{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"ANGELE  M WILLIAMS","gend":1,"add":"833 29TH ST","city":"NEWPORT NEWS","state":"VA","zip":"23607-9998","dob":"1970-12-20","age":"","mstatus":"","insh":"20037409*01","cliId":"","pno":7572451015,"cno":7572451015,"email":"","ename":"","eno":"","pphy":"DELAHOUSSAYE, ALADEE R MD","ppno":7573808709,"pcpadd":"4714 MARSHALL AVE,","pcpcity":"NEWPORT NEWS","pcpstate":"VA","pcpzip":"23607-9998","pcpcounty":"","pcpid":"","pcpname":"","plan":"OHP","program":"MEDICAID","lob":"OHCC","region":"TIDEWATER","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"","pcpnpi":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["F25.0","F25.9","S00.81XA","S59.912A","V09.20XA","Y92.414","S61.217A","Z91.14","F10.10","U07.1","R05.","F10.20","S00.01XA","F17.210","E78.00","E66.9","Z79.899","R51.9","Z04.3","F29.","F10.99","F14.90","F12.90","Z53.21","V62.84","R46.89","Z20.822","J20.9","M25.532","M79.651","R46.2","F23.","F20.9","M79.602","M79.605","S60.415A","Z20.2","K21.9","Z86.2","Z87.891","M47.816","G89.29","NO DATA"],"date":["2022-08-31","2023-06-19","2021-11-17","2021-11-17","2021-11-17","2021-11-17","2021-11-27","2021-11-27","2021-11-27","2021-06-29","2021-06-29","2021-12-14","2021-11-17","2021-11-27","2021-11-27","2021-11-27","2021-11-17","2021-11-17","2021-11-27","2021-09-16","2021-09-16","2021-09-16","2021-09-16","2021-06-13","2021-09-02","2021-09-02","2021-09-02","2021-11-15","2021-11-17","2021-11-17","2021-09-21","2021-09-04","2021-09-04","2021-11-27","2021-11-27","2021-11-27","2023-06-19","2023-06-19","2023-06-19","2023-06-19","2023-06-18","2023-06-18","2023-06-18"],"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":[["","65162075710","DIVALPROEX","TAB 500MG ER","60","Select","Select",""],["","65162075710","DIVALPROEX TAB","500MG ER","60","Select","Select",""],["","65162019011","NAPROXEN","500 MG","20","Select","Select",""],["","69238110005","DOXYCYCLINE HYCLATE","100 MG","14","Select","Select",""],["","50111033401","METRONIDAZOLE","500 MG","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":""}]}]}