{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"NORTYARETIHW ","gend":0,"add":"RRET LLABMIK 9413E TPA ECARRET ECA","city":"NORFOLK","state":"VA","zip":23504,"dob":"1973-08-18","age":"","mstatus":"","insh":"0371210*92","cliId":"","pno":"27\/7577284-4","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":23504,"pcpcounty":"","pcpid":"","pcpname":"EVMS Internal 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":["T16.2XXA","M54.6","Z20.828","M54.31","G47.33","K21.9","I10.","E11.69","E66.9","M1A.9XX0","D64.9","E78.5","NO DATA","M10.9","Z12.5","E11.65","Z01.812","Z12.11","Z20.822","Z01.818","A04.8","S43.402A","S53.402A","S63.502A","S63.501A","S29.011A","S69.91XA","E66.01","Z68.41","G47.00","G47.30","R06.83","Z13.31","Z13.9","R07.89","Z88.0","Z91.048","Z00.00","R09.81","R09.82","J01.00","F41.1","K31.89","H92.03","R05.9","Z91.09","J34.89","J30.89","K58.9","Z53.21","Y82.9","F43.9","E11.9"],"date":["2021-08-20","2021-08-20","2022-07-21","2022-10-31","2022-02-17","2022-08-17","2022-10-18","2022-10-18","2022-10-18","2022-04-05","2022-10-18","2022-10-18","2022-10-18","2022-10-18","2022-10-18","2022-10-18","2021-03-30","2021-04-06","2022-07-21","2021-03-30","2021-12-01","2022-06-27","2022-06-27","2022-06-27","2022-06-27","2022-06-27","2022-06-27","2020-05-11","2022-08-17","2020-01-15","2021-04-06","2020-01-15","2021-01-26","2021-01-26","2022-08-17","2022-08-17","2022-08-17","2020-08-25","2020-12-15","2020-12-15","2021-10-31","2022-08-17","2021-04-06","2021-10-31","2021-10-31","2021-10-31","2021-10-31","2022-04-01","2022-08-11","2021-03-09","2021-12-28","2022-08-17","2022-08-17"],"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":""}]}]}