{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"E  YRAMNOTXES ","gend":1,"add":"NORYB 0262D TPA TS ","city":"RICHMOND","state":"VA","zip":23223,"dob":"1964-10-28","age":"","mstatus":"","insh":"3542210*34","cliId":"","pno":"05\/4084597-7","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"804\/828-5883","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":23223,"pcpcounty":"","pcpid":"","pcpname":"","plan":"OHP","program":"Medicaid","lob":"M4","region":"CENTRAL","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":["E11.9","E55.9","R79.89","R03.0","F41.9","K59.00","I10.","E11.65","N88.8","Z12.4","E11.40","B35.1","M21.41","M21.42","R93.3","U07.1","U09.9","J45.20","E11.42","Z12.39","Z12.11","R11.2","K76.0","Z01.812","Z20.822","J45.909","Z79.84","K92.1","R19.5","E04.1","F33.1","R10.84","R01.1","R94.31","R63.4","R00.0","K31.89","R10.13","H52.13","H52.203","H35.039","NO DATA","H01.003","H01.006","E11.3393","R19.00","R87.619","Z11.59","R10.32","Z00.01","R07.9","Z23.","R10.9","E11.69","Z79.4","J45.21"],"date":["2021-09-22","2020-11-24","2022-02-09","2020-11-24","2020-11-24","2022-05-02","2022-05-02","2022-04-08","2021-09-22","2021-09-22","2022-05-02","2021-09-29","2021-09-29","2021-09-29","2022-01-07","2022-02-03","2022-04-08","2022-04-08","2021-12-14","2021-07-30","2021-07-30","2022-05-30","2021-12-14","2021-11-26","2021-11-26","2022-05-02","2021-12-14","2022-01-07","2022-01-07","2022-01-07","2022-05-29","2022-05-30","2022-04-08","2022-04-08","2022-04-08","2022-04-08","2022-05-02","2022-05-02","2021-07-19","2021-07-19","2021-07-19","2021-07-19","2021-07-19","2021-07-19","2021-07-19","2021-08-28","2021-08-28","2022-01-05","2022-04-06","2020-11-17","2020-11-17","2020-10-10","2021-08-28","2021-12-14","2021-12-14","2022-11-08"],"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":""}]}]}