{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"L ADNILSREOJ ","gend":1,"add":"F YELUAP 1051DAOR SDOOWTAL","city":"AUSTINVILLE","state":"VA","zip":24312,"dob":"1965-01-05","age":"","mstatus":"","insh":"10112816","cliId":"","pno":"1667234527","cno":"","email":"","ename":"","eno":"","pphy":"GARLAND, JEFFREY S","ppno":2766172543,"pcpadd":"2851 CARROLLTON PIKE ,STE A5","pcpcity":"WOODLAWN","pcpstate":"VA","pcpzip":24381,"pcpcounty":"","pcpid":"","pcpname":"MID ATLANTIC QUICKCARE PLLC","plan":"VPHP","program":"MEDICARE","lob":"DSNP","region":"Roanoke\/Alleghany","aligned":"Y","ano":"","add2":"                                                  ","add3":"","madd1":"1501 PAULEY FLATWOODS ROAD                        ","madd2":"                                                  ","madd3":"","mcity":"AUSTINVILLE              ","mstate":"VA","mzip":"24312-9998","pcpfaxno":"","pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["K57.32","M54.50","R10.9","R10.30","E78.5","Z87.19","Z88.1","Z88.0","Z88.2","Z79.899","Z79.84","Z79.1","E11.9","Z90.49","E89.0","F17.210","M25.531","W19.XXXA","K21.9","Z12.11","Z86.010","K57.30","S82.891D","J01.90","F51.01","I10","E03.9","E78.2","E55.9","F41.8","J44.9","E53.9","R11.0","J30.2","S82.891A","R42","S63.501A","S69.91XA","W01.0XXA","M79.7","H90.5","K57.92","I65.23","D35.02","Z12.31","M25.579","K91.5","R19.7","K59.00","R10.13","R11.2"," "],"date":["2022-01-23","2022-01-23","2022-08-08","2022-01-23","2022-01-23","2022-01-23","2022-01-23","2022-01-23","2022-01-23","2022-01-23","2022-01-23","2022-01-23","2022-08-08","2022-01-23","2022-01-23","2022-01-23","2021-01-07","2021-01-07","2022-09-30","2020-12-16","2022-09-30","2022-09-30","2020-10-27","2022-06-13","2022-01-04","2022-08-08","2022-08-08","2022-01-04","2022-08-08","2022-01-04","2022-01-04","2022-01-04","2022-01-04","2022-01-04","2020-10-27","2020-10-21","2021-01-07","2021-01-07","2021-01-07","2021-01-07","2021-01-28","2022-01-23","2020-10-21","2020-10-21","2022-01-14","2020-10-14","2020-10-14","2022-09-30","2022-09-30","2022-09-30","2022-09-30","2022-09-30"],"priorHcc":["","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","",""]}}]},{"t":"Covid Screening","q":[{"a":[]}]},{"t":"Screenings Needed","q":[{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":{"indx":[["","","",""],[""],[""],[""],[""],[""]],"comment":[["","","",""],[""],[""],[""],[""],[""]],"sub":[]}}},{"a":{"indx":["1",""],"comment":["",""],"sub":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["1",""],"comment":["",""],"sub":{"indx":[["","",""],[""],[""],[""],[""]],"comment":[["","",""],[""],[""],[""],[""]],"sub":[]}}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}}]},{"t":"Patient Summary","q":[{"a1":"","a2":"","a3":"","a4":"","a5":"","a6":"","a7":[],"a8":"","a9":"","a10":[],"a11":"","a12":"","a13":""}]}]}