{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"DENISE   M REYNOLDS","gend":1,"add":"66 S CYPRESS CT UNIT 313C","city":"NEWPORT NEWS","state":"VA","zip":"23608-9998","dob":"1962-06-11","age":"","mstatus":"","insh":"20033905*01","cliId":"","pno":"369-4783","cno":"369-4783","email":"","ename":"","eno":"","pphy":"ROBESON, THOMAS N MD","ppno":"757\/873-2000","pcpadd":"STE 700 704 THIMBLE SHOALS","pcpcity":"NEWPORT NEWS","pcpstate":"VA","pcpzip":23606,"pcpcounty":"","pcpid":660033,"pcpname":"Oyster Point Family Practice","plan":"OHP","program":"MEDICAID","lob":"OHCC","region":"TIDEWATER","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"","pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["G89.18","M79.603","T84.52XA","M25.552","J96.01","E87.3","J44.9","R19.7","F32.9","F41.9","I69.351","I69.320","I69.322","J69.0","J44.0","F31.9","F90.9","I25.10","K21.9","I10.","G89.4","M19.91","F17.210","Z79.899","R32.","F90.2","F43.12","R07.9","I82.4Y2","J44.1","I82.509","Z91.19","S12.9XXA","NO DATA","Z23.","S12.100A","Z79.891","T84.59XA","M16.52","I95.81","I95.89","Z47.1","M19.90","G89.29","D64.9","M81.0","E53.8","E55.9","E03.9","F13.20","Z96.642","Z99.3","I82.409","T81.41XA","L03.116","T81.31XA","Z79.02","Z79.51","Z20.828","Z98.84","Z96.653","R22.43","J81.1","H53.2","I45.10","I95.9","D62.","R06.89","R74.8","R45.1","E87.5","J90.","F43.10","F11.20","V58.89","I34.0","I63.512","E78.5","Z72.0","F19.20","R26.89","F33.1","M54.5","R26.2","T84.84XA","Z96.7","G93.41","J96.02","R58.","A41.9","F17.200","R09.02","I49.1","I49.3","R00.1","M00.852","R94.6","Z98.890","T40.2X1A","F14.10","E66.9","I24.8","E07.9","R00.0","I11.0","I50.9","R06.02","I51.7","M16.12","S72.302K","L76.82","I96.","T84.091A","T81.49XA","T40.601A","R79.89","T50.902A","F99.","R41.82","I82.532","R57.1","M96.662","E87.2","J98.11","F41.8","Z88.6","Z01.810","R55.","T84.031A","R57.9","M54.2","M79.605","I44.0","E66.09","Z68.36","I20.0","R78.81","T50.901A","Z86.19","M01.X79","I63.9","R53.1","R47.1","N39.0","J18.9","Z96.649","Z03.818","T81.89XA","D69.6","R60.0","T84.51XA","T50.911A","S79.919A","V62.84","W19.XXXA","R77.8","R65.21","I50.33","T81.40XA","Z11.59","Z86.718","M79.89","I08.2","F11.29","F13.29","I25.119","T40.604A","G81.91","E87.6","R29.717","R47.01","Z87.11","I63.412"],"date":["2020-09-03","2020-08-16","2020-11-03","2021-07-26","2020-09-06","2020-08-23","2021-07-15","2020-08-24","2020-11-03","2021-07-13","2020-12-23","2020-12-23","2020-12-23","2020-12-23","2020-12-23","2021-07-13","2020-12-23","2021-07-15","2020-12-23","2021-01-21","2021-06-11","2020-12-23","2020-12-23","2020-12-23","2021-07-07","2021-07-13","2021-07-13","2021-06-12","2021-06-08","2021-07-26","2021-06-11","2020-01-08","2020-01-08","2020-09-04","2020-10-06","2020-01-09","2020-05-18","2020-11-27","2020-07-12","2020-07-08","2020-07-08","2020-08-07","2021-07-15","2021-01-21","2020-11-03","2020-11-27","2020-11-03","2020-08-07","2020-11-03","2020-12-22","2020-09-20","2020-11-28","2020-08-13","2020-11-03","2020-11-03","2020-08-25","2020-08-13","2020-08-13","2020-11-27","2020-08-13","2020-08-16","2020-08-16","2020-08-23","2020-08-24","2020-09-20","2020-09-06","2020-09-02","2020-09-02","2020-09-02","2020-09-02","2020-09-07","2020-09-06","2021-01-21","2020-09-07","2021-02-18","2020-11-28","2020-11-28","2020-11-28","2020-11-28","2020-11-28","2020-11-28","2021-07-13","2021-05-14","2021-06-12","2020-05-20","2020-07-06","2020-07-10","2020-07-10","2020-07-19","2021-07-26","2021-07-26","2020-08-16","2020-11-28","2020-08-24","2020-08-31","2020-09-04","2020-09-04","2021-07-26","2020-09-20","2020-11-27","2020-09-20","2020-09-20","2020-09-20","2020-09-20","2020-11-03","2020-11-03","2020-11-28","2020-11-27","2020-07-06","2020-07-06","2020-08-22","2020-08-22","2020-08-22","2020-09-22","2020-09-22","2020-09-20","2020-09-22","2020-09-22","2020-12-22","2021-06-08","2020-07-06","2020-07-06","2020-07-06","2020-07-06","2020-07-06","2020-07-06","2020-08-16","2020-08-16","2020-08-23","2020-08-24","2020-09-03","2020-09-03","2020-09-05","2021-02-18","2021-02-18","2021-06-08","2021-07-26","2021-07-26","2021-07-26","2020-08-15","2020-11-27","2020-11-27","2020-11-27","2020-11-27","2020-11-27","2020-11-27","2020-11-27","2020-08-23","2020-08-24","2020-08-24","2020-08-24","2020-09-21","2020-11-26","2020-12-25","2021-06-12","2021-06-12","2020-08-16","2020-08-16","2020-08-16","2020-08-16","2020-08-20","2020-08-20","2020-08-25","2020-09-08","2020-09-08","2020-09-19","2020-09-19","2020-11-27","2020-11-30","2020-11-27","2020-11-27","2020-11-27","2020-11-30"],"priorHcc":["","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","",""]}},{"a":[]}]},{"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":[]}]},{"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":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Allergies \/ Medications","q":[{"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":[]}]},{"t":"Pain","q":[{"a":[]}]},{"t":"Vital Signs","q":[{"a":[]},{"a":[]}]},{"t":"Exam Review","q":[{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Screenings Needed","q":[[["No","Select","","","","","Select","",""],["No","Select","","","","","Select","",""],["N\/A","Select","","","","","Select","",""],["Yes","Select","","","","","Select","",""],["N\/A","Select","","","","","Select","",""],["N\/A","Select","","","","","Select","",""],["Yes","Select","","","","","Select","",""]]]},{"t":"Mini-Cog","q":[{"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":""}]}]}