{"version":"0.4","data":[{"t":"Demographics","q":[{"name":" AKAHCYELIAB","gend":0,"add":"AS 6027DAOR LU","city":"ALEXANDRIA","state":"VA","zip":"22306-4125","dob":"1977-07-17","age":"","mstatus":"","insh":"32013555","cliId":"","pno":"6730791825","cno":7037951909,"email":"","ename":"","eno":"","pphy":"OWUSU-BOATENG, KWABENA B","ppno":7037994000,"pcpadd":"8109 TIS WELL DR STE 511,","pcpcity":"ALEXANDRIA","pcpstate":"VA","pcpzip":"22306-1882","pcpcounty":"","pcpid":"","pcpname":"INOVA MEDICAL GROUP MOUNT VERNON","plan":"VPHP","program":"MEDICAID","lob":"VPM4","region":"NORTHERN & WINCHESTER","aligned":"","ano":"","add2":"7206 SAUL ROAD","add3":"","madd1":"7206 SAUL ROAD","madd2":"APARTMENT 104","madd3":"","mcity":"ALEXANDRIA","mstate":"VA","mzip":"22306-4125","pcpfaxno":"","pcpnpi":""},{"a":{"indx":["","1","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["F20.9","F12.10","I10","E66.01","Z79.899","F25.9","F11.20","F13.20","F12.20","F15.21","I16.1","I50.32","N17.9","Z68.41","I13.0","N18.9","E87.6","F17.210","Z20.822","I44.0","I50.9","R06.02","R79.89","I50.33","F20.0","I24.8","I11.0","Z91.19","Z91.14","Z79.82","I16.0","R77.8","J81.1","R91.8","R06.09","J81.0","I50.31","F10.20","Z65.3","G51.0","R29.810","R07.9","R41.0","R41.82","R40.1"],"date":["2023-05-15","2023-05-15","2023-05-15","2023-04-26","2022-01-09","2021-10-26","2021-05-21","2021-05-21","2022-06-14","2021-05-21","2022-01-13","2021-12-16","2022-01-09","2023-02-02","2021-12-16","2022-01-25","2022-01-10","2022-12-19","2021-12-16","2021-12-16","2022-01-13","2022-01-09","2021-12-16","2022-01-09","2023-02-02","2022-01-09","2022-01-09","2022-01-09","2022-01-09","2022-01-09","2022-01-10","2022-01-09","2022-01-10","2022-01-10","2022-01-10","2022-01-10","2022-01-25","2022-06-14","2022-06-14","2023-02-02","2023-02-02","2022-12-19","2022-12-19","2022-12-19","2022-12-19"],"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":""}]}]}