{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"ASHLEY TWIGGER","gend":1,"add":"5366 SIR BARTON DRIVE                                       ","city":"VIRGINIA BEACH                ","state":"VA","zip":"23462-4154","dob":"1986-05-03","age":"","mstatus":"","insh":4569937,"cliId":"","pno":7572411364,"cno":7572726218,"email":"","ename":"","eno":"","pphy":"MOHAN, RAVINDER                                             ","ppno":7574137600,"pcpadd":"825 Fairfax Ave,Hofheimer Hall 1st Floor Suite 118","pcpcity":"Norfolk                       ","pcpstate":"VA","pcpzip":235071914,"pcpcounty":"","pcpid":"","pcpname":"SENTARA FAMILY MED PRIMARY CARE","plan":"VPHP","program":"MEDICAID","lob":"VPM4","region":"TIDEWATER","aligned":"","ano":"","add2":"                                                            ","add3":"","madd1":"5366 SIR BARTON DRIVE","madd2":"                                                            ","madd3":"","mcity":"VIRGINIA BEACH                ","mstate":"VA","mzip":"23462-4154","pcpfaxno":"","pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["Z32.01","Z36.3","O36.5930","O09.522","Z31.430","Z31.5","Z13.228","Z36.9","Z33.1","R76.8","O09.30","O09.93","O09.33","O26.899","Z67.91","Z3A.34","A54.9","O98.213","O36.60X0","O40.9XX0","O09.529","Z36.85","O99.213","E66.01","O34.211","N85.8","Z3A.39","Z37.0","O99.334","F17.210","O40.3XX0","O26.893","Z67.41","Z79.899","O34.219"],"date":["2021-06-03","2021-07-12","2021-06-03","2021-06-06","2021-06-06","2021-06-06","2021-06-07","2021-06-07","2021-07-28","2021-06-11","2021-07-12","2021-07-12","2021-07-12","2021-07-12","2021-07-28","2021-07-12","2021-07-13","2021-07-20","2021-07-28","2021-07-28","2021-07-28","2021-07-28","2021-08-05","2021-08-05","2021-08-12","2021-08-12","2021-08-12","2021-08-12","2021-08-12","2021-08-12","2021-08-12","2021-08-12","2021-08-12","2021-08-12","2021-08-12"],"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":[["","65162046510","IBUPROFEN","TAB 600MG","60","Select","Select",""],["","00406051201","OXYCOD\/APAP","TAB 5-325MG","20","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":""}]}]}