{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"W F ECNERALCZTLOHREHTAE","gend":0,"add":"        TEERTS NOSLEN 913                         ","city":"MOUNT JACKSON            ","state":"VA","zip":"22842-9998","dob":"1955-01-21","age":"","mstatus":"","insh":"10111732","cliId":"","pno":"7404520737","cno":"","email":"","ename":"","eno":"","pphy":"PETRIZZI, MICHAEL J","ppno":8047300990,"pcpadd":"9376 ATLEE STATION RD,","pcpcity":"Mechanicsville","pcpstate":"VA","pcpzip":231162602,"pcpcounty":"","pcpid":"","pcpname":"VPI HANOVER FAMILY PHYSICIANS","plan":"VPHP","program":"MEDICARE","lob":"DSNP","region":"NORTHERN & WINCHESTER","aligned":"Y","ano":"","add2":"                                                  ","add3":"","madd1":"PO BOX 960                                        ","madd2":"                                                  ","madd3":"","mcity":"MOUNT JACKSON            ","mstate":"VA","mzip":"22842-9998","pcpfaxno":"","pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["G82.20","Z97.8","R33.9","N31.9","L89.323","Z89.611","L22","L27.0","L89.93","N39.46","Z43.3","I10","E78.2","R73.9","E87.1","L08.9","L89.314","G82.21","Z89.612","Z99.3","F17.210","L02.511","F51.01","F10.10","S88.912D","F17.200","Z12.5","L89.222","I73.9","Z91.19","Z91.14","L89.313","L08.89","I96","Z01.818","R89.9","E83.42","Z53.29","R32","M16.0","E78.5","L98.498","J44.9","K21.9","Z88.1","Z88.5","Z88.0","Z88.2","Z88.8","Z79.899","Z79.82","L89.309","L97.111","L97.911","Z23","M54.16","E21.3","R73.01","D64.9","E53.8","E07.9","M25.50","E55.9","Z79.891","D51.0","K29.40","Z12.11","R06.00","R07.9","T14.8XXA","E78.00","Z72.0","L89.153","L98.412","M86.9","M25.552","R52","R06.9","R50.9","R05","N99.528","S68.119A","R93.89","T81.89XA","L98.499","Z93.3","L98.422","L98.419","L97.122","L97.112","M86.69","T14.90XD","R15.9","T24.011D","Z89.512","Z89.511","N39.0","L89.324","S71.111D","L97.119","M86.661","E66.9","Z68.45","Z96.0","M67.431","R10.13","M86.60","L81.4","D22.39","D22.5","Z85.828","Z08","T24.291A","T24.101A","M81.0","M21.952","M21.951","H16.001","H04.123","H02.882","H02.885","H16.041","F12.90","N47.2"," "],"date":["2022-11-24","2022-11-17","2022-11-24","2022-11-24","2022-11-24","2022-11-24","2022-11-22","2022-11-22","2022-11-22","2022-11-22","2022-11-16","2022-09-09","2022-07-27","2022-01-27","2021-03-06","2021-07-22","2022-05-25","2022-04-04","2022-09-09","2022-06-13","2022-09-09","2021-01-22","2022-01-27","2022-01-27","2022-01-27","2022-01-27","2022-07-26","2022-11-15","2021-02-26","2021-02-04","2021-02-04","2022-06-13","2021-07-22","2021-07-22","2021-07-22","2021-03-06","2021-03-06","2021-03-06","2020-05-28","2022-02-23","2021-05-19","2021-03-31","2021-03-31","2022-09-09","2022-09-09","2022-09-09","2021-03-31","2022-09-09","2021-03-31","2022-02-23","2021-03-31","2022-07-06","2020-05-14","2020-04-29","2021-10-13","2022-02-23","2021-05-19","2021-05-19","2021-05-19","2021-10-13","2021-05-19","2021-05-19","2021-10-13","2022-02-23","2021-10-13","2021-10-13","2022-02-23","2021-06-03","2021-06-03","2020-07-22","2020-07-06","2021-12-10","2022-06-13","2022-10-14","2021-10-01","2020-07-20","2020-07-20","2020-07-20","2020-07-20","2020-07-20","2020-07-22","2021-07-22","2021-08-03","2020-09-10","2020-11-19","2022-09-09","2021-08-06","2021-09-03","2021-08-06","2021-10-15","2021-08-06","2020-09-10","2020-10-08","2021-10-01","2021-10-01","2021-10-01","2020-10-05","2021-10-15","2021-11-05","2022-06-13","2021-11-05","2021-12-10","2021-12-10","2022-03-01","2022-02-23","2022-02-23","2022-06-13","2022-02-24","2022-02-24","2022-02-24","2022-02-24","2022-02-24","2022-03-11","2022-03-11","2022-03-25","2022-03-25","2022-03-25","2022-07-13","2022-08-18","2022-08-18","2022-08-18","2022-08-18","2022-09-09","2022-10-16","2022-11-24"],"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":[["","65862006399","METOPROL","TAB 50MG","60","Select","Select",""],["","50111056003","TRAZODONE","TAB 50MG","30.00","Select","Select",""],["","00093317431","ALBUTEROL","FAT E","8.5","Select","Select",""],["","63304069201","CLINDAMYCIN","CAP 150MG","21","Select","Select",""],["","42858010201","OXYCOD\/APAP","TAB 5-325MG","12","Select","Select",""],["","60505082901","FLUTICASONE","SPR 50MCG","16","Select","Select",""],["","62135098505","DOXYCYCL","CAP 100MG","14","Select","Select",""],["","68462053435","TACROLIMUS","OIN 0.001","30","Select","Select",""],["","57664037713","TRAMADOL","TAB 50MG","20","Select","Select",""],["","16714029904","AMOXICILLIN","CAP 500MG","30","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":["",""],"sub":{"indx":[["","","",""],[""],[""],[""],[""],[""]],"comment":[["","","",""],[""],[""],[""],[""],[""]],"sub":[]}}},{"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":""}]}]}