{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"  ENNAIRAYELIMS N","gend":1,"add":"ODAEM 649RD KRALW","city":"HARRISONBURG","state":"VA","zip":22802,"dob":"1983-05-23","age":"","mstatus":"","insh":"0958110*18","cliId":"","pno":"72\/0458102-1","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":22802,"pcpcounty":"","pcpid":"","pcpname":"Healthy Community Health Center - Stone Port (HCHC-Stone Port)","plan":"OHP","program":"Medicaid","lob":"M4","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":["K64.4","R22.9","Z01.419","S93.402A","S61.412A","Z15.89","N64.4","R92.2","F43.9","Z91.89","N95.9","Z80.3","Z68.41","Z15.01","Z15.09","M51.16","M51.17","F41.9","J45.909","Z79.899","Z87.891","M54.16","Z20.828","N89.8","M51.26","J45.901","R06.2","R05.","R19.7","N64.89","B37.2","R03.0","R06.83","G47.30","R35.1","G47.10","E66.01","I10.","R73.03","N94.6","Z11.59","F33.0","Z12.31","J06.9","R05.9","K21.9","NO DATA","Z12.39","M54.17"],"date":["2020-04-22","2020-04-22","2021-10-27","2021-03-25","2021-03-25","2022-09-20","2021-09-15","2022-09-20","2021-09-15","2022-09-20","2022-09-20","2022-09-20","2022-09-20","2022-09-20","2022-09-20","2022-05-24","2022-05-24","2022-05-24","2022-05-24","2022-05-24","2022-05-24","2022-05-24","2021-01-17","2021-10-27","2022-05-16","2020-09-21","2020-09-21","2020-09-21","2021-12-30","2021-04-19","2020-09-10","2020-09-10","2022-02-23","2022-02-23","2022-02-23","2022-02-23","2022-02-23","2022-02-23","2022-02-23","2020-10-14","2020-10-14","2020-12-02","2021-04-19","2022-05-12","2022-05-12","2020-06-17","2020-08-07","2022-04-26","2022-05-24"],"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":""}]}]}