{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"LA YRREPREDNAXE","gend":0,"add":"DAOR YRREBLAG 1492EVIRD EROMTA 0096 ","city":"CHESAPEAKE","state":"VA","zip":23323,"dob":"1964-02-25","age":"","mstatus":"","insh":"3433210*59","cliId":"","pno":"72\/7575367-2","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":23323,"pcpcounty":"","pcpid":"","pcpname":"DEPAUL MEDICAL ASSOCIATES","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":["I20.9","I10.","M54.2","R10.31","K40.20","I51.7","R07.9","R06.02","M54.5","G89.29","F33.3","M20.41","F41.1","F33.1","F33.0","Z23.","E11.42","E78.00","M79.671","M79.672","F32.9","F43.10","Z68.36","M20.22","M19.072","M21.42","E11.9","M20.10","M20.40","A59.03","Z01.818","J44.9","R91.1","F17.200","M20.42","L85.1","Z01.810","E11.65","F17.210","G47.33","K21.9","M19.90","Z01.812","Z12.11","Z20.822","K44.9","K22.8","K29.80","K57.30","K64.9","G47.30","I20.8","L03.90","Z86.19","R06.00","Z12.5","Z11.59","F20.9","I20.0","I11.0","I50.9","R10.9","M25.522","R31.29"],"date":["2020-11-19","2021-02-08","2020-11-19","2020-11-19","2020-11-19","2020-11-20","2020-11-20","2021-06-23","2021-02-08","2021-02-08","2021-05-13","2021-04-23","2021-09-27","2021-09-27","2022-10-24","2021-02-08","2021-02-08","2021-02-08","2021-04-20","2021-04-08","2021-02-08","2021-02-08","2021-02-08","2022-07-14","2022-07-14","2021-04-08","2021-05-07","2021-05-07","2021-05-07","2022-04-05","2021-04-19","2021-06-23","2021-06-23","2021-06-23","2022-07-14","2021-03-25","2021-04-19","2020-11-21","2020-11-19","2021-03-05","2021-02-24","2020-11-19","2021-04-01","2021-04-01","2021-04-01","2021-04-06","2021-04-06","2021-04-06","2021-04-06","2021-04-06","2021-04-06","2020-11-21","2020-11-21","2020-11-21","2020-12-24","2020-12-24","2020-12-24","2020-12-24","2020-11-19","2021-04-23","2021-04-23","2021-10-05","2021-10-05","2021-10-05"],"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":""}]}]}