{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"W DYOLLSUTSUJ ","gend":0,"add":"SSEUG 1074DR KROF SE","city":"HURLEY","state":"VA","zip":24620,"dob":"1963-12-09","age":"","mstatus":"","insh":"50013279","cliId":"","pno":"6567275476","cno":"","email":"","ename":"","eno":"","pphy":"PATEL, DINKAR N","ppno":2765667457,"pcpadd":"1520 SLATE CREEK RD ,STE 101","pcpcity":"GRUNDY","pcpstate":"VA","pcpzip":24614,"pcpcounty":"","pcpid":"","pcpname":"TRI STATE CLINIC","plan":"VPHP","program":"MEDICAID","lob":"MLTSS","region":"SOUTHWEST","aligned":"","ano":"","add2":"4701 GUESSES FORK RD","add3":"","madd1":"4701 GUESSES FORK RD","madd2":"","madd3":"","mcity":"HURLEY                        ","mstate":"VA","mzip":"24620-7796","pcpfaxno":"","pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["M19.90","I10","M54.5","E11.42","J20.9","J32.1","R05","H66.92","E11.9","J44.9","F41.1","F51.01","F17.210","R09.02","J18.9","U07.1","J12.82","E11.65","J96.01","N17.9","I35.1","E86.0","E66.01","Z68.33","Z79.84","Z79.899","I35.8","I26.99","K76.0","I35.9","I51.7"],"date":["2021-12-21","2021-12-21","2020-11-20","2021-12-21","2021-09-21","2019-12-10","2019-08-05","2020-02-20","2020-07-07","2020-11-20","2020-11-20","2020-11-20","2020-11-20","2021-09-26","2021-09-29","2021-09-29","2021-09-28","2021-09-26","2021-09-28","2021-09-28","2021-10-02","2021-09-26","2021-09-26","2021-09-26","2021-09-26","2021-09-26","2021-09-29","2021-09-29","2021-09-30","2021-10-02","2021-10-02"],"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":{"indx":[["","","",""],[""],[""],[""],[""],[""]],"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":""}]}]}