{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"W  ECALLAWRJ YLREBE ","gend":0,"add":"AMIRREM 5916 TPA LRT C","city":"WILLIAMSBURG","state":"VA","zip":23185,"dob":"1977-05-08","age":"","mstatus":"","insh":"2223210*38","cliId":"","pno":"72\/7577964-9","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":23185,"pcpcounty":"","pcpid":"","pcpname":"Riverside Primary Care Norge","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":["M54.14","M54.17","G89.29","R63.1","Z86.73","R56.9","I10.","G47.33","R73.9","T85.192A","M48.04","D64.9","K92.2","K29.80","M54.42","R73.03","E83.41","R45.89","E55.9","E21.3","D50.9","R41.3","S20.219A","S80.812A","Z86.69","I12.9","NO DATA","G47.30","G25.81","K21.9","E78.5","Z79.51","Z79.899","Z04.3","R68.81","K25.4","R11.0","R89.2","R10.33","N17.9","T39.091A","N18.2","E87.0","E87.6","E83.39","R41.82","R06.02","R05.9","R11.2","K59.00","R79.89","R10.9","Z51.81","G40.909","E87.2","Z20.822","T82.49XA","R22.1","I12.0","N18.6","Z99.2","Z87.891","S10.93XA","M79.89","R41.841","R26.2","M79.662","J98.59","K27.9","T78.40XA","K29.70","K64.9","K25.9","Z87.19","K26.9","Z86.16","D62.","K92.1","R34.","R29.898","W19.XXXA","E83.51","R47.81","G93.40","M62.82","R74.01","J45.40","R07.9","S20.212A","Z87.440","Z87.442","Z90.49","R42.","I49.9","R51.9","B00.1","R10.13","G43.819","S33.6XXA","Z47.89","Z87.820","J33.9","J32.8","R20.0","R20.2","W10.8XXA","J32.0","J32.2","Z01.818","R09.89","N28.89","K63.5","R19.5","S41.101A","E66.01","Z68.41","R07.89","S46.912A","H69.83","H93.13","T39.011A","E87.1","I24.8","T39.1X1A","E86.9","H91.90","G89.18","R10.84","Z99.89","J34.2","J34.3","R25.2","U07.1","R29.818","Z09.","Z87.898","A41.9","R53.1","J02.9","Z48.89","R22.2","J45.20","K76.0","R50.9","R11.10","R65.10","M54.9","E11.22","Z98.890","D63.1","F17.290","T81.9XXA","R31.29","F17.221","R06.2","R13.10","D72.829","L91.8","J20.9","R09.82","G43.019","R19.7","E78.2","M54.6","R63.5","Z91.09","Z86.2"],"date":["2022-05-04","2022-05-04","2022-10-25","2020-10-07","2022-08-04","2022-07-04","2022-01-31","2022-08-02","2022-07-07","2021-03-23","2021-03-23","2022-06-21","2022-02-07","2022-03-02","2022-10-25","2022-04-12","2022-04-12","2022-05-04","2022-10-25","2022-04-12","2022-08-16","2022-04-12","2022-04-24","2022-04-24","2022-04-24","2022-08-04","2022-08-04","2022-08-04","2022-08-04","2022-08-04","2022-08-04","2022-04-24","2022-10-25","2022-04-24","2022-05-05","2022-05-05","2022-05-05","2022-07-03","2022-07-24","2022-07-04","2022-07-04","2022-07-04","2022-07-04","2022-07-04","2022-07-04","2022-07-04","2022-07-27","2022-01-18","2022-06-29","2022-07-27","2022-07-27","2022-02-07","2022-10-25","2022-07-13","2022-07-01","2022-07-13","2022-07-07","2022-07-07","2022-07-24","2022-07-07","2022-07-07","2022-07-07","2022-07-07","2022-01-10","2021-12-07","2021-12-07","2022-01-10","2022-03-03","2022-01-31","2022-01-31","2022-01-31","2022-04-28","2022-01-31","2022-01-31","2022-01-31","2022-08-16","2022-01-31","2022-07-06","2022-07-27","2022-05-04","2022-05-04","2022-07-01","2022-06-23","2022-07-04","2022-07-04","2022-07-02","2022-07-27","2022-01-25","2022-04-24","2022-08-04","2022-08-04","2022-08-04","2022-08-04","2022-07-18","2022-08-02","2022-07-27","2022-07-27","2022-08-02","2020-10-08","2020-10-08","2020-10-22","2020-11-11","2021-02-03","2022-01-04","2022-01-04","2022-04-28","2021-02-01","2021-02-01","2021-02-01","2021-02-18","2021-02-18","2021-03-29","2021-03-29","2021-11-22","2022-07-08","2022-07-08","2022-04-28","2022-04-28","2022-06-21","2022-06-29","2022-07-01","2022-07-01","2022-07-01","2022-07-01","2022-07-01","2022-07-13","2022-07-07","2022-07-24","2022-07-20","2021-02-03","2021-02-03","2022-01-04","2022-01-25","2022-07-03","2022-07-07","2022-07-07","2022-07-13","2022-07-13","2022-07-20","2022-08-04","2022-01-25","2022-08-02","2022-01-25","2022-01-25","2022-07-13","2022-07-15","2022-07-13","2022-07-15","2022-08-04","2022-08-04","2022-08-04","2022-08-04","2020-09-21","2020-09-21","2021-02-16","2021-02-16","2021-02-16","2021-11-09","2021-12-09","2021-12-09","2022-08-16","2022-10-25","2022-08-16","2022-08-16","2022-10-25","2022-10-25","2022-10-25"],"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":[]}},{"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":""}]}]}