{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"MICHAEL WRIGHT","gend":0,"add":"269 HILL CREEK ROAD","city":"DRY FORK","state":"VA","zip":"24549-9998","dob":"1965-10-07","age":"","mstatus":"","insh":"20067572*01","cliId":"","pno":4342503865,"cno":4342503865,"email":"","ename":"","eno":"","pphy":"CAPLAN, MICHAEL A MD","ppno":4347911345,"pcpadd":"SUITE H 125 EXECUTIVE DRIVE,","pcpcity":"DANVILLE","pcpstate":"VA","pcpzip":"24541-9998","pcpcounty":"","pcpid":"","pcpname":"Sovah Internal Medicine Danville","plan":"OHP","program":"MEDICAID","lob":"OHCC","region":"CHARLOTTESVILLE WESTERN","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":4347996865,"pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["N20.0","K21.9","R11.2","R93.421","R11.10","R10.30","R19.8","R63.4","K59.00","Z85.038","Z86.010","NO DATA","E87.1","N17.9","M54.42","M51.36","R15.9","R65.10","E87.2","E86.1","E87.8","I25.10","N40.0","I10.","E78.5","N52.9","E86.0","J44.9","F17.210","Z95.5","Z76.89","F17.200","N20.2","C18.9","Z48.89","C18.2","R63.6","R63.0","N28.89","Z87.19","Z72.0","N52.1","S31.109A","T15.01XA","R07.9","K80.80","D50.9","R73.9","I25.2","K80.20","N20.1","E44.0","Z68.1","K56.7","Z90.49","Z95.818","Z92.21","N52.8","Z91.148"],"date":["2022-10-17","2022-03-07","2022-01-12","2022-01-12","2022-03-07","2022-03-07","2022-03-07","2022-03-07","2022-03-07","2023-05-01","2022-03-07","2022-03-22","2022-03-22","2022-03-22","2022-10-17","2022-10-17","2021-03-01","2022-01-17","2022-01-21","2022-01-17","2022-01-17","2023-06-20","2022-03-15","2023-06-20","2023-06-20","2022-03-15","2022-03-15","2023-02-22","2023-02-22","2023-06-20","2022-01-28","2023-06-20","2022-01-17","2022-03-04","2022-03-04","2022-04-05","2022-04-05","2022-04-05","2022-01-04","2022-02-04","2021-03-31","2021-03-31","2022-08-23","2021-03-04","2021-06-16","2021-06-16","2023-02-22","2023-02-22","2023-02-22","2021-07-07","2021-11-24","2022-03-15","2022-03-15","2022-03-15","2022-03-15","2022-03-15","2022-03-15","2023-06-20","2023-06-20"],"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":""}]}]}