{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"  ACINUESUARTS N","gend":1,"add":"KAO NET 90182 TPA RD ","city":"ASHLAND","state":"VA","zip":23005,"dob":"1980-07-17","age":"","mstatus":"","insh":"1942710*59","cliId":"","pno":"78\/4089449-8","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":23005,"pcpcounty":"","pcpid":"","pcpname":"BON SECOURS INTERNAL MEDICINE OF ASHLAND","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":["S86.811A","S86.812A","J01.41","R09.81","R05.","Z20.828","S86.911A","S86.912A","I10.","F17.200","E11.9","Z79.84","M79.605","H53.8","Z77.098","M77.8","J01.90","Z68.42","H10.12","J30.9","N89.9","N39.0","Z76.0","J31.0","NO DATA","Z20.822","R52.","R09.89","R05.9","R51.9","R04.2","Z11.59","R42.","H66.92","J11.1","J10.1","E66.9","Z87.891","Z68.41"],"date":["2020-08-17","2020-08-17","2020-11-03","2021-04-12","2020-11-03","2020-11-03","2020-08-17","2020-08-17","2022-10-24","2021-04-12","2022-10-24","2022-10-24","2020-08-17","2020-12-21","2020-12-21","2020-01-31","2020-01-31","2020-01-31","2021-04-12","2021-04-12","2020-06-01","2020-06-01","2020-06-01","2021-04-12","2021-04-12","2022-10-24","2022-01-11","2022-01-11","2022-10-24","2022-01-11","2020-09-18","2020-11-03","2021-02-17","2021-02-17","2022-10-24","2022-10-24","2022-10-24","2022-10-24","2022-10-24"],"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":{"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":""}]}]}