{"version":"0.4","data":[{"t":"Demographics","q":[{"name":" EITSIRHCNOTXES C","gend":1,"add":"S HT4 75WN TEERT","city":"PULASKI                  ","state":"VA","zip":"24301-4613","dob":"1970-06-29","age":"","mstatus":"","insh":"10111458","cliId":"","pno":"1667249733","cno":"","email":"","ename":"","eno":"","pphy":"KAATZ, MATTHEW S","ppno":5409800550,"pcpadd":"101 FIRST ST NW,","pcpcity":"PULASKI","pcpstate":"VA","pcpzip":243015605,"pcpcounty":"","pcpid":"","pcpname":"KAATZ MATTHEW S MD PC","plan":"VPHP","program":"MEDICARE","lob":"DSNP","region":"ROANOKE ALLEGHANY","aligned":"Y","ano":"","add2":"                                                  ","add3":"","madd1":"57 4TH STREET NW","madd2":"                                                  ","madd3":"","mcity":"PULASKI                  ","mstate":"VA","mzip":"24301-4613","pcpfaxno":"","pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["F41.1","E11.9","G40.909","E03.9","F32.9","F41.9","J30.9","Z72.3","Z68.27","Z00.00","Z12.11","N76.4","N39.46","R30.0","G47.33","G47.10","F51.02","F43.22","E11.8","Z87.891","R13.10","R09.89","J31.0","T48.5X5A","R09.81","Z12.2","G72.9","K04.7","F33.1","L81.4","D23.61","Z13.89","Z20.822","R12","K64.8","D12.0","K63.5","K21.00","K31.7","K29.50","F17.210","Z79.84","Z79.890","Z86.010","Z12.31","R22.1","E05.00","E03.4","K11.8","G47.30","Z68.25","R20.9","G47.00"],"date":["2022-05-19","2022-05-19","2022-10-24","2022-11-03","2022-05-19","2022-05-19","2022-05-19","2022-10-13","2022-05-19","2021-11-18","2022-11-03","2022-02-17","2022-02-17","2022-02-17","2022-11-03","2022-04-25","2022-04-25","2022-04-25","2022-04-25","2022-05-04","2022-11-03","2022-04-04","2022-04-04","2022-04-04","2022-04-04","2022-05-04","2022-05-04","2022-05-19","2022-10-13","2022-08-03","2022-08-03","2022-07-07","2022-08-02","2022-11-03","2022-11-03","2022-11-03","2022-11-03","2022-11-03","2022-11-03","2022-11-03","2022-11-03","2022-11-03","2022-11-03","2022-11-03","2022-10-21","2022-10-21","2022-10-21","2022-10-21","2022-10-21","2022-10-13","2022-10-13","2022-10-24","2022-10-24"],"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":[]}},{"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":""}]}]}