{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"   ARAITSIRRAH M","gend":1,"add":" REDWOP 1971ECARRET NROH","city":"WOODBRIDGE","state":"VA","zip":"22191-9998","dob":"1985-05-07","age":"","mstatus":"","insh":"2502210*91","cliId":"","pno":"39\/1759610-1","cno":"571\/278-5993","email":"","ename":"","eno":"","pphy":"YUZEFOVICH, MICHAEL MD","ppno":"703\/224-9999","pcpadd":"8101 HINSON FARM RD STE 107","pcpcity":"ALEXANDRIA","pcpstate":"VA","pcpzip":22306,"pcpcounty":"","pcpid":"","pcpname":"MILLENNIUM GYNECOLOGY","plan":"OHP","program":"MEDICAID","lob":"M4","region":"NORTHERN & WINCHESTER","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"","pcpnpi":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["F14.20","Z64.1","F17.210","Z3A.22","Z98.890","Z87.59","Z87.51","V23.82","P04.40","J96.01","J96.02","G93.1","N17.9","K72.00","I46.9","J69.8","O29.211","G94.","V58.89","O60.02","O09.522","Z3A.25","O34.32","Z37.0","T40.2X1A","E11.649","Z23.","K59.04","Z91.89","G47.01","V23.41","O99.333","F14.929","F12.90","F14.21","K14.9","R49.0","N76.0","B96.89","A59.01","Z11.3","Z11.4","Z34.90","N89.8","O42.913","O36.5930","O09.523","Z3A.30","E43.","I50.21","J69.0","E87.2","Z68.1","B95.5","B96.4","Z20.822","F11.10","E16.2","I46.8","R13.10","H61.22","R00.1","R39.15","Z88.1","Z88.0","Z82.49","Z81.3","Z56.0","Z79.899","F41.9","G47.00","NO DATA","O60.12X0","O99.324","Z16.29","O98.32","O99.824","O26.872","O34.211","F14.90","O36.8320","O99.334","F17.200","Z20.828","Z3A.24","R94.31","R77.8","R56.9","R41.82","Z74.3","Z74.09","R26.89","G93.40","K11.21","Z20.2","N30.90","O82.","T65.92XA","I38.","R79.89","S06.2X9A"],"date":["2020-08-27","2020-08-27","2021-09-15","2020-08-27","2020-08-27","2020-08-27","2020-08-27","2020-08-27","2020-08-27","2021-09-07","2021-09-07","2021-12-15","2021-09-15","2021-09-07","2021-09-15","2021-09-15","2021-10-26","2021-10-26","2021-12-15","2020-09-19","2020-09-19","2020-09-20","2020-09-20","2020-09-20","2021-08-27","2021-08-26","2021-10-15","2021-10-15","2021-10-15","2021-10-15","2020-09-09","2020-09-09","2020-09-09","2020-09-09","2020-09-09","2021-09-30","2021-09-30","2020-03-26","2020-03-26","2020-09-06","2020-03-26","2020-03-26","2020-05-28","2020-05-28","2020-09-09","2020-09-09","2020-09-09","2020-09-09","2021-08-27","2021-08-27","2021-08-27","2021-08-27","2021-08-27","2021-08-27","2021-08-27","2021-08-27","2021-09-15","2021-08-27","2021-09-15","2021-09-15","2021-09-15","2021-09-15","2021-09-15","2021-09-15","2021-09-15","2021-09-15","2021-09-15","2021-09-15","2021-09-15","2021-10-05","2021-10-05","2021-10-05","2020-09-06","2020-09-06","2020-09-06","2020-09-06","2020-09-06","2020-09-06","2020-09-06","2020-09-06","2020-09-06","2020-09-06","2020-09-06","2020-09-06","2020-09-10","2021-08-29","2021-08-29","2021-08-29","2021-08-30","2021-09-15","2021-09-15","2021-09-15","2021-09-16","2021-09-28","2021-01-15","2020-08-06","2020-09-20","2021-08-26","2021-08-28","2021-09-04","2021-09-21"],"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":{"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":[["","16714045201","QUETIAPINE","TAB 25MG","30","Select","Select",""],["","61442012110","FAMOTIDINE","TAB 20MG","60","Select","Select",""],["","45963043963","CONSTULOSE","SOL 10GM\/15","946","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":["",""],"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":""}]}]}