{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"  AITEAHCSNAMPAHC D","gend":1,"add":"NILLOR 5263EVA LLIH G","city":"ROANOKE","state":"VA","zip":24017,"dob":"1993-05-21","age":"","mstatus":"","insh":"2242210*81","cliId":"","pno":"19\/0453096-5","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":24017,"pcpcounty":"","pcpid":"","pcpname":"Carilion Clinic Primary Care Associates Salem","plan":"OHP","program":"Medicaid","lob":"M4","region":"ROANOKE\/ ALLEGHANY","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":["O24.911","O10.911","Z3A.13","U07.1","NO DATA","J06.9","R09.81","R05.","E11.9","R79.89","O24.119","Z23.","O24.112","O10.013","Z3A.33","Z88.9","M54.89","O24.113","Z3A.34","V23.9","O10.913","Z3A.37","R00.2","R06.02","R50.9","O10.912","Z3A.36","O76.","O99.52","Z37.0","Z3A.35","Z39.1","Z34.82","Z34.83","Z3A.38","Z79.84","Z79.899","R52.","O10.02","O24.12","R00.0","J45.909","E66.9","O24.912","Z3A.21","Z01.419","I10.","O36.8330","D62.","O10.92","Z79.82","O90.81"],"date":["2022-04-12","2022-04-12","2022-04-12","2021-10-14","2021-09-26","2021-09-26","2021-09-26","2021-09-29","2022-10-28","2022-04-14","2022-03-28","2022-10-28","2022-09-02","2022-10-04","2022-09-02","2021-04-14","2022-05-23","2022-10-06","2022-09-06","2022-09-30","2022-09-30","2022-09-30","2021-09-29","2021-09-29","2021-09-29","2022-06-01","2022-09-23","2022-10-06","2022-10-06","2022-10-06","2022-09-16","2022-09-26","2022-09-26","2022-09-26","2022-10-06","2022-10-04","2021-09-26","2021-09-26","2022-10-06","2022-10-06","2021-09-29","2022-10-04","2021-09-29","2022-05-24","2022-05-24","2021-12-09","2022-10-28","2022-10-04","2022-10-04","2022-10-04","2022-10-04","2022-10-04"],"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":""}]}]}