{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"EINNOLESEER ","gend":0,"add":"AHTAHC 022DR LLIH M","city":"WENATCHEE","state":"WA","zip":98801,"dob":"1937-10-26","age":"","mstatus":"","insh":"80604910256","cliId":"","pno":"7690504030","cno":"5096703040","email":"","ename":"","eno":"","pphy":"AARON LEWIS","ppno":"","pcpadd":"","pcpcity":"","pcpstate":"","pcpzip":"","pcpcounty":"Douglas","pcpid":"","pcpname":"","plan":"Health Alliance","program":"Medicare Advantage","lob":"Confluence","region":"","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"","pcpnpi":"1508206228"},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["K5720","M0080","B9620","I4891","A09","Z09","I480","R600","R509","R251","I959","S51012A","Z7901","K921","N401","I350","J069","Z125","Z87898","R351","R3915","M9901","M542","M9902","M546","K625","N138","R7309","D72829","J410","I808","T801XXA","I809","J45909","K219","Z5181","K5792","Z8719","R1030","K5730","N400","K5732","K567","R102","K559","J4531","R0981","R062","R05","K5790","R58","K2971","J4530","L570","D692","K57.20","M00.80","B96.20","I48.91","I48.0","R60.0","R50.9","R25.1","I95.9","S51.012A","Z79.01","K92.1","N40.1","I35.0","J06.9","Z12.5","Z87.898","R35.1","R39.15","M99.01","M54.2","M99.02","M54.6","K62.5","N13.8","R73.09","D72.829","J41.0","I80.8","T80.1XXA","I80.9","J45.909","K21.9","Z51.81","K57.92","Z87.19","R10.30","K57.30","N40.0","K57.32","K56.7","R10.2","K55.9","J45.31","R09.81","R06.2","K57.90","K29.71","J45.30","L57.0","D69.2"],"date":["2022-12-16","2022-12-16","2022-12-16","2022-12-16","2022-12-02","2022-11-23","2022-11-23","2022-11-23","2022-11-10","2022-11-10","2022-11-10","2022-10-15","2022-09-07","2022-06-29","2022-06-29","2022-06-29","2022-05-12","2022-03-18","2022-03-18","2022-03-18","2022-03-18","2022-03-09","2022-03-09","2022-03-09","2022-03-09","2022-01-19","2022-01-19","2021-08-10","2021-08-10","2021-08-01","2021-03-19","2021-02-24","2021-02-24","2021-02-22","2021-02-22","2021-02-17","2021-02-16","2021-02-16","2021-02-04","2021-02-04","2021-02-04","2021-02-04","2021-02-04","2021-02-02","2021-02-02","2021-01-23","2021-01-23","2021-01-23","2021-01-23","2020-10-06","2020-10-01","2020-10-01","2020-09-24","2020-09-24","2020-09-24","2022-12-16","2022-12-16","2022-12-16","2022-12-16","2022-11-23","2022-11-23","2022-11-10","2022-11-10","2022-11-10","2022-10-15","2022-09-07","2022-06-29","2022-06-29","2022-06-29","2022-05-12","2022-03-18","2022-03-18","2022-03-18","2022-03-18","2022-03-09","2022-03-09","2022-03-09","2022-03-09","2022-01-19","2022-01-19","2021-08-10","2021-08-10","2021-08-01","2021-03-19","2021-02-24","2021-02-24","2021-02-22","2021-02-22","2021-02-17","2021-02-16","2021-02-16","2021-02-04","2021-02-04","2021-02-04","2021-02-04","2021-02-04","2021-02-02","2021-02-02","2021-01-23","2021-01-23","2021-01-23","2020-10-06","2020-10-01","2020-09-24","2020-09-24","2020-09-24"],"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":{"comment":"","sub":[["","","QVAR REDIHALER","80.000MCG\/ACT","10","Select","Select",""],["","","GAVILYTE-C","0","8000","Select","Select",""],["","","DOXYCYCLINE HYCLATE","100.000MG","14","Select","Select",""],["","","METRONIDAZOLE","500.000MG","90","Select","Select",""],["","","NEOMYCIN SULFATE","500.000MG","-3","Select","Select",""],["","","BD POSIFLUSH","0.00%","600","Select","Select",""],["","","METOPROLOL SUCCINATE ER","100.000MG","30","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":["",""],"comment":["",""],"sub":[]}},{"a":{"indx":["",""],"comment":["",""],"sub":[]}},{"a":{"indx":["",""],"comment":["",""],"sub":[]}},{"a":{"indx":["",""],"comment":["",""],"sub":[]}},{"a":{"indx":["",""],"comment":["",""],"sub":[]}},{"a":{"indx":["",""],"comment":["",""],"sub":[]}},{"a":{"indx":["",""],"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":""}]}]}