{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"CARRIE   L CAMPBELL","gend":1,"add":"2806 GLOBE ROAD","city":"AYLETT","state":"VA","zip":"23009-9998","dob":"1985-10-22","age":"","mstatus":"","insh":"1692047*01","cliId":"","pno":"804\/238-3612","cno":"","email":"","ename":"","eno":"","pphy":"ROSE, ROBERT MD","ppno":"804\/746-1677","pcpadd":"1041 SHARON ROAD SUITE 205","pcpcity":"KING WILLIAM","pcpstate":"VA","pcpzip":23086,"pcpcounty":"","pcpid":"","pcpname":"AYLETT MEDICAL CENTER","plan":"OHP","program":"MEDICAID","lob":"M4","region":"CENTRAL","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"804\/769-3170","pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["R10.2","NO DATA","F41.9","F43.10","N93.9","E61.1","S90.32XA","N92.6","R35.0","N39.0","Z68.29","R63.0","S92.902A","J45.909","M79.89","G47.00","Z68.30","N85.00","N92.0","M54.5","F41.0","K59.00","R10.31","N84.0","J45.20","N92.1","E53.8","E55.9","R10.9","R30.0","R10.13","R82.998","Z68.26","R55.","G43.709","Z68.28","L60.8","F32.9","M46.1","Z01.810","R93.89","J01.10","N85.01","D25.0","L30.9","L81.9"],"date":["2020-05-31","2021-02-08","2021-12-16","2021-12-16","2021-08-05","2021-12-16","2021-10-17","2020-06-18","2019-08-20","2019-08-20","2019-08-20","2021-07-28","2021-10-17","2021-10-17","2021-10-17","2021-12-16","2019-09-17","2020-06-18","2021-09-23","2020-09-02","2021-06-15","2021-06-15","2019-08-23","2020-06-18","2021-09-08","2021-09-08","2021-09-08","2021-09-08","2021-06-11","2019-01-29","2019-01-29","2019-01-29","2019-01-29","2019-05-21","2019-05-21","2019-05-21","2019-08-14","2019-08-14","2020-09-02","2019-02-12","2019-02-20","2020-12-09","2020-05-18","2020-05-18","2021-02-08","2021-02-08"],"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":{"indx":[false,false],"comment":["",""],"score":["",""]}},{"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":""}]}]}