{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"KEVIN M GUYER","gend":0,"add":"1234 W JACKSON ST","city":"GATE CITY","state":"VA","zip":"24251-9998","dob":"1971-08-27","age":"","mstatus":"","insh":"2369278*01","cliId":"","pno":2764695750,"cno":2764695750,"email":"","ename":"","eno":"","pphy":"CARTER, ALYSEN M MD","ppno":2763863411,"pcpadd":"390 KANE STREET,","pcpcity":"GATE CITY","pcpstate":"VA","pcpzip":"24251-9998","pcpcounty":"","pcpid":"","pcpname":"Holston Medical Group PC","plan":"OHP","program":"MEDICAID","lob":"M4","region":"SOUTHWEST","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":2763863492,"pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["I50.33","R09.02","R06.02","R07.9","R06.89","I51.0","I51.7","R07.89","I50.30","I10.","Z91.19","I26.99","R60.0","E66.01","J44.9","G47.33","J96.92","G89.4","Z79.891","F11.20","F17.218","L03.115","L03.211","R60.9","Z53.21","J44.1","J96.21","J96.22","I13.0","I50.32","Z68.42","J96.12","Z53.29","F17.210","N18.9","G47.30","I25.2","Z90.5","Z90.81","R07.2","G93.41","I50.43","Z68.41","I82.409","I11.0","G89.29","E78.5","Z91.14","I87.8","I89.0","M79.89","R78.81","N17.9","B95.61","I87.2","F41.9","Z99.81","L03.116","J96.01","M54.30","D64.9","E87.5","I50.9","Z86.711","Z86.718","U07.1","I27.82","E27.9","I77.810","NO DATA","Z68.43","J44.0","M46.1","K80.20","H25.813","R41.82","L03.90","Z79.01","Z79.899","J96.02","Z72.0","Z20.822","R06.00","R42.","F15.10","G62.9","E66.2","I27.81","R91.8","Z86.19","Z86.79","Z87.891","J18.9","F13.20","M54.9","M62.81","G47.34","J96.10","E87.70","F17.200","Z88.0","I46.9","J96.11","E87.2","I07.1","J96.00"],"date":["2021-11-07","2021-03-29","2021-10-27","2021-10-14","2021-03-29","2021-03-30","2021-03-30","2021-11-05","2021-09-02","2021-11-07","2021-07-05","2021-10-29","2021-10-14","2021-11-07","2021-10-04","2021-12-03","2021-07-09","2021-07-23","2021-07-09","2021-12-03","2021-07-09","2021-09-17","2021-09-12","2021-09-12","2021-10-27","2021-12-03","2021-12-03","2021-12-03","2021-03-29","2021-10-29","2021-03-29","2021-07-05","2021-03-29","2021-12-03","2021-03-29","2021-10-29","2021-03-29","2021-07-22","2021-07-22","2021-10-29","2021-07-05","2021-12-03","2021-10-29","2021-07-05","2021-12-03","2021-07-22","2021-07-05","2021-12-03","2021-11-07","2021-12-03","2021-07-05","2021-07-09","2021-07-07","2021-07-09","2021-07-07","2021-07-08","2021-10-04","2021-07-09","2021-12-03","2021-10-29","2021-07-23","2021-11-07","2021-12-03","2021-07-23","2021-07-22","2021-11-07","2021-12-03","2021-10-29","2021-10-29","2021-11-07","2021-12-03","2021-12-03","2021-11-07","2021-11-07","2021-03-18","2021-07-21","2021-09-12","2021-12-03","2021-10-14","2021-10-29","2021-12-03","2021-03-10","2021-03-29","2021-03-23","2021-09-02","2021-10-14","2021-12-03","2021-06-14","2021-07-23","2021-07-23","2021-07-23","2021-07-22","2021-12-03","2021-12-03","2021-05-27","2021-06-21","2021-07-08","2021-03-29","2021-05-27","2021-05-27","2021-07-09","2022-01-02","2021-03-10","2021-03-30","2021-07-08","2021-07-23"],"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":""}]}]}