{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"  YENTIHWHTIMS K ","gend":1,"add":"EIRFFEJ 402A TPA RD S","city":"RADFORD","state":"VA","zip":"24141-9998","dob":"2002-08-23","age":"","mstatus":"","insh":"9045110*39","cliId":"","pno":"32\/0452301-0","cno":"","email":"","ename":"","eno":"","pphy":"BRAGG, HEATHER R NP","ppno":"540\/382-6148","pcpadd":"6 HICKOK ST","pcpcity":"CHRISTIANSBURG","pcpstate":"VA","pcpzip":24073,"pcpcounty":"","pcpid":"","pcpname":"LEWIS GALE PHYSICIANS LLC","plan":"OHP","program":"MEDICAID","lob":"M4","region":"ROANOKE ALLEGHANY","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"","pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["L20.84","J18.9","R06.2","L98.9","N90.89","Z30.011","R79.89","O26.893","R10.9","Z3A.32","O36.8130","O69.81X0","O36.5930","Z37.0","Z3A.41","O42.92","Z88.0","O76.","Z88.1","Z88.2","O48.0","H60.91","Z71.89","B00.9","R21.","R53.83","R60.0","J02.9","L50.1","F33.2","L70.0","Z20.828","L23.7","K52.9","R11.2","R19.7","Z00.129","Z01.10","Z01.00","J06.9","R05.","R30.9","R30.0","N89.8","R10.32","N83.209","Z01.411","R23.8","F41.8","B97.89","R10.2","V23.89","Z3A.01","G43.009","R45.86","Z30.8","N91.1","N76.89","R11.0","R39.15","O62.2","Z3A.00","O26.892","O36.8120","Z3A.26","Z39.1","Z34.82","Z34.83"],"date":["2019-08-07","2019-10-09","2019-10-22","2020-03-03","2020-03-03","2020-05-28","2021-10-01","2020-11-28","2020-11-28","2020-11-28","2020-11-28","2021-01-24","2021-01-24","2021-01-24","2021-01-24","2021-01-24","2021-01-24","2021-01-24","2021-01-24","2021-01-24","2021-01-24","2020-06-22","2020-12-30","2020-06-22","2021-08-25","2021-10-01","2019-01-02","2019-10-16","2019-10-16","2020-02-26","2020-10-14","2021-01-16","2021-08-14","2019-03-04","2020-06-11","2020-01-21","2019-07-24","2019-07-24","2019-07-24","2020-03-24","2020-03-24","2019-09-23","2019-09-23","2019-09-23","2019-10-22","2019-10-22","2019-10-22","2019-10-22","2021-11-01","2019-10-06","2020-10-14","2020-06-11","2020-06-11","2020-05-08","2020-05-08","2020-05-08","2020-06-08","2020-06-08","2020-06-08","2020-06-08","2021-01-24","2021-01-24","2020-10-14","2020-10-14","2020-10-14","2020-11-30","2020-11-30","2020-11-30"],"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":[]},{"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":""}]}]}