{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"L ADNELGTNAYRB ","gend":1,"add":"NOJ 121ENAL SE","city":"WARSAW                   ","state":"VA","zip":"22572-4268","dob":"1957-04-08","age":"","mstatus":"","insh":"00118184","cliId":"","pno":"6740810381","cno":8042502373,"email":"","ename":"","eno":"","pphy":"UNKNOWN PROVIDER QNXT PCP","ppno":8042502373,"pcpadd":"UNKNOWN ST,","pcpcity":"RICHMOND","pcpstate":"VA","pcpzip":23219,"pcpcounty":"","pcpid":"","pcpname":"UNKNOWN PROVIDER QNXT PCP","plan":"VPHP","program":"MEDICARE","lob":"DSNP","region":"CENTRAL","aligned":"Y","ano":"","add2":"APT 43","add3":"","madd1":"121 JONES LANE","madd2":"APT 43","madd3":"","mcity":"WARSAW                   ","mstate":"VA","mzip":"22572-4268","pcpfaxno":"","pcpnpi":""},{"a":{"indx":["","1","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["J06.9","M79.604","M79.605","D53.9","E55.9","Z79.899","Z23","R30.0","L30.9","R79.89","Z12.31","L85.3","N30.00","H10.31","S09.90XA","S00.03XA","S42.212A","S42.215A","M25.512","W18.2XXA","Y93.E1","Y92.012","S00.93XA","S42.292A","W01.10XA","Y92.002","S42.232A","Z01.812","Z01.818","Z01.810","G89.18","F41.8","F10.10","D50.9","D64.9","G89.29","J30.9","Z79.891","Z80.9","I83.893","M79.671","M79.672","R19.7","S42.292D","K52.9","E88.09","K29.50","K57.30","K31.89","K64.1","K44.9","D51.0","R60.0","R21","R32","H91.93","R63.4","H61.23","G60.9","K05.30","I10","R20.0","K08.89","R29.6","S42.202D","G47.00","E53.8","Z12.11","Z13.220","R20.2","R39.81","R15.9","K02.9","Z53.21","Z11.52","H90.3","M25.562","F51.01","Z13.1","Z13.820","H90.A31","R31.9"],"date":["2020-01-13","2020-01-13","2020-01-13","2019-08-27","2022-09-15","2019-02-25","2021-06-14","2022-10-03","2019-02-25","2019-02-25","2022-06-17","2019-07-24","2021-07-15","2021-07-15","2019-08-15","2019-08-15","2019-08-15","2019-08-15","2019-11-21","2019-08-26","2019-08-26","2019-08-26","2019-08-15","2019-10-08","2019-08-16","2019-08-16","2019-08-26","2019-08-22","2019-08-22","2019-08-23","2019-09-16","2019-08-26","2019-08-26","2019-08-26","2022-10-06","2019-09-16","2022-09-15","2019-09-16","2019-09-16","2018-10-03","2018-10-16","2018-10-16","2018-12-12","2019-11-21","2018-12-19","2018-11-28","2018-12-12","2018-12-12","2018-12-12","2018-12-12","2018-12-12","2018-12-12","2018-12-13","2018-12-19","2022-06-30","2022-09-15","2022-06-30","2022-06-15","2022-06-15","2022-08-02","2022-08-02","2022-09-15","2022-09-15","2022-09-15","2022-06-17","2022-06-17","2022-09-15","2022-06-17","2022-06-24","2022-06-24","2022-10-19","2022-10-19","2022-08-02","2022-08-02","2022-07-14","2022-09-29","2022-09-15","2022-09-15","2022-09-15","2022-09-15","2022-09-29","2022-10-03"],"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":[["","57237004105","PENICILLN","TAB 500MG","30","Select","Select",""],["","58160088552","FLUARIX","INJ 2020-21","0.5","Select","Select",""],["","69097081312","GABAPENTIN","CAP 100MG","90","Select","Select",""],["","69097052444","DICLOFENAC","GEL 0.01","100","Select","Select",""],["","00093314705","CEPHALEXIN","CAP 500MG","14","Select","Select",""],["","61314063006","NEO\/POLY\/DEX","SUS 0.1% OP","5","Select","Select",""],["","13811071910","NITROFURANTN","CAP 100MG","6","Select","Select",""],["","59746017310","PREDNISONE","TAB 10MG","30","Select","Select",""],["","00406012301","HYDROCO\/APAP","TAB 5-325MG","30","Select","Select",""],["","00406051201","OXYCOD\/APAP","TAB 5-325MG","30","Select","Select",""],["","00378210001","LOPERAMIDE","CAP 2MG","30","Select","Select",""],["","65162062711","TRAMADOL","TAB 50MG","28","Select","Select",""],["","45802006405","TRIAMCINOLON","CRE 0.001","454","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":""}]}]}