{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"CARLOS BATTEASTE","gend":0,"add":"130 HOWARD ST APT 202","city":"PORTSMOUTH","state":"VA","zip":"23707-9998","dob":"1976-01-22","age":"","mstatus":"","insh":"2227480*01","cliId":"","pno":"412\/352-6260","cno":"","email":"","ename":"","eno":"","pphy":"ANGLIN, VICTOR TEODORO MD","ppno":"757\/738-1225","pcpadd":"3537 AIRLINE BLVD STE 1","pcpcity":"PORTSMOUTH","pcpstate":"VA","pcpzip":23701,"pcpcounty":"","pcpid":"","pcpname":"AIRLINE BOULEVARD MEDICAL ASSOCIATES","plan":"OHP","program":"MEDICAID","lob":"M4","region":"TIDEWATER","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"757\/448-1037","pcpnpi":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["M1A.9XX1","F51.01","E78.5","R03.0","Z68.29","M10.9","I10.","M25.532","Z79.899","E78.00","K62.5","Z87.11","M25.522","I12.9","N18.9","NO DATA","I36.1","R06.02","R06.00","I15.9","M10.032","M10.042","K21.9","M79.89","H65.93","R42.","H93.13","R21.","L73.9","L30.9","Z09.","R00.2","M10.022","Z76.0","M1A.0220","G47.00","M1A.09X1","N52.9","Z79.52","M10.49","Z82.49","Z88.0","Z88.5","Z88.8","R94.31","H61.23","J34.3","J34.2","L97.521","Z13.220","Z11.59","R94.4","L97.522","R60.0","M1A.0721","M79.672","R10.31","R00.0","R79.89","Z68.30","R09.81","M1A.3721","H81.13","M1A.0321","M15.0","K40.91","Z23.","M25.521","R51.9","Z88.6","M25.421","N18.3","R10.33","M1A.00X1","R11.2","Z12.11","K92.1","K62.1","D64.9","R07.89","D72.829","Z87.19","R07.9","H93.8X3","Z20.822","M25.432","D12.8","M54.6","L29.9"],"date":["2021-12-13","2021-11-19","2021-11-13","2021-02-16","2021-11-19","2021-12-03","2021-12-26","2021-10-06","2021-12-07","2021-10-29","2020-03-27","2020-03-27","2021-09-30","2021-12-07","2021-12-07","2021-12-14","2021-08-24","2021-08-24","2021-10-14","2021-08-24","2021-08-31","2021-10-29","2021-10-29","2021-12-07","2021-11-14","2021-11-14","2021-11-16","2021-11-13","2021-11-15","2021-11-17","2021-11-19","2020-05-21","2020-07-26","2020-07-26","2020-09-27","2021-12-08","2021-12-14","2021-10-14","2021-12-14","2021-10-06","2021-12-26","2021-12-26","2021-12-26","2021-12-26","2021-11-11","2021-11-16","2021-11-16","2021-11-16","2021-12-13","2021-12-08","2021-12-08","2021-10-18","2021-12-29","2021-12-29","2021-12-29","2021-12-29","2020-11-04","2021-08-24","2021-12-26","2021-10-14","2021-11-14","2021-12-08","2021-12-26","2020-02-22","2020-02-22","2020-09-22","2020-09-22","2021-09-30","2021-11-11","2021-11-14","2020-04-22","2020-06-08","2020-10-14","2021-09-17","2021-12-26","2019-10-28","2020-05-07","2020-05-07","2021-05-29","2021-05-29","2021-05-29","2021-05-29","2021-11-08","2021-11-14","2021-11-14","2020-02-04","2020-05-07","2021-03-08","2021-11-15"],"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":[["","","PREDNISONE","TAB 20MG","","Select","Select",""],["","","SIMVASTATIN","TAB 40MG","","Select","Select",""],["","","COLCHICINE","TAB 0.6MG","","Select","Select",""],["","","AMLODIPINE","TAB 5MG","","Select","Select",""],["","","ALLOPURINOL","TAB 300MG","","Select","Select",""],["","","ZOLPIDEM","TAB 12.5MG","","Select","Select",""],["","","HYDROCO\/APAP","TAB 5-325MG","","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":""}]}]}