{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"MATHIEU   J DIONNE","gend":0,"add":"10718   BENT TREE DRIVE                                     ","city":"FREDERICKSBURG                ","state":"VA","zip":"22407-1625","dob":"2004-09-24","age":"","mstatus":"","insh":4189923,"cliId":"","pno":5403886238,"cno":"","email":"","ename":"","eno":"","pphy":"MANCINI, PAMELA                                             ","ppno":5403614779,"pcpadd":"4550 Empire Ct                                              ,                                                            ","pcpcity":"Fredericksburg                ","pcpstate":"VA","pcpzip":224081939,"pcpcounty":"","pcpid":"","pcpname":"PL PHYSICIANS INC","plan":"VPHP","program":"MEDICAID","lob":"VPM4","region":"CENTRAL","aligned":"","ano":"","add2":"10718   BENT TREE DRIVE                                     ","add3":"","madd1":"10718   BENT TREE DRIVE                                     ","madd2":"                                                            ","madd3":"","mcity":"FREDERICKSBURG                ","mstate":"VA","mzip":"22407-1625","pcpfaxno":"","pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["L23.7","R21","Y99.0","R10.12","S39.013A","R19.09","W18.40XA","Y93.89","Y92.89","X58.XXXA","Z11.52","R10.9","K52.9","R63.4","M41.9","M21.70","M95.5","M54.5","F39","Z00.8","M41.129","M41.85","M25.859","M25.551","M25.851","M25.852","M25.562","V89.2XXA","S02.2XXA","R51.9","M54.2","V49.50XA","Y92.410","S00.83XA","S80.212A","F17.200"],"date":["2020-11-13","2020-11-13","2020-11-13","2021-05-01","2021-05-04","2021-05-04","2021-05-04","2021-05-04","2021-05-04","2021-05-04","2021-08-23","2021-09-16","2021-09-16","2021-09-16","2021-09-23","2021-09-23","2021-09-23","2021-09-23","2021-10-04","2021-10-04","2022-05-12","2022-05-12","2022-05-12","2022-10-04","2022-10-04","2022-10-04","2022-11-27","2022-11-27","2022-11-27","2022-11-27","2022-11-27","2022-11-27","2022-11-27","2022-11-27","2022-11-27","2022-11-27"],"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":[["","51991083801","CYPROHEPTAD","TAB 4MG","90","Select","Select",""],["","00378064110","PREDNISONE","TAB 10MG","56","Select","Select",""],["","65862085901","FAMOTIDINE","TAB 20MG","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":[]}},{"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":""}]}]}