{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"HPESOJSNOYL ","gend":0,"add":"5 0133EVA HT","city":"RICHMOND","state":"VA","zip":"23226-9998","dob":"1954-03-20","age":"","mstatus":"","insh":"10112283","cliId":"","pno":"2740859579","cno":8042797595,"email":"","ename":"","eno":"","pphy":"AYALA-SIMS, VERONICA A","ppno":8045251818,"pcpadd":"2709 BYRON ST STE 105,","pcpcity":"Richmond","pcpstate":"VA","pcpzip":232231313,"pcpcounty":"","pcpid":"","pcpname":"GLENWOOD MEDICAL CENTER","plan":"VPHP","program":"MEDICARE","lob":"DSNP","region":"CENTRAL","aligned":"Y","ano":"","add2":"                                                  ","add3":"","madd1":"210 Hospital St Apt G22","madd2":"                                                  ","madd3":"","mcity":"Richmond","mstate":"VA","mzip":"23219-1137","pcpfaxno":"","pcpnpi":""},{"a":{"indx":["","1","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["R03.0","G89.29","M54.5","I10","Z86.73","Z79.1","M54.9","M62.830","I69.354","I13.10","E78.5","E66.01","N18.2","M10.9","R29.818","W18.2XXA","Z79.899","E66.9","Z79.02","Z68.37","M62.81","R55","I51.7","Z74.09","H81.399","I49.9","I45.10","R42","R00.1","M48.061","M51.26","M54.31","R68.89","E11.9","I51.89","I51.9","M51.16","Z01.810","M51.9","I12.9","N18.30","Z68.41","M47.816","M47.817","E88.2","M99.73","I63.9","G81.94","D57.3","R29.700","D69.6","Z87.891","Z68.39","R41.82","R53.1","I28.1","I77.810","I67.82","M54.16","R53.81","I89.0","Z20.828","Z59.9","U07.1","Z59.0","W18.30XA","R60.0","Z01.30","N52.9","M47.26","M54.41","R69","D69.9","M79.89","Z20.822","I50.31","I35.8","E87.2","R22.43","I12.0","E66.3","Z48.00","R26.89","I87.2","E83.59","E86.9","I87.8","G47.33","S80.822A","S80.821A","R16.0","K76.89","K82.8"],"date":["2022-08-19","2022-08-19","2021-09-14","2022-08-19","2021-10-07","2021-08-10","2022-02-11","2021-08-10","2021-08-26","2021-08-26","2022-08-19","2022-06-14","2022-08-29","2022-06-14","2020-12-22","2021-09-14","2022-08-29","2022-08-26","2020-12-20","2020-09-18","2022-06-14","2020-10-20","2022-08-20","2020-09-23","2020-09-28","2020-09-28","2020-12-20","2020-09-28","2020-12-20","2021-12-11","2022-05-06","2020-10-06","2022-05-01","2021-10-07","2020-10-20","2020-10-20","2020-11-06","2020-11-30","2022-06-14","2022-08-26","2020-12-20","2022-08-19","2021-12-14","2021-12-14","2021-12-14","2021-12-14","2022-06-14","2020-12-20","2021-04-07","2020-12-20","2022-08-29","2022-08-29","2020-12-20","2020-12-20","2020-12-20","2020-12-21","2022-08-19","2020-12-21","2021-01-18","2021-01-13","2022-08-22","2020-07-21","2020-06-09","2020-06-26","2020-07-10","2022-02-11","2022-02-11","2022-03-23","2022-03-23","2022-05-06","2022-05-06","2022-08-01","2022-06-14","2022-08-26","2022-08-19","2022-08-25","2022-08-20","2022-08-26","2022-08-29","2022-08-29","2022-08-29","2022-08-29","2022-08-22","2022-08-19","2022-08-19","2022-08-19","2022-08-19","2022-08-19","2022-08-19","2022-08-19","2022-08-20","2022-08-20","2022-08-20"],"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":[["","65862035705","CLOPIDOGREL","TAB 75MG","90","Select","Select",""],["","55111012305","ATORVASTATIN","TAB 40MG","90","Select","Select",""],["","45963070911","METOPROL","TAB 25MG ER","45","Select","Select",""],["","16729013401","ALLOPURINOL","TAB 100MG","90","Select","Select",""],["","59746012106","MECLIZINE","TAB 25MG","24","Select","Select",""],["","69097052444","DICLOFENAC","GEL 0.01","100","Select","Select",""],["","70010075401","METHOCARBAM","TAB 500MG","56","Select","Select",""],["","00054001925","PREDNISONE","TAB 50MG","3","Select","Select",""],["","00406012305","HYDROCO\/APAP","TAB 5-325MG","9","Select","Select",""],["","68180051703","LISINOPRIL","TAB 40MG","60","Select","Select",""],["","70710122600","AMITRIPTYLIN","TAB 25MG","30","Select","Select",""],["","00591352530","LIDOCAINE","PAD 0.05","30","Select","Select",""],["","00378108601","COLCHICINE","TAB 0.6MG","60","Select","Select",""],["","42806040021","METHYLPRED","TAB 4MG","21","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":""}]}]}