{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"TANICIA SATCHELL","gend":1,"add":"5460 MONTBROOK CIR APT A","city":"RICHMOND","state":"VA","zip":"23227-9998","dob":"1983-12-13","age":"","mstatus":"","insh":"8555540*01","cliId":"","pno":"804\/237-3086","cno":"","email":"","ename":"","eno":"","pphy":"TSUKANOV, JESSICA M DO","ppno":"804\/828-5399","pcpadd":"401 N 11TH STREET","pcpcity":"RICHMOND","pcpstate":"VA","pcpzip":23219,"pcpcounty":"","pcpid":"","pcpname":"MCV ASSOCIATED PHYSICIANS","plan":"OHP","program":"MEDICAID","lob":"M4","region":"CENTRAL","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"804\/828-5399","pcpnpi":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["M54.2","M25.531","E66.9","G56.03","I10.","R51.9","V23.87","O10.012","O99.212","Z68.41","Z3A.22","Z3A.26","O34.211","Z30.2","Z37.0","Z3A.37","R51.","Z86.69","Z91.14","M54.12","I51.7","R94.31","I16.0","F19.10","M79.671","M79.672","F43.20","O13.9","E88.81","M25.539","Z30.42","E66.01","O20.0","R80.9","J06.9","Z34.81","Z3A.08","O72.1","O10.92","J30.9","N92.6","R03.0","F43.29","S39.011A","M79.669","M79.661","O10.912","O99.512","O09.522","J45.909","O16.2","O10.013","O99.213","Z3A.32","Z30.013","Z32.01","Z3A.18","O09.523","Z3A.33","Z3A.34","R06.00","Z3A.30","R10.9","Z30.09","R07.9","R07.82","M54.89","Z39.1","Z34.82","Z34.83","M54.6","M25.611","M62.81","Z88.5","Z3A.35","R10.2"],"date":["2020-05-22","2019-05-29","2021-11-23","2020-05-22","2021-05-28","2021-05-21","2021-05-14","2021-09-29","2021-09-29","2021-11-23","2021-08-31","2021-09-29","2021-12-14","2021-12-14","2021-12-14","2021-12-14","2019-02-25","2019-02-25","2021-08-31","2019-04-17","2020-02-05","2020-02-28","2020-02-06","2020-05-22","2020-07-23","2020-07-23","2020-07-23","2021-12-14","2019-12-13","2019-11-22","2019-12-19","2020-10-23","2021-05-28","2021-05-28","2021-05-28","2021-05-28","2021-05-28","2021-12-14","2021-12-14","2019-04-18","2020-02-21","2020-02-21","2020-03-05","2020-03-26","2021-05-21","2021-05-21","2021-08-31","2021-08-31","2021-08-31","2021-08-31","2021-08-31","2021-11-30","2021-11-23","2021-11-10","2019-10-03","2021-05-07","2021-08-02","2021-11-23","2021-11-17","2021-11-24","2020-02-28","2021-10-27","2019-01-31","2019-09-26","2020-02-28","2020-09-12","2021-07-06","2021-10-25","2021-10-25","2021-10-25","2020-10-03","2020-10-03","2020-10-03","2020-10-03","2021-11-30","2021-12-09"],"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":""}]}]}