{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"REFINNEJDROFLA ","gend":1,"add":" STREBOR 104109 TPA EVA","city":"PETERSBURG","state":"VA","zip":23805,"dob":"1979-09-02","age":"","mstatus":"","insh":"1983110*95","cliId":"","pno":"06\/4082956-5","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":23805,"pcpcounty":"","pcpid":"","pcpname":"BON SECOURS SHORT PUMP PRIMARY CARE","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":["Z11.3","N88.9","N76.0","N90.7","R19.5","L02.416","L76.82","T81.41XA","L03.116","B95.8","Z45.2","Z51.81","Z79.2","E11.9","I10.","M06.9","Z91.81","Z51.89","M21.162","M17.12","E66.01","Z68.37","T81.40XA","T81.42XA","D64.9","E87.6","F17.210","NO DATA","Z88.1","R73.03","B95.7","R11.2","T82.9XXA","Z30.46","Z01.419","Z12.4","Z12.39","F41.1","Z01.812","Z20.822","T84.54XA","Z68.41","M17.5","M25.562","G89.29","R19.7","R19.4","R10.9","M79.605","T84.84XA","D72.829","R89.5","M21.70","M92.52","T84.498A","G89.18","L20.82","L28.2","R21.","R22.42","D50.9","R73.01","E01.0","Z47.89","M15.0","T81.49XA","R11.0","R22.30","M17.0","E05.00"],"date":["2021-09-01","2020-11-03","2020-11-03","2020-11-03","2020-11-03","2021-05-07","2021-05-07","2021-05-18","2021-05-18","2021-05-18","2021-05-18","2021-05-18","2021-05-18","2022-03-15","2021-05-18","2021-05-18","2021-05-18","2020-10-27","2021-03-30","2022-11-01","2021-04-01","2020-11-11","2021-04-05","2021-04-01","2021-04-01","2021-04-01","2021-03-31","2022-03-15","2021-03-31","2021-03-31","2021-03-31","2022-02-16","2021-05-06","2021-09-01","2021-09-01","2021-09-01","2021-09-01","2022-07-25","2021-02-25","2021-02-25","2021-04-01","2021-04-20","2022-01-12","2022-11-01","2022-11-01","2022-02-16","2022-02-16","2022-02-16","2021-04-20","2021-04-01","2021-04-01","2021-04-01","2021-12-28","2020-01-13","2021-03-01","2021-03-01","2020-11-12","2020-11-12","2020-11-12","2021-04-01","2022-01-27","2022-01-27","2022-01-27","2021-03-30","2021-04-05","2021-04-20","2021-04-20","2020-01-31","2020-10-27","2022-11-01"],"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":{"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":""}]}]}