{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"REHTAEHREYEM ","gend":1,"add":"    DAOR ELLIVNOCCM   311                         ","city":"LYNCHBURG                ","state":"VA","zip":"24502-4513","dob":"1979-09-27","age":"","mstatus":"","insh":"10111409","cliId":"","pno":"0543491099","cno":"","email":"","ename":"","eno":"","pphy":"TULADHAR, PREYASHA","ppno":4343155340,"pcpadd":"935 S MAIN ST,","pcpcity":"Farmville","pcpstate":"VA","pcpzip":239012211,"pcpcounty":"","pcpid":"","pcpname":"CENTRA MEDICAL GROUP","plan":"VPHP","program":"MEDICARE","lob":"DSNP","region":"CHARLOTTESVILLE WESTERN","aligned":"Y","ano":"","add2":"APT B                                             ","add3":"","madd1":"113   MCCONVILLE ROAD                             ","madd2":"APT B                                             ","madd3":"","mcity":"LYNCHBURG                ","mstate":"VA","mzip":"24502-4513","pcpfaxno":"","pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["F41.8","U09.9","Z86.16","R00.2","R00.0","E88.40","I49.8","M54.2","M99.03","M99.04","M99.05","R53.81","M25.50","G56.02","R53.83","R53.82","R20.0","R20.2","G89.29","F32.9","F32.A","F41.9","E88.49","E86.0","K31.84","R10.11","D72.829","M54.50","B34.9","R52","J10.1","G93.3","U07.1","M53.3","Z79.52","M54.9","R39.9","M79.10","J11.1","R53.1"," ","R51.9","M06.9","M85.842","M85.841","M05.9","Q79.60","Z12.4","Z68.29","M62.81","R27.8","G60.8","J06.9"],"date":["2022-07-06","2022-03-10","2022-02-28","2022-02-28","2022-03-29","2022-11-21","2022-06-14","2022-12-09","2022-12-09","2022-12-09","2022-12-09","2022-04-05","2022-08-26","2022-04-04","2022-11-01","2022-12-01","2022-04-04","2022-04-04","2022-08-26","2022-05-23","2022-05-23","2022-05-23","2022-03-03","2022-03-03","2022-03-03","2022-08-31","2022-08-31","2022-06-27","2022-11-21","2022-11-12","2022-09-22","2022-08-26","2022-10-11","2022-07-06","2022-11-08","2022-10-21","2022-10-28","2022-10-28","2022-10-28","2022-10-28","2022-12-09","2022-11-12","2022-06-14","2022-06-14","2022-06-14","2022-11-21","2022-06-14","2022-06-14","2022-11-01","2022-12-01","2022-12-01","2022-12-01","2022-12-01"],"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":[["","00069108530","PAXLOVID","TAB 300-100","30","Select","Select",""],["","59267030401","PFIZER","INJ BA4\/BA5","0.3","Select","Select",""],["","58160089052","FLUARIX","INJ 2022-23","0.5","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":""}]}]}