{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"NA L  SEMAJIII NOSRED","gend":0,"add":"DAEL 8221C TPA TS ","city":"NORFOLK","state":"VA","zip":23504,"dob":"1969-02-18","age":"","mstatus":"","insh":"14700210*46","cliId":"","pno":"84\/7578272-4","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"757\/622-8358","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":23504,"pcpcounty":"","pcpid":"","pcpname":"","plan":"OHP","program":"Medicaid","lob":"OHCC","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":["F11.20","U07.1","T40.2X1A","R06.02","R10.11","R07.9","D72.829","Z79.01","J96.11","G47.33","I26.99","Z99.89","R06.00","R79.89","I27.82","R07.89","M25.50","M25.561","M25.512","Z86.16","Z99.81","M25.562","T50.904A","R10.9","L72.9","L08.9","J12.82","J96.01","I10.","E11.9","M17.0","G89.29","F31.9","M48.062","D64.9","F41.9","G47.00","E66.01","Z79.84","F11.29","Z51.81","Z79.899","T50.905A","J96.10","Z87.891","M54.16","NO DATA","Z68.41","E78.5","M25.569","M79.671","E11.41","M79.672","R60.9","Z13.220","Z11.59","Z12.11","Z76.89"],"date":["2022-11-22","2022-03-04","2021-06-06","2021-07-28","2021-07-28","2021-07-28","2021-07-28","2021-07-28","2022-11-10","2022-11-10","2021-10-19","2021-10-19","2021-05-06","2021-04-21","2021-05-05","2021-04-21","2021-04-21","2021-04-21","2021-04-21","2021-05-05","2021-04-21","2021-04-21","2021-06-06","2021-07-04","2022-05-06","2022-05-06","2021-04-06","2021-04-06","2022-11-10","2021-05-05","2022-04-04","2021-11-30","2021-04-06","2021-04-06","2022-03-30","2022-06-01","2021-04-06","2022-11-10","2021-04-06","2021-07-04","2021-07-04","2021-07-04","2021-07-04","2021-05-05","2021-05-05","2021-11-30","2022-10-11","2022-06-01","2022-06-01","2022-06-01","2022-10-11","2022-10-11","2022-10-11","2022-03-30","2022-03-30","2022-03-30","2022-03-30","2022-03-30"],"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":""}]}]}