{"version":"0.4","data":[{"t":"Demographics","q":[{"name":" ENIAMREJNADROJ A","gend":0,"add":"     EUNEVA EREMODNIW 177                         ","city":"RICHMOND                 ","state":"VA","zip":"23227-2956","dob":"1983-12-15","age":"","mstatus":"","insh":"10113595","cliId":"","pno":"4443479754","cno":"","email":"","ename":"","eno":"","pphy":"BOLING, PETER A","ppno":8043548108,"pcpadd":"2104 W LABURNUM AVE,","pcpcity":"RICHMOND","pcpstate":"VA","pcpzip":232274357,"pcpcounty":"","pcpid":"","pcpname":"VCU HEALTH GERIATRIC CONTINUUM SVCS","plan":"VPHP","program":"MEDICARE","lob":"DSNP","region":"CENTRAL","aligned":"Y","ano":"","add2":"                                                  ","add3":"","madd1":"771 WINDOMERE AVENUE                              ","madd2":"                                                  ","madd3":"","mcity":"RICHMOND                 ","mstate":"VA","mzip":"23227-2956","pcpfaxno":"","pcpnpi":""},{"a":{"indx":["","1","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["F20.9","I10","Z00.00","L81.8","Z00.01","L72.9","Z71.6","Z72.0","L90.5","R22.1","F20.0","F32.9","G47.00","E66.9","H52.13","Z68.34","R06.02","Z20.822","R06.89","R51.9","R45.851","R44.0","M54.9","F25.9","E66.01","G47.33","K04.7","R61","R00.0","F41.9","F32.A"," ","R68.89","Z74.3","I49.9","R09.02"],"date":["2022-12-05","2022-10-30","2021-06-04","2021-06-04","2021-06-04","2021-06-04","2021-06-04","2021-06-04","2021-06-28","2021-07-28","2021-11-30","2021-11-30","2020-12-07","2020-12-07","2020-12-07","2020-12-07","2022-10-30","2022-10-30","2022-10-30","2022-10-30","2022-09-30","2022-09-30","2022-09-30","2022-10-30","2022-09-30","2022-09-30","2022-10-30","2022-10-30","2022-10-30","2022-10-30","2022-10-30","2022-12-05","2022-10-30","2022-10-30","2022-10-30","2022-10-30"],"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":[["","50458056401","INVEGA","INJ 234\/1.5","1.5","Select","Select",""],["","50111056002","TRAZODONE","TAB 50MG","30","Select","Select",""],["","43547028010","ESCITALOPRAM","TAB 5MG","30.00","Select","Select",""],["","43598016430","OLANZAPINE","TAB 5MG","30.00","Select","Select",""],["","65862001205","SERTRALINE","TAB 50MG","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":["",""]}},{"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":""}]}]}