{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"JASON E BALDWIN","gend":0,"add":"5001 LIBBIE MILL EAST BLVD APT 321","city":"RICHMOND","state":"VA","zip":"23230-9998","dob":"1978-10-10","age":"","mstatus":"","insh":"2403597*01","cliId":"","pno":8043108890,"cno":8043108890,"email":"","ename":"","eno":"","pphy":"DODD, JEFFREY MD","ppno":8048972159,"pcpadd":"2891 ANDERSON HWY,","pcpcity":"POWHATAN","pcpstate":"VA","pcpzip":"23139-9998","pcpcounty":"","pcpid":"","pcpname":"","plan":"OHP","program":"MEDICAID","lob":"M4","region":"CENTRAL","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":8042505774,"pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["NO DATA","K52.89","G93.40","F10.20","D64.9","A41.9","R65.21","I46.9","G93.41","J96.00","R64.","B17.9","K56.0","R93.3","I49.9","I48.91","R09.2","R40.4","N17.9","R57.9","R19.7","I51.89","J69.0","J96.01","Z20.822","F10.231","E87.1","F41.9","J30.81","F17.200","E83.42","D69.6","K70.10","K52.9","Z88.0","Z93.2","Z56.0","R06.82","F10.10","I50.9","Z66.","E87.6","I25.10","Z51.5","Z87.891","E83.39","E43.","E86.0","E88.09","I50.31","I51.7","I82.403","R79.89","B49.","G93.1","R10.84","Z04.9"],"date":["2023-08-28","2021-08-06","2023-08-26","2021-08-10","2021-08-10","2023-08-28","2023-08-25","2023-08-28","2023-08-28","2023-08-28","2023-08-28","2023-08-27","2021-08-14","2021-08-14","2023-08-21","2023-08-21","2023-08-21","2023-08-21","2023-08-28","2023-08-28","2023-08-28","2023-08-24","2023-08-18","2023-08-21","2023-08-18","2023-08-18","2023-08-21","2023-08-21","2023-08-18","2023-08-18","2023-08-21","2023-08-19","2023-08-18","2023-08-18","2023-08-18","2023-08-18","2023-08-18","2023-08-18","2023-08-28","2023-08-22","2023-08-21","2023-08-21","2023-08-21","2023-08-21","2023-08-21","2023-08-21","2023-08-21","2023-08-21","2023-08-21","2023-08-21","2023-08-21","2023-08-24","2023-08-25","2023-08-25","2023-08-26","2021-08-05","2023-08-17"],"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":""}]}]}