{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"TANDRA HILL","gend":1,"add":"925 N HENRY ST APT 9","city":"ALEXANDRIA","state":"VA","zip":"22314-9998","dob":"1984-11-24","age":"","mstatus":"","insh":"2418641*01","cliId":"","pno":7035486192,"cno":7035486192,"email":"","ename":"","eno":"","pphy":"OSBORNE-WU, JEWEL MD","ppno":7035355568,"pcpadd":"2 EAST GLEBE ROAD,","pcpcity":"ALEXANDRIA","pcpstate":"VA","pcpzip":"22305-9998","pcpcounty":"","pcpid":"","pcpname":"","plan":"OHP","program":"MEDICAID","lob":"M4","region":"NORTHERN & WINCHESTER","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":7035351583,"pcpnpi":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["F33.1","F10.129","F16.10","R45.1","Z20.822","R20.2","R63.0","F14.10","F33.9","F10.20","F16.20","F12.20","E11.9","F17.210","F10.120","D64.9","R07.9","T50.901A","Z74.3","N76.0","L72.0","N89.9","F19.10","F10.929","T65.91XA","R40.1","Z04.89","F31.10","F20.9","F41.1","F10.10","F12.10","A69.20","F39.","S09.93XA","Y90.9","M79.604","Z65.1","T23.201A","R40.4","Z00.8","S09.90XA","S02.2XXA","Z02.89","Z79.899","R41.82","A59.9","Z20.2","U07.1","R09.81","G47.00","Z86.59","F43.12","F18.10","Z91.14","Z04.6","S00.83XA","S80.212A","H57.9","F31.5","Z59.00","R73.9","R51.9","R56.9","R25.1","F31.9","F18.90","T88.7XXA","F32.9","V62.84","Z03.818","J02.9","F33.2","F15.10","F17.200","F41.9","F10.920","T50.905A","S00.03XA","Z91.148","S01.81XA","R55.","L03.112","L03.111","I10.","Z79.4","L02.412"],"date":["2023-04-20","2023-06-23","2022-06-30","2022-06-30","2023-04-01","2022-07-22","2022-09-09","2022-11-08","2022-10-18","2022-11-08","2022-11-08","2022-10-18","2023-07-26","2023-06-23","2023-06-23","2021-10-20","2022-06-30","2022-08-12","2023-06-23","2022-02-08","2022-02-08","2022-02-08","2023-06-23","2022-06-30","2022-08-12","2021-10-07","2022-07-01","2022-07-07","2022-09-26","2022-09-26","2023-04-22","2023-04-24","2022-09-26","2022-11-08","2021-11-06","2022-06-30","2022-07-22","2023-03-27","2022-12-02","2021-10-20","2023-06-23","2022-02-21","2022-02-21","2023-03-27","2022-08-27","2023-04-15","2022-04-03","2022-04-03","2022-08-02","2022-08-02","2023-04-22","2021-11-04","2021-11-04","2022-07-05","2022-07-05","2021-11-04","2021-11-06","2021-11-06","2022-06-30","2022-07-05","2022-07-05","2022-07-22","2022-08-02","2022-08-27","2022-08-27","2023-04-26","2023-04-26","2023-04-15","2023-04-22","2023-04-24","2023-04-19","2023-04-01","2023-04-24","2023-04-24","2023-04-24","2023-04-01","2023-06-23","2023-06-23","2023-06-23","2023-06-23","2023-06-23","2023-07-26","2023-07-26","2023-07-26","2023-07-26","2023-07-26","2023-07-26"],"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":[["","65862001905","CEPHALEXIN","500 MG","40","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":""}]}]}