{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"E AIHTNYCZELAZNOG ","gend":1,"add":"NABRUBUS 4241POOL EGALLIV ","city":"N CHESTERFIELD","state":"VA","zip":"23235-4820","dob":"2002-08-26","age":"","mstatus":"","insh":"1986977","cliId":"","pno":"8884937548","cno":8049397140,"email":"","ename":"","eno":"","pphy":"JOHNSON, RUSSELL ANTHONY","ppno":8043791500,"pcpadd":"12731 STONE VILLAGE WAY,","pcpcity":"Midlothian","pcpstate":"VA","pcpzip":"23113-2722","pcpcounty":"","pcpid":"","pcpname":"SHORT PUMP FAMILY CARE","plan":"VPHP","program":"MEDICAID","lob":"VPM4","region":"CENTRAL","aligned":"","ano":"","add2":"1424 SUBURBAN VILLAGE LOOP","add3":"","madd1":"9908 Suburban Village Ln","madd2":"","madd3":"","mcity":"Richmond","mstate":"VA","mzip":"23235-4826","pcpfaxno":"","pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["R10.2","R11.2","R42","E10.9","Z79.4","F17.200","E10.65","F10.129","Y90.6","R11.10","E11.65","R73.09","R68.89","N73.9","N89.8","R10.31","R30.0","N76.0","Z20.2","Z32.02","R68.2","R00.0","F41.9","R06.02","R55","N93.8","J02.9","R05","R68.83","R07.0","I49.8","J06.9","R07.81","R04.2","Z20.822","R51.9","N92.6","Z72.51","A41.9","U07.1","M62.81","R53.83","A41.89","E87.1","F32.9","F39","R65.10","R09.81","R07.89","R07.2","Z87.891","J32.9","V89.2XXA","R07.9","S50.811A","R05.9","V49.9XXA","Y92.410","R10.9","E10.10","H01.001","Z03.818","R19.7","R10.84","E88.89","K52.9","F32.A","Z86.59","D72.829","B35.3","E10.649","Z04.9","R10.30","N83.291","K76.0","E86.0","R53.1","R50.9","B35.4","F12.90","R10.32","R10.10","R10.12","M94.0","B36.0","B35.1"],"date":["2021-05-04","2023-01-04","2022-10-07","2023-02-13","2023-01-04","2022-08-20","2023-03-15","2021-01-18","2021-01-18","2022-11-19","2021-04-28","2021-07-28","2021-01-19","2021-05-04","2021-06-30","2021-04-07","2021-04-07","2021-04-07","2022-10-02","2021-06-30","2021-04-28","2023-01-04","2021-04-28","2021-06-28","2021-04-28","2021-05-04","2022-10-02","2021-08-16","2021-06-23","2021-06-23","2021-06-28","2021-11-30","2021-06-28","2021-06-28","2023-01-30","2022-08-20","2021-06-30","2021-06-30","2022-02-07","2022-10-02","2021-07-28","2022-10-02","2021-07-28","2021-07-30","2021-07-28","2021-07-28","2021-07-30","2021-11-30","2022-08-20","2021-08-16","2021-08-16","2021-10-09","2021-10-09","2022-10-02","2021-10-09","2021-11-30","2021-10-09","2021-10-09","2022-11-19","2021-10-09","2021-10-24","2021-11-19","2022-11-19","2022-11-19","2022-02-05","2022-02-05","2022-02-05","2022-02-05","2022-02-05","2023-02-28","2022-08-20","2022-10-07","2022-10-02","2022-10-02","2022-10-02","2022-10-07","2022-10-02","2022-10-02","2022-11-02","2022-11-02","2022-11-19","2023-01-04","2023-01-04","2023-02-13","2023-02-28","2023-02-28"],"priorHcc":["","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","",""]}}]},{"t":"Covid Screening","q":[{"a":[]}]},{"t":"Self-Assessment and Social History","q":[{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"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":[]},{"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":["",""],"sub":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"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":""}]}]}