{"version":"0.4","data":[{"t":"Demographics","q":[{"name":" SEMAJLLAH L","gend":0,"add":"B .O.P12 XO","city":"NICKELSVILLE","state":"VA","zip":24271,"dob":"1962-04-23","age":"","mstatus":"","insh":"50010788","cliId":"","pno":"8867249240","cno":2768804294,"email":"","ename":"","eno":"","pphy":"WHITMAN, ALISON D","ppno":2768804294,"pcpadd":"24530 FALCON PL BLVD ,STE 102","pcpcity":"ABINGDON","pcpstate":"VA","pcpzip":24211,"pcpcounty":"","pcpid":"","pcpname":"WELLMONT MEDICAL ASSOCIATES IN","plan":"VPHP","program":"MEDICAID","lob":"MLTSS","region":"SOUTHWEST","aligned":"","ano":"","add2":"P.O. BOX 21","add3":"","madd1":"P.O. BOX 21","madd2":"","madd3":"","mcity":"NICKELSVILLE                  ","mstate":"VA","mzip":"24271-0021","pcpfaxno":"","pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["M54.41","M25.551","M54.5","G89.29","R07.82","Z79.891","C64.2","D73.89","K42.9","Z85.528","E11.65","E55.9","G89.4","K92.0","K92.2","R10.84","R10.817","I10","F17.290","R07.89","R10.13","R11.2","R74.8","F17.220","E11.9","Z90.5","E78.5","Z79.899","R93.5","H53.149","R51.9","R41.82","G72.3"],"date":["2019-02-21","2019-02-21","2019-02-21","2021-04-16","2019-05-31","2019-08-06","2019-06-14","2019-06-14","2019-06-14","2019-06-14","2019-08-06","2019-08-06","2019-08-06","2021-04-16","2019-09-15","2019-09-15","2019-09-15","2021-12-20","2019-09-15","2021-04-16","2021-04-16","2021-04-16","2021-04-16","2021-04-16","2021-05-19","2021-04-16","2021-05-19","2021-05-19","2021-04-16","2021-05-19","2021-05-19","2021-05-19","2021-12-20"],"priorHcc":["","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","",""]}}]},{"t":"Covid Screening","q":[{"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":{"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":""}]}]}