{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"EMMANUEL   S FINNEY","gend":0,"add":"715 PROSPECT AVE","city":"CHARLOTTESVILLE","state":"VA","zip":"22903-9998","dob":"1960-11-12","age":"","mstatus":"","insh":"2190564*01","cliId":"","pno":"","cno":"","email":"","ename":"","eno":"","pphy":"STATUTA, SIOBHAN M MD","ppno":"434\/982-5450","pcpadd":"290 MASSIE ROAD","pcpcity":"CHARLOTTESVILLE","pcpstate":"VA","pcpzip":22903,"pcpcounty":"","pcpid":"","pcpname":"","plan":"OHP","program":"MEDICAID","lob":"M4","region":"","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"434\/982-5470","pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["S11.89XA","F10.10","W18.30XA","R56.9","G40.909","E83.42","N30.00","R53.81","J45.20","I10.","NO DATA","Z01.810","S19.80XA","S11.90XA","R06.03","J96.00","F10.231","Z99.11","J38.3","S92.312A","S92.322A","S93.325A","E44.1","F10.239","R53.83","R74.01","F17.210","Z20.822","I45.81","Z23.","R00.0","J38.4","V58.89","R07.81","Z53.21","S11.93XA","J45.909","K76.0","S92.009A","E87.6","S92.332A","S93.126A","S92.022A","S92.342A","S92.355A","Z03.818","S19.9XXA","S93.145A","T14.90XA","R11.2","R74.8"],"date":["2020-05-22","2020-05-22","2020-05-22","2021-05-05","2021-08-06","2021-08-06","2021-08-06","2022-03-23","2022-03-23","2022-03-23","2022-03-23","2020-05-23","2020-05-29","2020-05-29","2020-05-29","2020-05-28","2020-05-28","2020-05-28","2020-05-28","2020-07-16","2020-06-05","2020-06-05","2020-05-27","2021-05-05","2022-01-25","2022-01-25","2022-01-25","2022-01-25","2020-05-31","2021-05-20","2020-05-22","2020-05-29","2020-06-25","2021-09-08","2021-09-08","2020-05-22","2020-05-22","2020-05-22","2020-05-22","2020-05-22","2020-05-23","2020-05-22","2020-05-22","2020-05-22","2020-05-22","2020-05-22","2020-05-22","2020-05-23","2020-05-28","2021-03-31","2021-03-31"],"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":[]},{"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":[["","59310057922","PROAIR","AER ","8","Select","Select",""],["","69097014260","ALBUTEROL","AER HFA","7","Select","Select",""],["","00093314705","CEPHALEXIN","CAP 500MG","20","Select","Select",""],["","80777027398","MODERNA","INJ COVID-19","0","Select","Select",""],["","00406055201","OXYCODONE","TAB 5MG","42","Select","Select",""],["","57896092110","ASPIRIN","TAB 325MG EC","14","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":""}]}]}