{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"MORGAN G STEELMAN","gend":1,"add":"21014 WESTOVER DR UNIT B","city":"MCKENNEY","state":"VA","zip":"23872-9998","dob":"2000-05-20","age":"","mstatus":"","insh":"2229959*01","cliId":"","pno":8049432216,"cno":8049432216,"email":"","ename":"","eno":"","pphy":"RUSSELL, AMANDA MD","ppno":8044693731,"pcpadd":"13855 COURTHOUSE ROAD,","pcpcity":"DINWIDDIE","pcpstate":"VA","pcpzip":"23841-9998","pcpcounty":"","pcpid":"","pcpname":"","plan":"OHP","program":"MEDICAID","lob":"M4","region":"CENTRAL","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":8044695307,"pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["O42.013","O99.344","F31.9","Z37.0","Z3A.36","F43.10","F41.9","Z79.899","Z20.822","O42.02","D64.9","V23.7","Z3A.30","F33.2","F60.3","F17.200","F12.90","N63.10","R92.8","V62.84","NO DATA","Z30.2","Z68.1","F41.1","F39.","Z39.0","Z23.","O99.891","R10.9","M54.5","Z3A.28","Z87.59","O36.63X0","Z03.73","Z3A.31","O09.33","Z3A.33","Z34.93","Z39.1","R05.9","Z03.818"],"date":["2021-06-15","2021-06-15","2022-07-21","2021-06-17","2021-06-15","2022-08-31","2021-06-15","2021-06-15","2022-02-22","2021-06-15","2022-07-23","2021-05-26","2021-05-03","2022-07-25","2022-08-31","2022-07-25","2022-07-25","2021-07-02","2021-07-02","2022-07-22","2021-05-04","2021-07-21","2021-07-21","2022-08-31","2022-08-31","2021-06-17","2022-10-26","2021-04-20","2021-04-20","2021-04-20","2021-05-26","2021-04-20","2021-05-10","2021-05-10","2021-05-10","2021-05-26","2021-05-26","2021-06-15","2021-07-09","2022-02-22","2022-07-21"],"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":[["","00185012201","NITROFURANTN","CAP 100MG","14","Select","Select",""],["","68180035302","SERTRALINE","TAB 100MG","30","Select","Select",""],["","00115180301","HYDROXYZ PAM","CAP 25MG","90","Select","Select",""],["","67877043103","ARIPIPRAZOLE","TAB 5MG","30","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":""}]}]}