{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"R  AHSINETYRTHGUAD ","gend":1,"add":"DLEIRFMRA 429301 TPA RIC ","city":"NORFOLK","state":"VA","zip":23505,"dob":"1985-06-09","age":"","mstatus":"","insh":"3205210*78","cliId":"","pno":"19\/7576695-0","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":23505,"pcpcounty":"","pcpid":"","pcpname":"EVMS Ghent Family Medicine","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":["J98.01","T78.40XA","T78.04XA","E66.01","Z68.35","Z88.2","Z91.018","R06.2","R10.9","R19.7","R10.817","R68.83","E11.9","Z90.49","R30.0","G57.11","G57.12","Z20.822","R09.81","NO DATA","J45.21","F10.10","E86.0","Z83.3","Z83.2","Z83.511","Z80.0","Z82.49","Z84.1","J01.01","N30.00","R00.0","J45.901"],"date":["2022-10-01","2022-10-01","2022-10-01","2022-10-06","2022-10-06","2022-10-06","2022-10-06","2022-10-01","2022-10-06","2022-10-06","2022-10-06","2022-10-06","2022-11-10","2022-10-06","2022-11-10","2022-11-10","2022-11-10","2022-11-15","2022-11-15","2022-10-02","2022-10-02","2022-10-02","2022-10-02","2022-10-02","2022-10-02","2022-10-02","2022-10-02","2022-10-02","2022-10-02","2022-11-18","2022-10-27","2022-10-02","2022-10-10"],"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":""}]}]}