{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"YNAFFITTFARC ","gend":1,"add":"NAGE 1253A TPA DR ","city":"CHESTERFIELD","state":"VA","zip":23832,"dob":"1983-03-25","age":"","mstatus":"","insh":"0303210*55","cliId":"","pno":"04\/4089032-2","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":23832,"pcpcounty":"","pcpid":"","pcpname":"Primary Health Group - Village Green","plan":"OHP","program":"Medicaid","lob":"M4","region":"CENTRAL","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":["K08.89","G43.109","NO DATA","Z68.41","J06.9","J45.909","Z20.822","R51.9","R10.30","K59.00","R11.0","M25.562","M25.561","M22.2X1","M17.0","M22.2X2","R22.43","Q68.2","E66.01","R10.84","R14.0","R11.2","M79.7","R53.1","R20.0","R29.818","M65.9","G24.8","M62.81","M79.641","R10.2","F41.8","E55.9","E53.8","E66.9","R10.31","M50.10","M54.2","R07.81","R10.9","R06.02","M54.16","R20.2","R29.810","R26.81","R47.81","R26.9","M54.12","M25.532","S60.212A","S63.502A","M77.8","E66.09","G62.9","E87.6","R00.0","M70.62","R20.9","N90.4","N76.1","R20.8","N76.0","B96.89","F41.9","B34.9","J01.90","R25.2","Z01.419","R10.33","G95.9","L03.317","M79.604","R26.2","R94.31","G47.00","F43.0","Z00.00","Z12.31","E78.5","R73.9","R26.89","R53.83","R29.898","F41.1","J45.40","M65.4","S63.682A","M79.621","M79.622","N89.8","M25.50","M62.838","M22.8X1","M22.8X2","Z79.899","J02.9","J30.9","Z04.9","U07.1","J45.30","Z20.828","M79.605","R03.0","G60.8"],"date":["2021-02-01","2021-09-08","2021-12-27","2022-11-02","2021-10-09","2022-05-24","2021-10-09","2021-10-09","2021-11-18","2022-04-28","2022-04-26","2021-12-24","2021-12-24","2021-12-06","2022-02-15","2021-12-06","2021-12-27","2022-02-15","2022-01-06","2022-04-27","2022-04-27","2022-04-27","2022-11-02","2022-05-16","2022-05-05","2022-09-28","2022-09-22","2022-09-28","2022-09-22","2022-09-22","2020-08-20","2022-05-24","2022-04-14","2022-11-18","2022-11-02","2021-03-13","2021-08-20","2021-08-20","2021-12-05","2022-04-26","2021-12-05","2022-06-07","2022-05-16","2022-05-06","2022-05-06","2022-05-06","2022-06-07","2022-06-07","2020-11-21","2020-11-21","2020-11-21","2021-05-24","2022-04-14","2022-10-11","2022-05-01","2022-05-03","2021-04-06","2021-05-12","2021-07-02","2021-07-02","2022-06-11","2022-09-28","2022-06-23","2022-06-23","2021-09-02","2021-03-01","2021-04-22","2021-10-22","2022-04-26","2022-10-11","2022-01-12","2022-02-15","2022-02-15","2022-05-01","2022-05-24","2022-05-24","2022-09-28","2022-09-28","2022-09-28","2022-09-28","2022-09-28","2022-09-28","2022-09-28","2022-09-28","2022-09-28","2020-12-01","2020-12-01","2021-05-24","2021-05-24","2021-05-06","2022-04-14","2021-12-23","2021-12-24","2021-12-24","2022-08-08","2021-09-02","2021-09-02","2021-12-05","2022-10-03","2022-10-03","2022-11-02","2022-02-03","2022-11-02","2022-11-18"],"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":""}]}]}