{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"S  NWADECNEP ","gend":1,"add":"NIAM N 56291 TPA TS ","city":"HARRISONBURG","state":"VA","zip":22802,"dob":"1958-02-24","age":"","mstatus":"","insh":"01100210*90","cliId":"","pno":"47\/0450962-6","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"434\/227-5264","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":22802,"pcpcounty":"","pcpid":"","pcpname":"","plan":"OHP","program":"Medicaid","lob":"OHCC","region":"WESTERN\/ CHARLOTTESVILLE","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"","pcpnpi":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["T43.622A","E87.2","E87.0","L03.316","S52.201A","S80.12XA","S80.11XA","S40.022A","S40.012A","S20.222A","S20.221A","R74.8","M50.30","M25.462","M17.0","I10.","F90.9","F31.2","R45.1","R44.2","R40.4","R09.02","R06.89","F43.10","F29.","R41.0","R45.6","R23.1","F41.1","F22.","M17.12","M17.11","E11.9","Z87.891","Z79.899","Z88.5","E66.9","F31.9","I16.0","Z96.651","M25.562","R10.84","R10.30","R21.","R19.7","R11.2","Z78.9","Z90.49","F17.290","Z79.4","R53.83","N17.9","G93.40","F60.3","F19.10","F15.90","E86.0","E11.65","E03.9","B18.2","R44.3","R50.9","R00.0","F15.10","R51.","R79.9","Z53.20","Z68.25","M19.90","Z80.3","R45.7","F15.20","N30.00","F31.12","Z20.828","K52.9","F20.9","F17.210","M54.12","NO DATA","Z23.","F30.9","Z90.710","Z88.8","G44.209","R45.0","R10.9","J34.0","Z68.30","Z68.32","R44.1","B19.20","M79.89","R52.","I49.9","W19.XXXA","G44.89","R42.","E16.1","E16.2","R51.9","R25.9","F41.9","Z68.33","Z53.29","R58.","S80.10XA","Z13.30","Z88.6","R09.89","R11.0","R11.11","R53.81","F41.0","G92.","B96.1","F13.10","T42.4X5A","F10.929","F43.9"],"date":["2020-01-13","2020-12-30","2020-12-30","2020-01-13","2020-01-13","2020-01-13","2020-01-13","2020-01-13","2020-01-13","2020-01-13","2020-01-13","2020-01-13","2022-07-29","2020-01-13","2022-05-10","2022-09-07","2022-07-29","2020-05-10","2022-01-18","2021-10-17","2020-10-31","2022-06-09","2020-08-10","2022-02-17","2021-07-20","2021-10-17","2021-10-17","2021-10-17","2022-04-14","2022-03-17","2022-07-29","2022-03-17","2022-09-07","2022-09-07","2022-06-09","2022-07-29","2022-09-07","2022-07-29","2022-06-20","2022-07-29","2022-07-29","2022-06-09","2020-10-31","2020-10-31","2022-01-29","2022-01-29","2022-01-29","2022-01-29","2022-06-09","2022-02-17","2022-01-29","2022-09-07","2022-02-17","2022-02-17","2022-09-07","2022-06-09","2022-09-07","2022-02-17","2022-02-17","2022-04-14","2021-08-23","2020-08-10","2022-06-09","2021-10-17","2020-08-10","2020-08-10","2020-12-01","2020-08-10","2021-10-17","2022-01-14","2022-01-14","2021-07-21","2020-12-30","2020-12-30","2020-12-30","2020-12-30","2020-12-30","2020-12-30","2021-01-18","2022-01-29","2021-03-25","2021-08-20","2022-01-14","2022-05-10","2021-09-15","2021-09-15","2020-12-01","2022-02-08","2022-04-22","2022-09-07","2022-05-10","2021-10-17","2022-04-14","2022-06-09","2020-12-29","2021-02-26","2021-09-17","2021-09-17","2022-01-14","2022-01-14","2022-01-18","2022-06-09","2022-06-09","2021-09-17","2021-09-17","2021-09-19","2021-09-19","2022-01-14","2022-09-07","2022-01-14","2022-01-23","2022-01-29","2022-01-29","2022-05-16","2020-03-10","2020-03-10","2020-03-10","2020-03-10","2020-03-10","2021-07-21"],"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":{"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":""}]}]}