{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"TYLER   A COWGILL","gend":0,"add":"713 5TH STREET","city":"SHENANDOAH                    ","state":"VA","zip":"22849-1409","dob":"2004-06-09","age":"","mstatus":"","insh":3252174,"cliId":"","pno":5405606233,"cno":"","email":"","ename":"","eno":"","pphy":"TIMMONS, JOHN","ppno":5406529100,"pcpadd":"505 Williams Ave,","pcpcity":"Shenandoah                    ","pcpstate":"VA","pcpzip":228491263,"pcpcounty":"","pcpid":"","pcpname":"PAGE SHENANDOAH HEALTH CENTER","plan":"VPHP","program":"MEDICAID","lob":"VPM4","region":"NORTHERN\/ WINCHESTER","aligned":"","ano":"","add2":"713 5TH STREET","add3":"","madd1":"713 5TH STREET","madd2":"","madd3":"","mcity":"SHENANDOAH                    ","mstate":"VA","mzip":"22849-1409","pcpfaxno":"","pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["F33.9","F43.10","R45.851","J02.9","J03.90","J06.9","B97.89","Z20.828","R05","F12.90","R00.1","R46.89","R41.82","Z00.129","R10.31","R10.11","R10.32","R10.9","R68.83","K40.90","S32.9XXA","K46.9","Y93.02","Z20.822","S43.401A","F31.9","M54.5","Z00.3","Z23","M54.41","M54.42","M51.26","Z03.89"],"date":["2020-01-02","2021-01-27","2020-01-16","2020-02-06","2020-02-06","2020-03-28","2020-03-28","2020-03-28","2020-03-28","2020-04-20","2020-04-20","2020-04-20","2020-04-20","2021-01-29","2021-02-10","2021-02-07","2021-02-07","2021-02-10","2021-02-07","2021-02-08","2021-02-10","2021-02-10","2021-02-10","2021-06-22","2021-09-09","2021-09-09","2021-09-09","2021-09-23","2021-09-23","2021-10-18","2021-10-18","2021-10-18","2021-10-18"],"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":[["","68462015713","ONDANSETRON","TAB 4MG ODT","10","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":""}]}]}