{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"  TIMREKNOSTAW C","gend":0,"add":"S EVIRD SDOOW ETAROPROC 0005ECIVRES YLIMAF HSIWEJ 003 ET","city":"VIRGINIA BEACH","state":"VA","zip":23462,"dob":"1958-12-31","age":"","mstatus":"","insh":"36600210*85","cliId":"","pno":"77\/7578934-6","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":23462,"pcpcounty":"","pcpid":"","pcpname":"Hampton Roads Community Health Center","plan":"OHP","program":"Medicaid","lob":"OHCC","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":["I63.111","I10.","E11.9","D51.9","I63.9","G45.9","R56.9","R41.82","G40.909","Z76.0","G93.6","G93.5","R46.0","F17.210","I49.9","Z86.73","F06.0","G91.0","Z48.811","G91.9","U07.1","I69.351","F02.81","E78.5","G93.89","E53.8","I67.2","D18.1","Z71.6","Z79.899","Z98.2","Z79.82","Z98.890","R53.1","R27.8","I69.151","I69.398","H53.461","R45.1","F32.9"],"date":["2020-05-13","2022-08-11","2021-10-27","2020-05-13","2020-08-24","2021-03-14","2021-09-28","2021-09-28","2021-10-27","2021-10-27","2020-05-06","2020-05-03","2020-05-16","2021-10-27","2020-08-28","2021-10-27","2022-08-11","2020-05-02","2020-05-02","2020-05-12","2021-09-26","2021-09-26","2021-09-26","2021-09-26","2021-09-26","2021-09-26","2021-09-26","2021-09-27","2021-09-26","2021-09-26","2021-09-28","2021-09-26","2021-09-28","2021-09-26","2021-09-26","2021-09-28","2021-09-28","2021-09-28","2022-09-26","2022-09-26"],"priorHcc":["","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","",""]}}]},{"t":"Covid Screening","q":[{"a":[]}]},{"t":"Screenings Needed","q":[{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["1",""],"comment":["",""],"sub":{"indx":[["","","",""],[""],[""],[""],[""],[""]],"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":""}]}]}