{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"L  ANAIDIDOPIRT ","gend":1,"add":"G SRELLIM 0263301 TPA NL NEL","city":"HENRICO","state":"VA","zip":23231,"dob":"1976-06-02","age":"","mstatus":"","insh":"1913110*31","cliId":"","pno":"68\/4086384-9","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"804\/828-9350","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":23231,"pcpcounty":"","pcpid":"","pcpname":"","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":["F33.2","F41.9","G35.","J45.909","J45.30","K21.9","E66.01","E11.9","I10.","F33.0","F41.1","F43.10","Z20.822","J45.51","Z92.29","K29.00","B37.81","Z23.","Z20.828","F32.0","G43.909","Z79.899","J40.","R05.","F33.1","Z01.812","U07.1","F32.2","F34.1","F41.8","R76.8","R19.4","Z68.43","Z83.79","J30.2","J45.998","Z13.228","G43.809","F32.1","Z12.11","K64.8","J45.40","NO DATA","K29.70","T16.1XXA","K59.09","E11.8","X58.XXXA","J01.10"],"date":["2020-05-08","2020-05-08","2022-09-30","2022-09-21","2021-10-15","2022-09-30","2022-09-30","2022-09-30","2022-09-30","2021-12-28","2022-10-24","2022-06-17","2022-07-05","2022-09-30","2022-01-14","2022-04-20","2022-04-20","2022-10-27","2020-05-26","2020-06-05","2020-02-20","2020-02-20","2020-05-26","2020-05-26","2022-07-19","2021-11-11","2021-11-11","2022-06-24","2021-12-01","2021-12-01","2022-03-24","2022-03-24","2022-04-20","2022-03-24","2022-09-30","2022-01-14","2022-02-26","2022-08-04","2022-08-16","2021-11-15","2021-11-15","2021-11-15","2021-12-01","2022-04-20","2022-09-21","2021-11-02","2021-11-02","2022-09-21","2020-04-30"],"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":""}]}]}