{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"KATIE PENYCATE","gend":1,"add":"90 BANKS FORD PKWY","city":"FREDERICKSBURG","state":"VA","zip":"22406-9998","dob":"1984-12-19","age":"","mstatus":"","insh":"2199071*01","cliId":"","pno":8045430322,"cno":8045430322,"email":"","ename":"","eno":"","pphy":"VOSS, CAROL MD","ppno":5403700295,"pcpadd":"11 SMOKEHOUSE DRIVE SUITE 101,","pcpcity":"FREDERICKSBURG","pcpstate":"VA","pcpzip":"22406-9998","pcpcounty":"","pcpid":"","pcpname":"","plan":"OHP","program":"MEDICAID","lob":"M4","region":"CENTRAL","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":5403700619,"pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["R00.0","J18.9","R50.9","Z51.81","R57.0","I61.9","I42.8","S06.5X9A","I50.21","D72.829","T14.8XXA","Z93.0","J96.01","Z98.890","R47.01","R52.","G93.40","K11.7","W19.XXXA","R33.9","R74.01","I69.154","I69.118","I69.191","R13.12","Z93.1","I69.122","I69.120","R45.1","I11.0","R32.","K59.00","M24.572","M24.571","M24.561","M24.562","I69.354","I69.322","R13.10","I10.","Z98.1","Z48.811","I62.00","I61.1","I69.391","J96.90","I69.222","I69.291","M25.569","R25.2","I69.228","R11.2","I50.20","M25.519","I95.9","V58.89","R47.1","M25.512","F32.9","F43.21","G47.00","N39.46","Z87.820","Q28.2","I50.9","I69.320","E66.01","Z68.45","I63.532","S09.90XA","Z71.89","G93.5","G93.6","J96.00","R94.01","Q27.30","J81.0","J96.10","J69.0","D64.9","I82.890","L30.9","R53.81","Z86.14","E11.9","I61.0","R40.2434","I63.9","D69.6","D68.9","I82.613","R84.5","Z78.9","Z02.9","G81.94","R41.82","G81.14","I69.30","Z79.899","R41.841","Z51.89","G93.2","R50.81","I82.A12","F14.99","B95.8","R63.3","M79.644","M24.569","M62.838","I69.318","K04.7","I25.10","M62.462","I69.321","J15.211","I12.9","Z20.822","I69.298","W18.39XA","Y92.239","Z13.6","J98.11","Z00.8","I74.2","Z43.1","J96.02","F41.9","K59.01","M79.641","Z43.0","Z29.9","Z79.01","G24.9","R51.9","M21.372"],"date":["2021-01-25","2021-02-15","2021-02-07","2021-02-07","2021-04-15","2021-02-15","2021-02-16","2021-02-15","2021-05-19","2021-04-13","2021-04-12","2021-04-12","2021-04-15","2021-04-15","2021-04-13","2021-04-13","2021-04-09","2021-03-11","2021-04-08","2021-05-13","2021-04-27","2021-05-19","2021-04-15","2021-05-19","2021-05-19","2021-05-07","2021-05-19","2021-04-15","2021-05-12","2021-07-22","2021-07-22","2021-07-22","2021-12-31","2021-12-31","2021-12-31","2021-12-31","2021-07-22","2021-07-22","2021-07-22","2021-04-16","2021-04-16","2021-05-20","2021-05-06","2021-04-21","2021-07-22","2021-07-22","2021-05-07","2021-05-07","2021-05-13","2021-05-19","2021-05-07","2021-05-06","2021-05-07","2021-05-07","2021-05-19","2021-05-13","2021-05-13","2021-05-13","2021-07-22","2021-07-22","2021-07-22","2021-07-09","2021-07-09","2021-07-22","2021-07-22","2021-07-22","2021-07-22","2021-07-13","2021-07-20","2021-07-20","2021-01-01","2021-02-08","2021-02-08","2021-01-24","2021-01-06","2021-04-24","2021-02-08","2021-02-08","2021-02-08","2021-05-10","2021-02-08","2021-04-12","2021-05-13","2021-05-02","2021-05-02","2021-01-20","2021-01-07","2021-01-17","2021-01-07","2021-01-07","2021-01-22","2021-04-09","2021-03-21","2021-04-09","2021-05-13","2021-05-13","2021-07-22","2021-07-22","2021-07-22","2021-07-22","2021-01-07","2021-01-17","2021-01-17","2021-01-17","2021-01-17","2021-01-17","2021-02-16","2021-04-15","2021-05-05","2021-06-08","2021-06-08","2021-06-08","2021-07-22","2021-07-22","2021-07-22","2021-02-08","2021-04-22","2021-07-30","2021-05-03","2021-05-16","2021-05-16","2021-01-04","2021-01-24","2021-02-06","2021-01-15","2021-02-16","2021-02-16","2021-02-16","2021-02-16","2021-02-16","2021-02-16","2021-02-16","2021-02-16","2021-04-21","2021-06-24","2021-07-29"],"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":""}]}]}