{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"F LEAHCIMRJ HCNER","gend":0,"add":"        WN DAOR EVOC 7282                         ","city":"ROANOKE                  ","state":"VA","zip":"24017-9998","dob":"1973-02-23","age":"","mstatus":"","insh":"10114373","cliId":"","pno":"1804524189","cno":"","email":"","ename":"","eno":"","pphy":"BELL, VICTOR HOLLOWAY","ppno":5403620360,"pcpadd":"3716 MELROSE AVE NW,  ","pcpcity":"Roanoke","pcpstate":"VA","pcpzip":240172716,"pcpcounty":"","pcpid":"","pcpname":"NEW HORIZONS HEALTH CARE","plan":"VPHP","program":"MEDICARE","lob":"DSNP","region":"ROANOKE ALLEGHANY","aligned":"Y","ano":"","add2":"                                                  ","add3":"","madd1":"2827 COVE ROAD NW                                 ","madd2":"                                                  ","madd3":"","mcity":"ROANOKE                  ","mstate":"VA","mzip":"24017-9998","pcpfaxno":"","pcpnpi":""},{"a":{"indx":["","1","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["F33.2","F43.10","Z65.3","Z65.2","I10","M10.072","F19.94","F14.20","F10.10","F14.24","R45.851","F10.24","E78.2","F25.0","F41.0","Z20.822","F60.2","F60.89","Z86.711","F11.10","R45.850","R44.0","R44.1","R63.4","Z11.4","Z12.5","K52.9","Z23","Y90.0","R44.3","F10.129","Z86.59","Z86.718","Z91.51","Z79.899","F20.9","R07.89","R19.7","R42","F10.94","F15.959","R07.2","F31.9","Z91.5","Z87.820","R07.9","F14.10","F20.0","G47.00","F51.4","E66.9","F12.90","H52.00","K08.409","F10.20","Z87.898","Z68.31","R06.02","R05"],"date":["2022-07-28","2022-07-28","2022-01-06","2022-01-06","2022-06-06","2021-06-22","2022-06-08","2022-06-13","2022-06-13","2021-09-14","2022-06-06","2021-09-14","2022-06-06","2021-09-14","2021-09-14","2021-09-14","2021-09-14","2021-09-14","2021-09-14","2021-09-14","2022-06-06","2022-06-06","2022-06-06","2022-03-16","2022-03-16","2022-03-16","2020-10-02","2020-10-02","2022-06-06","2022-06-06","2022-06-06","2022-06-06","2022-06-06","2022-06-06","2022-06-06","2021-09-12","2021-09-11","2021-09-11","2021-09-11","2021-09-11","2021-09-11","2021-09-11","2021-09-11","2021-09-11","2021-09-11","2021-09-11","2022-06-08","2020-07-24","2020-07-24","2020-07-24","2020-07-24","2020-07-24","2020-07-24","2020-07-24","2020-07-24","2020-07-24","2020-07-24","2021-06-22","2021-06-22"],"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":[["","59762532001","PRAZOSIN","CAP 2MG","90","Select","Select",""],["","63402030830","LATUDA","TAB 80MG","30","Select","Select",""],["","50111043403","TRAZODONE","TAB 100MG","60","Select","Select",""],["","00591040905","LISINOPRIL","TAB 40MG","30","Select","Select",""],["","13107015599","PAROXETINE","TAB 20MG","30","Select","Select",""],["","00093317431","ALBUTEROL","FAT E","8.5","Select","Select",""],["","47335032688","NALTREXONE","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":""}]}]}