{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"  ANAECOEIDOOW L","gend":1,"add":"VWODAEM 20115 TPA RD WEI","city":"PULASKI","state":"VA","zip":24301,"dob":"1993-09-02","age":"","mstatus":"","insh":"4419110*82","cliId":"","pno":"89\/0459026-0","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"540\/980-8804","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":24301,"pcpcounty":"","pcpid":"","pcpname":"","plan":"OHP","program":"Medicaid","lob":"M4","region":"ROANOKE\/ ALLEGHANY","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":["F11.20","K60.2","S09.90XA","S00.81XA","F17.200","I10.","R51.9","K59.03","E66.01","Z68.43","K64.9","F31.9","J30.2","M25.561","M25.562","R20.0","R60.9","Z20.822","J06.9","R05.","R19.7","R30.0","R31.29","E11.69","M54.2","R53.1","R20.2","F41.9","E78.5","Z00.01","R40.0","K21.9","E78.2","G44.211","R07.89","R55.","R07.9","K63.5","K62.5","Z80.0","N30.00","K29.70","F41.0","I12.9","N18.9","E87.8","R79.1","F17.210","Z79.51","Z79.899","L23.7","R00.2","Z01.411","Z11.3","R10.2","G43.109","Z97.5","R13.10","D13.2","K29.50","NO DATA","K44.9","Z91.19","D12.3","K64.8","R87.612","Z32.02","F31.30","Z63.0","F15.21","F43.10","R60.1","R73.03","Q21.9","Z20.828","N93.9","R11.2","Z51.81","K76.0","K04.7","E11.9","K64.4","K63.89","K29.30","Z86.010","R05.9","R06.02","R06.81","R06.2","S00.83XA","S10.93XA","Y04.0XXA","S00.93XA","S30.1XXS","Y09.","N94.10","N64.52","Z30.432","N64.4"],"date":["2022-11-29","2020-07-09","2022-07-04","2022-07-04","2022-10-28","2022-10-28","2022-10-28","2020-06-22","2022-09-09","2022-07-21","2022-07-21","2022-09-09","2020-06-22","2020-06-22","2020-06-22","2020-06-22","2020-11-02","2022-07-21","2021-06-28","2021-06-28","2021-06-28","2022-08-17","2021-11-10","2022-09-09","2022-10-31","2022-02-15","2022-02-15","2022-09-09","2022-06-21","2022-03-08","2022-03-08","2022-05-27","2022-03-08","2022-03-08","2022-04-19","2022-04-19","2022-04-19","2022-07-21","2022-07-21","2022-08-01","2022-08-17","2022-06-21","2022-08-04","2022-04-19","2022-04-19","2022-04-19","2022-04-19","2022-07-21","2022-04-19","2022-04-19","2022-06-16","2022-06-16","2022-07-19","2022-07-19","2022-10-10","2022-07-19","2022-07-19","2022-05-27","2022-06-21","2022-06-21","2022-08-01","2022-08-01","2022-06-21","2022-08-01","2022-08-01","2022-10-10","2022-10-10","2020-11-03","2020-09-09","2020-11-03","2020-11-03","2020-10-19","2020-10-19","2020-10-19","2021-03-03","2021-09-16","2021-09-26","2020-07-08","2020-10-19","2020-12-09","2022-07-21","2022-07-21","2022-07-21","2022-08-01","2022-08-01","2022-08-04","2022-08-04","2022-09-09","2022-09-09","2022-10-28","2022-10-28","2022-10-28","2022-10-28","2022-10-31","2022-10-31","2022-10-18","2022-10-18","2022-10-18","2022-10-18"],"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":[]}},{"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":""}]}]}