{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"SVETLANA SARGSYAN","gend":1,"add":"1151 LANDON DR","city":"HARRISONBURG","state":"VA","zip":"22801-9998","dob":"1943-11-05","age":"","mstatus":"","insh":"20034517*01","cliId":"","pno":5404334876,"cno":6824786175,"email":"","ename":"","eno":"","pphy":"HOTCHKISS, JEROME J MD","ppno":"540\/433-4913","pcpadd":"1380 LITTLE SORRELL DRIVE SUITE 100","pcpcity":"HARRISONBURG","pcpstate":"VA","pcpzip":22801,"pcpcounty":"","pcpid":"","pcpname":"Healthy Community Health Center - Stone Port (HCHC-Stone Port)","plan":"OHP","program":"MEDICAID","lob":"OHCC","region":"CHARLOTTESVILLE WESTERN","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"540\/433-4915","pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["E16.2","R53.81","R60.0","N18.3","E11.9","I10.","E78.5","N17.9","T68.XXXA","I16.0","I49.1","R06.02","I50.9","I07.1","NO DATA","R60.9","I12.9","R19.7","N18.32","J18.9","E11.649","R41.82","N39.0"],"date":["2020-01-01","2019-12-31","2020-02-11","2020-09-10","2021-10-11","2021-10-11","2021-10-11","2019-04-04","2019-12-31","2019-12-31","2019-04-25","2019-04-25","2019-04-25","2019-04-25","2021-10-11","2020-06-24","2021-03-16","2021-03-16","2021-06-28","2019-12-31","2019-12-31","2019-12-31","2020-01-03"],"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":{"comment":"","sub":[["","","LISINOPRIL"," LISINOPRIL ","30","Select","Select",""],["","","LATANOPROST"," LATANOPROST ","2","Select","Select",""],["","","DORZOLAMIDE"," DORZOLAMIDE ","10","Select","Select",""],["","","ONETOUCH"," ONETOUCH ","100","Select","Select",""],["","","FUROSEMIDE"," FUROSEMIDE ","60","Select","Select",""],["","","NIFEDIPINE"," NIFEDIPINE ","30","Select","Select",""],["","","LANTUS"," LANTUS ","20","Select","Select",""],["","","GLIPIZIDE"," GLIPIZIDE ","60","Select","Select",""],["","","CARVEDILOL"," CARVEDILOL ","60","Select","Select",""],["","","ATORVASTATIN"," ATORVASTATIN ","30","Select","Select",""],["","","INSULIN"," INSULIN ","120","Select","Select",""],["","","CEPHALEXIN"," CEPHALEXIN ","14","Select","Select",""],["","","ERTAPENEM","INJ 1GM","","Select","Select",""],["","","CEFUROXIME","TAB 500MG","","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":["",""],"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":""}]}]}