020-06-01","2020-06-01","2020-06-01","2020-06-18","2021-09-08","2022-03-31","2021-10-16","2021-10-16","2021-10-16","2021-10-16","2021-10-16","2021-10-16","2019-12-17","2019-12-17","2019-12-17","2019-12-17","2019-12-17","2019-12-17","2019-12-17","2022-03-31","2022-06-03","2022-06-03","2022-06-03","2022-06-03","2022-06-03","2022-11-03","2022-11-15","2022-11-15","2022-11-15"],"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":[["","68180016106","AZITHROMYCIN","TAB 500MG","5","Select","Select",""],["","00185002201","ORPHENADRINE","TAB 100MG ER","30","Select","Select",""],["","67877032105","IBUPROFEN","TAB 800MG","30","Select","Select",""],["","65862039110","ONDANSETRON","TAB 8MG ODT","15.00","Select","Select",""],["","65862050220","AMOX\/K","TAB 500-125","20","Select","Select",""],["","68180012202","CEPHALEXIN","CAP 500MG","21","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":""}]}]}