{"version":"0.4","data":[{"t":"Demographics","q":[{"name":" ENIROCNAGROM","gend":1,"add":"NIK 09EVA G","city":"WARFIELD","state":"VA","zip":"23889-9998","dob":"1945-02-19","age":"","mstatus":"","insh":"10110372","cliId":"","pno":"6843437305","cno":4348650339,"email":"","ename":"","eno":"","pphy":"PHILLIP SHOU MD","ppno":8045263821,"pcpadd":"16021 KAIROS RD STE A,STE A","pcpcity":"South Chesterfield","pcpstate":"VA","pcpzip":238345205,"pcpcounty":"","pcpid":"","pcpname":"DR PHILLIP Y SHOU PC","plan":"VPHP","program":"MEDICARE","lob":"DSNP","region":"CENTRAL","aligned":"Y","ano":"","add2":"                                                  ","add3":"","madd1":"90 KING AVE","madd2":"                                                  ","madd3":"","mcity":"WARFIELD","mstate":"VA","mzip":"23889-9998","pcpfaxno":"","pcpnpi":""},{"a":{"indx":["","1","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["G47.33","E10.59","I10","I45.10","R00.1","E78.00","L85.3","D23.71","D23.72","L60.3","M21.612","Z68.25","R29.898","G40.909","Z79.899","N32.9","N39.41","B35.1","M20.12","E78.2","E11.9","E55.9","Z23","E78.5","E03.9","R53.83","N39.0","Z01.419","Z12.72","R32","Z90.710","R07.89","L60.8","Z00.00","Z11.1","J45.909","K21.9","J30.2","F41.9","F31.9","F20.9","Z11.59","R94.31","I95.9","E10.10","R94.39","R26.89","N32.81","M25.552","N77.1","H61.23","G40.89","N30.80","Z68.26","R07.9","M15.0","E11.59","Z00.8","H00.011","J00","H92.03","R09.81","M81.0","Z79.82","M79.662"],"date":["2022-07-20","2022-06-28","2022-06-13","2022-02-11","2022-02-11","2022-06-13","2022-04-25","2022-04-25","2022-04-25","2022-04-25","2021-10-18","2021-10-18","2021-10-18","2021-03-15","2022-06-13","2022-08-06","2022-08-06","2020-08-19","2021-05-12","2021-12-01","2022-04-25","2022-02-02","2021-12-01","2022-05-31","2021-08-09","2021-08-09","2021-08-09","2021-07-28","2021-07-28","2021-07-28","2021-07-28","2022-01-19","2020-08-19","2022-02-02","2022-02-02","2022-02-02","2022-02-02","2022-02-02","2022-02-02","2022-02-02","2022-02-02","2022-01-17","2020-09-25","2020-09-25","2020-05-23","2022-01-19","2020-04-03","2020-08-10","2020-08-10","2022-01-11","2022-06-13","2022-05-31","2020-12-07","2021-05-12","2022-02-11","2020-05-08","2020-08-17","2020-12-03","2022-05-31","2022-06-13","2022-06-13","2022-06-13","2022-06-13","2022-06-13","2022-07-18"],"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":[["","53885024510","ONETOUCH","TES ULTRA","100","Select","Select",""],["","16729018201","HYDROCHLOROT","TAB 12.5MG","90","Select","Select",""],["","65162083366","DICLOFENAC","GEL 0.01","200","Select","Select",""],["","70954000510","OXYBUTYNIN","TAB 5MG","90","Select","Select",""],["","61442014201","LOVASTATIN","TAB 20MG","90","Select","Select",""],["","31722053712","LEVETIRACETA","TAB 500MG","180","Select","Select",""],["","45802005935","NYSTATIN","CRE 100000","15","Select","Select",""],["","11822515660","RA","PAD SWABS","100","Select","Select",""],["","45802049326","AMMONIUM","CRE 0.12","385","Select","Select",""],["","59746032530","VALACYCLOVIR","TAB 1GM","21","Select","Select",""],["","00093224001","CEPHALEXIN","TAB 500MG","20","Select","Select",""],["","65862057490","MONTELUKAST","TAB 10MG","90","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":""}]}]}