{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"BARBARA HART","gend":1,"add":"1404 KENNEDY STATION PL","city":"GLEN ALLEN","state":"VA","zip":"23060-9998","dob":"1970-11-22","age":"","mstatus":"","insh":"1537753*01","cliId":"","pno":8043067470,"cno":8043067470,"email":"","ename":"","eno":"","pphy":"ELLIOTT, CHARMAINE N MD","ppno":8046441665,"pcpadd":"SUITE 308 1510 N 28TH STREET,","pcpcity":"RICHMOND","pcpstate":"VA","pcpzip":"23223-9998","pcpcounty":"","pcpid":"","pcpname":"Primary Healthcare Associates","plan":"OHP","program":"MEDICAID","lob":"M4","region":"CENTRAL","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":8046445285,"pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["C50.911","I10.","F41.8","E55.9","Z11.3","Z98.890","Z17.0","Z79.899","H35.413","H33.322","H25.13","H40.003","Z79.810","N95.1","Z80.3","G47.00","R23.2","R92.2","T45.1X5A","Z68.27","Z68.26","Z08.","C50.411","Z79.811","Z92.3","N83.209","Z85.3","A31.9","F43.23","N89.8","N39.3","N76.3","C80.1","J20.9","G89.3","Z01.810","N76.1","Z20.2","N63.10","R10.32","M25.611","I89.9","J30.2"],"date":["2023-04-18","2023-02-21","2023-02-21","2022-02-25","2022-02-25","2023-04-18","2023-04-18","2022-02-25","2022-08-29","2022-08-29","2022-08-29","2022-08-29","2023-02-21","2023-02-21","2023-02-21","2023-02-21","2023-02-21","2023-02-21","2023-02-21","2023-02-21","2023-04-18","2022-06-08","2022-06-08","2022-06-08","2023-04-18","2021-02-09","2023-04-18","2023-01-03","2021-08-05","2022-03-14","2022-03-14","2022-03-14","2022-03-14","2023-01-05","2021-12-02","2021-03-26","2021-01-28","2021-01-28","2021-01-28","2021-01-28","2021-12-01","2021-12-01","2023-07-27"],"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":[]},{"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":""}]}]}