{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"VLA ALEIRBAGZEUQZAV ZERA","gend":1,"add":"YDDUR 90811 TPA TC ","city":"CHESAPEAKE","state":"VA","zip":23320,"dob":"1991-03-30","age":"","mstatus":"","insh":"0169110*07","cliId":"","pno":"29\/7577301-0","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":23320,"pcpcounty":"","pcpid":"","pcpname":"EVMS Maternal & Fetal Medicine","plan":"OHP","program":"Medicaid","lob":"M4","region":"TIDEWATER","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":["O24.419","Z3A.36","V23.9","O24.414","Z3A.35","Z39.2","O99.213","Z3A.34","O80.","R10.2","Z39.1","Z34.82","Z34.83","Z86.32","Z13.31","O24.410","Z71.3","Z3A.31","Z3A.33","Z3A.32","O99.89","O24.319","Z3A.37","V23.5","Z23.","V23.89","Z3A.00","Z36.9","O24.313","Z3A.38","O10.913","O99.283","E28.2","Z28.310","Z86.19","Z79.899","Z79.4","R51.9","Z3A.29","O24.424","Z37.0","O99.824","O16.4","Z3A.39","O16.3","Z38.00","O10.92","O24.429","E66.01","O99.214","O32.2XX0","O70.0","Z01.812","Z20.822","O24.415","Z11.3","Z01.818","E11.9","I10.","R32.","Z30.09"],"date":["2020-05-07","2022-08-23","2022-08-30","2022-09-03","2022-08-16","2022-10-14","2022-08-30","2022-08-09","2022-09-03","2022-09-12","2022-09-26","2022-09-26","2022-09-26","2022-10-14","2022-10-14","2020-03-16","2020-04-02","2020-03-16","2022-08-04","2020-04-30","2020-05-04","2020-04-30","2022-08-30","2022-08-04","2022-09-03","2022-09-01","2022-09-01","2022-07-13","2020-05-04","2022-09-03","2022-08-23","2022-08-23","2022-08-23","2022-08-23","2022-08-23","2022-08-23","2022-09-03","2022-08-23","2020-03-05","2020-05-11","2022-09-03","2020-05-11","2020-05-11","2020-05-11","2022-08-26","2022-09-04","2022-09-03","2022-09-03","2022-09-03","2022-09-03","2022-09-03","2022-09-03","2022-09-03","2022-09-03","2022-08-09","2022-08-23","2022-10-26","2022-09-14","2022-09-14","2022-10-21","2022-10-26"],"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":[]}},{"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":""}]}]}