{"version":"0.4","data":[{"t":"Demographics","q":[{"name":" M ANITENUCCM","gend":1,"add":"        ENAL EGDEH   3518                         ","city":"MEADOWVIEW               ","state":"VA","zip":"24361-4733","dob":"1994-11-04","age":"","mstatus":"","insh":"00117288","cliId":"","pno":"4967244834","cno":"","email":"","ename":"","eno":"","pphy":"POTE, DOUGLAS A","ppno":2764295163,"pcpadd":"636 S MONTE VISTA DR,  ","pcpcity":"Glade Spring","pcpstate":"VA","pcpzip":243402712,"pcpcounty":"","pcpid":"","pcpname":"MSMG FP GLDE","plan":"VPHP","program":"MEDICARE","lob":"DSNP","region":"SOUTHWEST","aligned":"Y","ano":"","add2":"                                                  ","add3":"","madd1":"8153   HEDGE LANE                                 ","madd2":"                                                  ","madd3":"","mcity":"MEADOWVIEW               ","mstate":"VA","mzip":"24361-4733","pcpfaxno":"","pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["M25.551","M25.561","M25.552","M25.562","R39.81","N39.498","L22","Z76.89","Q24.9","F84.0","F80.9","F79","Q90.9","K04.7","S73.006A","R26.9","R47.01","Z74.09","K02.9","Z01.818","Z01.810","Z01.812","E05.90","R93.7","M16.31"],"date":["2022-04-05","2021-02-25","2022-04-05","2021-02-25","2022-07-11","2022-07-11","2022-07-11","2020-01-23","2020-01-23","2022-04-05","2020-05-01","2020-01-23","2022-07-11","2021-04-22","2022-07-11","2022-04-05","2022-04-05","2022-04-05","2021-04-22","2021-04-21","2020-02-03","2021-04-17","2021-04-22","2022-02-15","2022-02-15"],"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":[["","66689002316","HYDROCO\/APAP","SOL 7.5-325","90","Select","Select",""],["","65862007101","AMOXICILLIN","SUS 400\/5ML","200","Select","Select",""],["","65862050320","AMOX\/K","TAB 875-125","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":["",""]}},{"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":""}]}]}