{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"DONALD BEACH","gend":0,"add":"37 N SEARCY DR","city":"HAMPTON","state":"VA","zip":"23666-9998","dob":"1971-04-19","age":"","mstatus":"","insh":"2140452*01","cliId":"","pno":7579516017,"cno":7579516017,"email":"","ename":"","eno":"","pphy":"BOYER, DEBRA MD","ppno":7578501311,"pcpadd":"191 FOX HILL ROAD STE D,","pcpcity":"HAMPTON","pcpstate":"VA","pcpzip":"23669-9998","pcpcounty":"","pcpid":"","pcpname":"","plan":"OHP","program":"MEDICAID","lob":"M4","region":"TIDEWATER","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":7578507315,"pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["E11.628","L08.9","I10.","E11.65","Z86.14","E78.5","Z48.01","E11.621","L97.424","B96.20","K21.9","D64.9","Z45.2","Z79.2","Z79.01","Z79.4","Z91.81","A41.9","E11.69","M86.172","I12.9","N18.9","T81.31XA","M79.672","W01.0XXA","Y92.019","K29.80","K26.9","D50.9","T82.524A","I11.0","I50.9","E11.9","M19.90","L97.529","I42.9","M86.272","E66.01","L02.612","B95.62","E11.22","I13.0","I50.22","I49.3","I51.7","R41.82","Z51.89","S91.302A","B96.89","N18.30","D63.1","R59.9","D56.3","I08.3","L02.416","B96.5","B95.2","S81.802A","I50.20","T82.898A","B99.9","Z86.19","B95.8","M79.605","M79.89","R50.9","K92.2","K92.1","D62.","L97.429","Z20.822","E78.00","L02.92","F14.90","G47.30","F17.220","N17.9","L97.524","Z01.810","I34.0","Z53.21","Z79.899","R00.0","L03.113","L89.629","NO DATA","A41.02","I42.8","E87.1","A41.59","R40.1","R03.0","Z04.89","R65.10","J18.9","K26.3","R19.5","F12.90","M60.862","K25.4","G93.41","M86.9","D50.0","D56.1"],"date":["2021-09-09","2021-09-09","2021-02-22","2021-09-22","2021-02-22","2021-09-22","2021-08-02","2021-06-08","2021-06-08","2021-02-22","2021-09-22","2021-06-05","2021-09-22","2021-09-22","2021-02-22","2021-09-22","2021-02-22","2021-06-07","2021-09-22","2021-09-10","2021-06-21","2021-09-22","2021-06-30","2021-06-30","2021-06-30","2021-06-30","2021-07-02","2021-07-02","2021-07-03","2021-07-27","2021-07-27","2021-07-27","2021-07-27","2021-07-12","2021-01-13","2021-06-11","2021-09-22","2021-06-11","2021-09-22","2021-09-22","2021-09-22","2021-09-22","2021-09-22","2021-07-01","2021-07-01","2021-07-05","2021-07-12","2021-01-17","2021-08-09","2021-06-23","2021-07-05","2021-06-21","2021-07-05","2021-06-08","2021-06-18","2021-08-09","2021-06-18","2021-06-21","2021-07-05","2021-07-27","2021-06-10","2021-06-23","2021-06-10","2021-06-13","2021-06-13","2021-06-30","2021-06-30","2021-07-05","2021-07-05","2021-06-07","2021-01-14","2021-01-14","2021-01-14","2021-01-14","2021-01-14","2021-06-07","2021-07-01","2021-01-14","2021-01-14","2021-06-10","2021-07-26","2021-09-10","2021-01-03","2021-01-03","2021-01-13","2021-01-21","2021-06-07","2021-07-01","2021-06-07","2021-06-07","2021-06-30","2021-06-30","2021-07-27","2021-01-14","2021-06-08","2021-07-03","2021-07-03","2021-07-03","2021-06-08","2021-07-01","2021-07-01","2021-07-01","2021-07-02","2021-07-01"],"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":""}]}]}