{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"GEORGE DENARDO","gend":0,"add":"1712 CORNELL AVENUE                                         ","city":"NORFOLK                       ","state":"VA","zip":"23518-3102","dob":"1986-02-12","age":"","mstatus":"","insh":6833735,"cliId":"","pno":7576524616,"cno":"","email":"","ename":"","eno":"","pphy":"CHAKRABORTTY, SAGHANA                                       ","ppno":7577381425,"pcpadd":"4039 E Little Creek Rd                                      ,                                                            ","pcpcity":"Norfolk                       ","pcpstate":"VA","pcpzip":235183549,"pcpcounty":"","pcpid":"","pcpname":"BON SECOURS FASTCARE","plan":"VPHP","program":"MEDICAID","lob":"VPM4","region":"TIDEWATER","aligned":"","ano":"","add2":"1712 CORNELL AVENUE                                         ","add3":"","madd1":"1712 CORNELL AVENUE                                         ","madd2":"                                                            ","madd3":"","mcity":"NORFOLK                       ","mstate":"VA","mzip":"23518-3102","pcpfaxno":"","pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["F11.20","A41.9","N17.0","J18.9","G93.41","R65.21","J86.9","E87.2","J90","E87.1","J39.0","L02.11","R74.0","F11.10","Z20.828","E87.5","D72.829","F19.10","R00.0","S29.011A","R11.10","R91.8","R07.9","N17.9","F17.210","R16.0","J18.1","I33.0","J45.909","Z46.82","R65.20","J98.11","L08.9","K02.9","R78.81","K12.2","J39.2"],"date":["2020-06-09","2020-09-24","2020-09-25","2020-09-25","2020-09-17","2020-09-21","2020-09-25","2020-09-15","2020-09-25","2020-09-21","2020-09-24","2020-09-15","2020-09-15","2020-09-15","2020-09-15","2020-09-21","2020-09-18","2020-09-15","2020-09-15","2020-09-15","2020-09-15","2020-09-25","2020-09-24","2020-09-25","2020-09-15","2020-09-15","2020-09-21","2020-09-16","2020-09-18","2020-09-25","2020-09-18","2020-09-19","2020-09-20","2020-09-20","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":[]},{"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":""}]}]}