{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"JAMES   E JOHNSON","gend":0,"add":"1401 DEEP CREEK BLVD TRLR 73","city":"CHESAPEAKE","state":"VA","zip":"23323-9998","dob":"1954-01-21","age":"","mstatus":"","insh":"900038761*01","cliId":"","pno":"757\/319-3027","cno":"","email":"","ename":"","eno":"","pphy":"MEDALLA, AILENE D MD","ppno":"757\/548-0076","pcpadd":"725 VOLVO PKWY STE 100","pcpcity":"CHESAPEAKE","pcpstate":"VA","pcpzip":23320,"pcpcounty":"","pcpid":"","pcpname":"Volvo Medical Associates","plan":"OHP","program":"MEDICARE","lob":"DSNP","region":"TIDEWATER","aligned":"Y","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"757\/548-1652","pcpnpi":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["Z12.11","M25.561","M54.5","M51.26","S42.031A","S49.91XA","F12.90","B19.20","N52.9","R73.03","Z13.220","Z12.5","L98.9","M54.41","G89.29","Z85.828","D48.5","L57.0","Z71.9","C44.222","Z23.","Z00.00","Z72.0","R76.8","Z53.20","Z13.6","M48.061","M48.07","M47.26","M47.27","L82.1","D22.9","L81.4","I78.1","C44.319","S42.001A","J40.","B18.2","F10.20","F17.210","F12.10","Z79.2","Z79.51","Z79.891","Z79.899","Z87.09","Z98.890","R09.81","C44.310","C44.320","C44.92","C44.90"],"date":["2021-06-29","2021-08-03","2021-08-30","2021-08-30","2020-11-02","2020-11-02","2021-07-28","2021-08-03","2021-07-28","2021-08-03","2021-08-03","2021-08-03","2021-08-25","2021-08-25","2021-08-25","2021-08-31","2021-11-23","2021-08-31","2021-08-31","2021-11-23","2021-06-16","2021-06-29","2021-06-29","2021-06-29","2021-06-29","2021-06-29","2021-09-11","2021-09-11","2021-09-11","2021-09-11","2020-09-08","2020-09-08","2020-09-08","2020-09-08","2020-10-02","2020-11-02","2020-02-11","2020-02-11","2020-02-11","2020-02-11","2020-02-11","2020-02-11","2020-02-11","2020-02-11","2020-02-11","2020-02-11","2020-02-11","2020-02-11","2020-09-08","2021-08-31","2021-11-23","2020-02-20"],"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":[]}]},{"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":[["","31722094101","HYDROCODONE BITARTRATE\/ACETAMINOPHEN                                  ","5-325MG","15","Select","Select",""],["","00002446234","CIALIS                                                                ","5MG","90","Select","Select",""],["","52817033200","CYCLOBENZAPRINE HYDROCHLORIDE                                         ","10MG","30","Select","Select",""],["","68462019005","NAPROXEN                                                              ","500MG","60","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":["",""]}},{"a":{"indx":["1",""],"comment":["",""],"sub":{"indx":[["","","",""],[""],[""],[""],[""],[""]],"comment":[["","","",""],[""],[""],[""],[""],[""]],"sub":[]}}},{"a":{"indx":["","1"],"comment":["",""]}},{"a":{"indx":["","1"],"comment":["",""]}},{"a":{"indx":["","1"],"comment":["",""]}},{"a":{"indx":["","1"],"comment":["",""]}},{"a":{"indx":["","1"],"comment":["",""]}},{"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":""}]}]}