{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"HARLEY   A FRADY","gend":1,"add":"10482 BEARLE DR","city":"WINDSOR","state":"VA","zip":"23487-9998","dob":"1992-01-24","age":"","mstatus":"","insh":"900045784*01","cliId":"","pno":"757\/969-7767","cno":"","email":"","ename":"","eno":"","pphy":"DEMKOWSKI, HENRY MD","ppno":"757\/539-0251","pcpadd":"2000 MEADE PARKWAY","pcpcity":"SUFFOLK","pcpstate":"VA","pcpzip":23434,"pcpcounty":"","pcpid":"","pcpname":"Lakeview OB\/GYN Meade","plan":"OHP","program":"MEDICARE","lob":"DSNP","region":"TIDEWATER","aligned":"Y","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"757\/539-7523","pcpnpi":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["R68.89","Z34.80","O09.90","O60.14X0","K83.1","Z37.0","O26.62","O98.42","Z3A.33","O69.81X0","O70.1","B19.20","Z20.822","Z34.90","O26.90","R10.9","O26.619","K80.20","O09.293","Z3A.31","O99.613","K82.8","O99.891","R74.8","Z3A.30","Z90.49","O99.333","F17.200","R10.11","F32.9","Z36.89","O26.613","O99.810","O41.8X90","O46.8X9","O35.9XX0","Z3A.22","R74.01","Q68.8"],"date":["2021-02-14","2021-11-03","2021-04-09","2021-03-10","2021-03-10","2021-03-10","2021-03-10","2021-03-10","2021-03-10","2021-03-10","2021-03-10","2021-03-10","2021-03-10","2021-03-10","2021-03-10","2021-02-13","2021-02-22","2021-02-22","2021-02-22","2021-02-22","2021-02-14","2021-02-14","2021-02-14","2021-02-14","2021-02-19","2021-02-14","2021-02-14","2021-02-14","2021-02-14","2021-05-26","2021-11-03","2021-02-25","2021-03-01","2021-11-16","2021-11-16","2021-11-16","2021-11-16","2021-02-14","2021-02-22"],"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":[["","42806050301","URSODIOL                                                              ","300MG","120","Select","Select",""],["","23155060601","GLYCOPYRROLATE                                                        ","1MG","30","Select","Select",""],["","65162052110","PROMETHAZINE HYDROCHLORIDE                                            ","25MG","15","Select","Select",""],["","50111033401","METRONIDAZOLE                                                         ","500MG","-4","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":""}]}]}