{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"  ADIKAHSNAMTTIP N","gend":1,"add":"ETISSAL 53171 TPA RD R","city":"HAMPTON","state":"VA","zip":23666,"dob":"1984-04-12","age":"","mstatus":"","insh":"1656110*65","cliId":"","pno":"06\/7570137-9","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"757\/380-8709","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":23666,"pcpcounty":"","pcpid":"","pcpname":"","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":["M72.2","M76.32","S90.32XS","R53.1","M25.672","M25.572","Z47.89","R56.9","NO DATA","V58.89","D50.9","I82.4Y2","A08.4","Z01.812","Z20.822","M19.072","M21.072","M76.72","Z01.810","N92.5","R10.32","N83.53","M54.9","M62.838","M76.61","I82.402","N83.512","Z86.711","G43.009","G50.0","Z48.816","M76.02","M54.5","I49.8","Z51.81","Z79.899","M79.2","I82.442","M25.561","R10.13","V89.2XXA","Y92.414","Z04.1","E51.9","R10.9","E11.9","I10.","K21.9","Z98.84","Z79.01","R06.83","R74.0","Z01.818","Z86.718","D64.9","R00.0","G57.52","S33.5XXA","S90.32XA","S90.31XA","I26.99","R00.1","M21.6X2","S86.312A","S20.219S","T14.8XXA","R73.03","I26.01","I15.0","E11.22","N18.1","R04.2","J90.","N94.10","L73.2","K58.9","E78.00","D57.3","E66.01","Z23.","Z79.1","I51.7","R55.","H10.89","N93.9","S01.552A","I82.5Z2","M79.605","R60.9","I87.2","G47.33","I95.1","I82.90","Z92.29","K08.89","I82.542","U07.1","J18.9","R74.8","M54.42"],"date":["2021-09-23","2021-05-17","2021-05-17","2022-01-26","2022-11-10","2022-11-10","2022-11-10","2021-12-02","2022-11-10","2022-10-03","2022-09-26","2022-10-21","2020-07-14","2021-05-25","2021-05-25","2021-09-23","2021-09-23","2022-07-20","2022-06-23","2020-04-29","2020-12-22","2020-12-05","2021-02-15","2021-02-15","2021-04-26","2022-10-17","2022-06-21","2022-10-17","2022-09-15","2022-09-15","2021-01-05","2021-04-22","2021-04-22","2021-11-30","2021-11-30","2022-08-14","2022-04-27","2022-06-15","2022-08-14","2022-08-14","2022-08-14","2022-08-14","2022-08-14","2022-08-14","2022-08-14","2022-08-14","2022-08-17","2022-08-14","2022-08-17","2022-08-14","2020-01-21","2020-09-09","2022-06-29","2022-10-21","2022-08-17","2022-08-17","2022-07-20","2022-09-27","2021-02-01","2020-11-18","2020-12-12","2021-05-13","2021-06-01","2022-07-05","2022-08-17","2022-08-17","2022-08-17","2020-12-12","2020-12-12","2020-12-12","2020-12-12","2020-12-11","2020-12-11","2020-12-11","2020-12-11","2020-12-11","2020-12-11","2020-12-11","2020-12-11","2020-12-11","2020-12-11","2020-12-13","2020-12-13","2021-03-09","2021-04-12","2021-05-24","2021-08-16","2021-08-16","2022-06-15","2022-10-21","2020-01-22","2020-03-09","2020-12-30","2020-12-30","2022-08-09","2022-09-06","2020-07-25","2020-07-25","2020-07-25","2022-11-09"],"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":""}]}]}