{"version":"0.4","data":[{"t":"Demographics","q":[{"name":" UHSANEMEYELAHCUG G","gend":1,"add":"         EVA HGIELAR 2544                         ","city":"ALEXANDRIA               ","state":"VA","zip":"22304-9998","dob":"1943-09-01","age":"","mstatus":"","insh":"10117302","cliId":"","pno":"3987612153","cno":5712133844,"email":"","ename":"","eno":"","pphy":"PARVARESH, KAVEH","ppno":7036718444,"pcpadd":"611 S CARLIN SPRINGS RD STE 409,","pcpcity":"Arlington","pcpstate":"VA","pcpzip":222041087,"pcpcounty":"","pcpid":"","pcpname":"KAVEH PARVARESH MD PC","plan":"VPHP","program":"MEDICARE","lob":"DSNP","region":"NORTHERN & WINCHESTER","aligned":"Y","ano":"","add2":"APT 101                                           ","add3":"","madd1":"4452 RALEIGH AVE                                  ","madd2":"APT 101                                           ","madd3":"","mcity":"ALEXANDRIA               ","mstate":"VA","mzip":"22304-9998","pcpfaxno":"","pcpnpi":""},{"a":{"indx":["","1","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["I10","G45.9","R56.9","R55","Z74.3","I69.390","G81.11","Z86.73","R26.2","Z99.3","R27.9","R53.1","I69.320","I69.310","R39.81","L22","Z90.49","N30.00","I48.0","R07.9","E78.5","R00.1","R94.31","R06.02","R42","E66.9","K21.0","I69.351","I69.098","G40.89","D72.829","D64.9","E55.9","K21.9","R15.9","Z79.01","Z87.440","I63.512","I60.9","I63.9","G31.9","E87.1","R47.01","R11.10","Z20.828","Z11.59","R27.0","G40.909","K56.609","K56.600","H54.7","R41.82","R59.1","Z79.899","K56.690","K56.699","E86.0","K57.30","K44.9","K76.0","Z46.82","K56.7","I69.359","M62.81","Z99.89","K52.9","I69.398","I11.0","Z74.2","Z74.1","Z87.39","Z71.89","Z74.09","F32.9","M81.0","I50.9","I27.20","R41.3","K59.00","Z68.27","J18.9","N39.0","G93.89","R91.8","R30.0","E74.39","Z00.00","I69.311","E87.6","M15.9","Z78.0","R45.1","G81.91","R25.9","G93.5","R40.2344","G93.40","R33.9","Z03.818","T50.2X5A","R29.707","I11.9","I08.1","J98.11","R29.898","I66.02","I63.89","R29.818","I95.9","I16.0","E87.2","I69.392","I69.319","I69.391","I69.322","R13.12","R22.43","M79.604","M79.605","R27.8","R11.2","Z20.822","D50.9","I63.49","J98.4","R53.82","R10.84","R10.13","I61.9","I67.89","Z12.11","R79.89","R71.8","R40.4","R29.810","R41.0","I49.5","E87.5","F41.9","R00.0"," "],"date":["2022-12-11","2022-01-01","2022-09-15","2022-01-01","2022-03-21","2021-01-05","2021-01-05","2022-03-21","2021-01-05","2021-11-29","2022-01-01","2021-07-03","2021-01-05","2021-01-05","2022-11-07","2022-11-07","2020-08-24","2021-06-13","2022-11-09","2022-11-09","2022-11-09","2022-11-09","2022-11-09","2022-11-09","2022-11-09","2022-11-09","2020-08-17","2021-11-29","2020-08-19","2021-06-24","2021-06-24","2021-06-24","2021-01-28","2022-09-22","2020-08-19","2021-11-29","2020-08-19","2022-06-09","2020-09-01","2022-06-25","2021-09-11","2021-09-11","2022-03-21","2020-09-14","2020-10-02","2020-09-14","2020-11-16","2022-03-21","2020-10-03","2020-10-02","2020-10-02","2021-06-13","2020-10-02","2021-11-29","2020-10-02","2020-10-03","2020-10-02","2020-10-03","2020-10-03","2020-10-03","2020-10-03","2020-10-03","2020-10-03","2020-10-02","2020-12-19","2020-10-13","2020-10-28","2021-11-29","2021-11-29","2021-11-29","2021-11-29","2021-11-29","2021-11-29","2021-11-29","2022-09-22","2021-11-29","2021-11-29","2021-02-10","2020-12-19","2020-12-19","2020-12-25","2021-06-13","2022-03-21","2021-06-13","2021-01-22","2021-01-28","2021-01-28","2022-09-22","2021-02-10","2020-03-10","2021-03-30","2021-04-23","2022-09-22","2021-06-13","2020-06-15","2020-06-14","2020-06-23","2020-06-28","2020-06-14","2020-06-14","2020-06-14","2020-06-23","2020-06-14","2020-06-18","2020-06-18","2020-06-18","2020-06-18","2020-06-18","2020-06-15","2020-06-16","2020-06-23","2020-06-23","2020-06-23","2020-06-23","2020-06-23","2020-06-23","2020-06-23","2020-06-23","2020-06-23","2020-06-23","2021-06-24","2021-06-24","2020-06-28","2020-07-02","2020-07-02","2021-07-03","2020-07-12","2020-07-06","2020-07-16","2020-07-17","2020-07-30","2020-08-05","2020-08-05","2022-03-21","2022-03-21","2022-03-21","2022-11-09","2022-05-10","2022-06-09","2022-11-09","2022-12-11"],"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":[["","00378395205","ATORVASTATIN","TAB 40MG","90","Select","Select",""],["","65862042005","SMZ\/TMP","TAB 800-160","6","Select","Select",""],["","68180037603","LOSARTAN","TAB 25MG","90","Select","Select",""],["","00003089421","ELIQUIS","TAB 5MG","180","Select","Select",""],["","65862048901","QUETIAPINE","TAB 25MG","30","Select","Select",""],["","00131248035","VIMPAT","TAB 200MG","60","Select","Select",""],["","65862056090","PANTOPRAZOLE","TAB 40MG","90","Select","Select",""],["","16714035401","LEVETIRACETA","TAB 250MG","60","Select","Select",""],["","68382013210","TAMSULOSIN","CAP 0.4MG","30","Select","Select",""],["","72252051504","VALTOCO","SPR 15MG","4","Select","Select",""],["","65862053820","LEVOFLOXACIN","TAB 750MG","7","Select","Select",""],["","00054429731","FUROSEMIDE","TAB 20MG","90","Select","Select",""],["","68180072003","AMLODIPINE","TAB 5MG","30","Select","Select",""],["","68462015713","ONDANSETRON","TAB 4MG ODT","20","Select","Select",""],["","55111046601","METOPROL","TAB 25MG ER","90","Select","Select",""],["","00093314705","CEPHALEXIN","CAP 500MG","21","Select","Select",""],["","00378875006","DICLOFENAC","GEL 0.01","100","Select","Select",""],["","47335094386","LACOSAMIDE","TAB 150MG","90","Select","Select",""],["","55513071001","PROLIA","SOL 60MG\/ML","1","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":""}]}]}