{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"JOHNNY LANG","gend":0,"add":"100 S MASSANUTTEN ST APT 119","city":"STRASBURG","state":"VA","zip":"22657-9998","dob":"1957-06-25","age":"","mstatus":"","insh":"20042195*01","cliId":"","pno":"540\/551-0964","cno":"","email":"","ename":"","eno":"","pphy":"JANSEN, DONALD MD","ppno":"540\/465-3751","pcpadd":"33674 OLD VALLEY PIKE","pcpcity":"STRASBURG","pcpstate":"VA","pcpzip":22657,"pcpcounty":"","pcpid":"","pcpname":"SHENANDOAH MEMORIAL HOSPITAL INC","plan":"OHP","program":"MEDICAID","lob":"OHCC","region":"NORTHERN & WINCHESTER","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"540\/465-5008","pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["L30.9","F11.20","I73.9","M79.604","M79.605","R10.9","R00.1","I25.10","J44.9","K56.7","E78.5","I10.","F11.90","I25.118","J44.1","Z20.822","R06.02","NO DATA","F17.210","E78.2","M54.40","Z72.0","G47.09","R53.82","I67.2","G89.29","R10.13","T44.7X5A","R74.8","R10.84","R10.33","K35.80","R53.83","R53.1","K75.9","Z11.59","F17.200","R07.9","I25.110","R73.9","M25.552","M54.42","M54.41","K36.","Z53.31","M54.16","R63.4","R11.0","Z20.828","I65.23","Z01.818","I49.8","L40.9","M54.5","F41.9","R25.2","M54.9","R10.31","M51.36","Z79.899","K65.0","E83.42","E86.0","S05.01XA","E78.00","G47.00","R10.30","R30.0","K59.00","R52.","R40.4","R09.02","R06.2","R05.9"],"date":["2019-03-18","2021-08-31","2021-01-26","2020-12-04","2020-12-04","2020-09-03","2020-06-23","2020-08-20","2020-08-08","2020-08-20","2020-08-20","2021-06-01","2020-09-03","2021-06-01","2021-10-10","2021-10-10","2021-10-10","2020-08-19","2021-06-01","2021-06-01","2020-05-18","2020-06-09","2020-05-18","2020-05-18","2020-05-26","2021-06-01","2020-06-23","2020-06-23","2020-06-23","2020-06-23","2020-06-24","2020-08-08","2019-10-22","2019-10-22","2019-10-22","2019-10-22","2019-10-22","2020-05-13","2020-05-13","2020-05-13","2020-05-13","2021-01-26","2021-01-26","2020-08-08","2020-08-08","2021-01-26","2020-08-08","2020-08-08","2020-08-08","2021-06-01","2020-05-21","2020-06-23","2020-07-09","2020-08-08","2021-01-04","2021-01-04","2021-06-01","2020-08-20","2021-01-26","2021-08-31","2020-08-08","2020-08-08","2020-08-08","2020-08-08","2020-08-08","2020-08-08","2020-09-11","2021-02-17","2021-02-17","2021-10-10","2021-10-10","2021-10-10","2021-10-10","2021-10-10"],"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":""}]}]}