{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"CONSTANCE M TAYLOR","gend":1,"add":"1039 LUCAS PLACE","city":"PULASKI","state":"VA","zip":24301,"dob":"1985-12-06","age":"","mstatus":"","insh":4177931,"cliId":"","pno":5407500192,"cno":"","email":"","ename":"","eno":"","pphy":"BROCHERO, ALFONSO D","ppno":5407500192,"pcpadd":"5539 HWY FORTY SEVEN,","pcpcity":"CHASE CITY","pcpstate":"VA","pcpzip":23924,"pcpcounty":"","pcpid":"","pcpname":"UNIVERSAL HEALTH CORPORATION","plan":"VPHP","program":"MEDICAID","lob":"VPM4","region":"ROANOKE\/ALLEGHANY","aligned":"","ano":"","add2":"1039 LUCAS PLACE","add3":"","madd1":"1039 LUCAS PLACE","madd2":"                                                            ","madd3":"","mcity":"PULASKI                       ","mstate":"VA","mzip":"24301-3461","pcpfaxno":"","pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["K21.9","E66.01","R56.9","F41.9","E11.65","E55.9","R06.81","R06.83","G47.8","J44.9","R09.02","N92.6"],"date":["2021-08-03","2021-08-03","2021-05-24","2021-08-03","2021-11-11","2021-11-11","2021-08-03","2021-05-24","2021-05-24","2021-12-01","2021-12-01","2021-11-11"],"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":[["","07610016840","VITAMIN","TAB 2000UNIT","180","Select","Select",""],["","00169430313","RYBELSUS","TAB 3MG","90","Select","Select",""],["","64764017590","DEXILANT","CAP 60MG DR","30","Select","Select",""],["","00169413212","OZEMPIC","INJ 2\/1.5ML","1.5","Select","Select",""],["","08222095435","ULTIGUARD","MIS 32GX4MM","100","Select","Select",""],["","16714087603","ATORVASTATIN","TAB 40MG","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":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["1",""],"comment":["",""],"sub":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["1",""],"comment":["",""],"sub":{"indx":[["","",""],[""],[""],[""],[""]],"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":""}]}]}