{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"MAHINDRABE   R SHAH","gend":1,"add":"11906 BASILIA CT","city":"CHESTER","state":"VA","zip":"23836-9998","dob":"1942-11-08","age":"","mstatus":"","insh":"900039785*01","cliId":"","pno":"804\/681-0623","cno":"","email":"","ename":"","eno":"","pphy":"DABHI, KISHOR S MD","ppno":"804\/526-5850","pcpadd":"3628 BULEVARD","pcpcity":"COLONIAL HEIGHTS","pcpstate":"VA","pcpzip":23834,"pcpcounty":"","pcpid":"","pcpname":"KISHOR S DABHI MD PC","plan":"OHP","program":"MEDICARE","lob":"DSNP","region":"CENTRAL","aligned":"Y","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"804\/520-7312","pcpnpi":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["N85.8","K83.8","R10.30","Z23.","E87.1","E03.9","K21.9","I10.","R51.","E78.5","E86.0","T50.2X5A","E61.8","N32.81","E78.2","E03.8","R60.9","H40.1132","H26.493","H18.51","R07.89","J90.","I12.9","N18.31","Z79.899","R60.0","N18.32","E87.5","Z68.25","H52.13","H52.223","A49.9","N39.0","K59.00","R10.9","R11.0","R53.83","R63.0","Z90.49","H18.513","N18.3","E87.6","R07.9","D51.9","K57.30","H40.1131","R10.2","Z00.00","R53.1","N18.9","R39.81","I50.30","Z68.27","N94.9","M54.9"],"date":["2020-07-13","2020-07-13","2020-07-13","2021-09-23","2021-09-28","2021-09-28","2020-08-15","2021-09-28","2020-09-22","2021-09-28","2020-08-17","2020-08-14","2020-08-14","2020-08-14","2021-09-23","2021-05-25","2021-02-02","2021-01-06","2021-01-06","2020-09-18","2020-09-22","2020-09-24","2021-09-23","2021-03-04","2021-03-04","2021-09-28","2021-09-28","2021-09-28","2020-08-07","2021-05-05","2021-05-05","2020-07-09","2020-07-09","2020-07-15","2020-08-14","2020-07-15","2020-07-15","2020-07-15","2020-07-15","2021-01-06","2020-08-11","2020-08-17","2020-09-22","2021-09-23","2020-08-14","2021-10-04","2020-07-21","2020-08-07","2020-08-14","2020-09-02","2020-09-04","2020-11-25","2020-11-25","2020-07-21","2020-09-22"],"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":[["","65862086001","FAMOTIDINE                                                            ","40MG","90","Select","Select",""],["","68180072003","AMLODIPINE BESYLATE                                                   ","5MG","30","Select","Select",""],["","00378180010","LEVOTHYROXINE SODIUM                                                  ","25MCG","-90","Select","Select",""],["","59746036390","VALSARTAN                                                             ","320MG","-90","Select","Select",""],["","00378021610","FUROSEMIDE                                                            ","40MG","90","Select","Select",""],["","70461012003","FLUAD QUADRIVALENT INFLUENZA VACCINE FOR ADULTS                       ","0.5ML","0","Select","Select",""],["","53746051101","SPIRONOLACTONE                                                        ","25MG","30","Select","Select",""],["","24208046325","LATANOPROST                                                           ","0.01%","8","Select","Select",""],["","00603497528","OXYBUTYNIN CHLORIDE                                                   ","5MG","60","Select","Select",""],["","50742061710","METOPROLOL SUCCINATE ER                                               ","100MG ER","90","Select","Select",""],["","23155000301","HYDRALAZINE HYDROCHLORIDE                                             ","50MG","270","Select","Select",""],["","65862020390","LOSARTAN POTASSIUM                                                    ","100MG","90","Select","Select",""],["","70377000114","SIMVASTATIN                                                           ","5MG","90","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":["",""]}},{"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":""}]}]}