{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"ALBERT MUCHENJE","gend":0,"add":"6526 REGAL GROVE LN","city":"CHESTERFIELD","state":"VA","zip":"23832-9998","dob":"1954-03-06","age":"","mstatus":"","insh":"20064843*01","cliId":"","pno":8043869813,"cno":8043869813,"email":"","ename":"","eno":"","pphy":"JENKINS, ELIZABETH M MD","ppno":8043591337,"pcpadd":"RICH-CONTRACT REP 5000 COX RD SUITE","pcpcity":"GLEN ALLEN","pcpstate":"VA","pcpzip":"23060-9998","pcpcounty":"","pcpid":"","pcpname":"","plan":"OHP","program":"MEDICAID","lob":"OHCC","region":"CENTRAL","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":8049684243,"pcpnpi":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["E11.9","Z79.84","I10.","E78.5","B20.","B18.1","N18.2","E83.30","Z79.899","Z20.828","R79.89","H40.1132","Z23.","M54.5","R29.3","E83.39","I73.9","R94.4","E87.6","H25.13","E11.40","Z86.39","G57.93","I70.233","E66.9","E78.00"],"date":["2023-04-22","2023-04-22","2023-04-22","2023-01-15","2022-11-08","2022-11-08","2021-01-26","2021-01-26","2022-01-25","2021-08-18","2022-06-21","2022-12-22","2022-11-08","2021-07-27","2021-07-27","2021-09-21","2022-02-06","2022-11-08","2021-10-03","2022-12-22","2021-06-17","2022-01-25","2022-09-23","2022-09-23","2023-04-22","2023-04-22"],"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":[["","65862000801","METFORMIN","TAB 500MG","60","Select","Select",""],["","00591084401","GLIPIZIDE ER","5 MG","30","Select","Select",""],["","24208046325","LATANOPROST","0.005 %","2.5","Select","Select",""],["","61958190101","GENVOYA","150-200-10","30","Select","Select",""],["","65862098799","POT CHLORIDE","TAB 10MEQ ER","90","Select","Select",""],["","68180098003","LISINOPRIL","10 MG","90","Select","Select",""],["","61314014315","BRIMONIDINE","SOL 0.2% OP","15","Select","Select",""],["","53885024510","ONETOUCH","TES ULTRA","100","Select","Select",""],["","59762054101","GLIPIZIDE XL","TAB 5MG","30","Select","Select",""],["","70377002811","ATORVASTATIN","TAB 20MG","90","Select","Select",""],["","65862000801","METFORMIN HCL","500 MG","60","Select","Select",""],["","70377002811","ATORVASTATIN CALCIUM","20 MG","90","Select","Select",""],["","61314014315","BRIMONIDINE TARTRATE","0.2 %","45","Select","Select",""],["","65862098799","POTASSIUM CHLORIDE","10 MEQ","90","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":""}]}]}