{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"  YELHSANIKYOB T","gend":1,"add":" NREHTUOS 714B TPA RD KAO","city":"CHESAPEAKE","state":"VA","zip":23322,"dob":"1996-02-20","age":"","mstatus":"","insh":"2310310*87","cliId":"","pno":"09\/7578502-2","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":23322,"pcpcounty":"","pcpid":"","pcpname":"EVMS Urogynecology at Glenn Mitchell","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":["F32.0","O24.913","O10.013","Z3A.32","Z39.1","O36.8390","O35.8XX0","O10.919","Z3A.20","O14.13","O22.33","O24.410","N64.4","N39.46","N94.10","N94.818","O11.9","O26.891","N93.9","R00.2","O11.3","O24.113","O99.413","O10.913","E11.9","O99.353","F41.9","NO DATA","I49.9","O99.343","G43.109","O26.893","V58.69","O99.613","K21.9","Z20.822","Z91.19","Z3A.29","Z3A.33","Z3A.35","Z37.0","U07.1","Z34.82","O11.4","O99.354","R00.1","Z79.899","O75.81","O24.92","Z86.59","G43.909","Z86.718","O99.344","F50.9","O10.92","O03.4","I10.","N39.41","R10.2","Z34.90","V23.9","Z3A.34","Z32.01","O46.91","F32.9","R01.1","V23.41","Z87.59","Z98.890","N92.5","O99.119","O20.8","Z82.79","Z88.8","O13.9","R39.14","J03.90"],"date":["2022-03-25","2022-02-17","2022-02-17","2022-01-31","2022-01-31","2021-11-01","2021-11-01","2021-11-01","2021-11-04","2022-01-25","2022-01-25","2022-01-25","2022-03-10","2022-04-06","2022-04-06","2022-04-06","2022-01-31","2021-05-16","2021-05-16","2021-12-17","2022-02-18","2022-02-18","2021-12-30","2021-12-30","2021-12-30","2022-01-24","2022-02-17","2022-02-17","2021-12-30","2022-01-24","2022-01-24","2021-12-30","2021-12-30","2021-12-30","2021-12-30","2022-11-21","2021-12-31","2021-12-31","2022-02-07","2022-02-18","2022-02-18","2021-09-14","2021-11-04","2022-02-17","2022-02-17","2022-02-17","2022-02-17","2022-02-17","2022-02-17","2022-02-17","2022-02-17","2022-02-17","2022-02-17","2022-02-17","2022-02-17","2021-06-10","2021-12-16","2022-09-27","2021-04-29","2021-12-16","2022-02-10","2022-02-10","2021-05-24","2021-05-05","2021-05-05","2021-05-05","2021-05-05","2022-01-24","2021-05-05","2021-05-24","2021-05-24","2021-05-24","2022-01-24","2022-01-24","2022-01-24","2022-09-23","2022-11-21"],"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":""}]}]}