{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"YLREBMIKLLEWOH ","gend":1,"add":"KCUDHCTIW A401A EDIS TPA DR ","city":"VIRGINIA BEACH","state":"VA","zip":23462,"dob":"1992-01-08","age":"","mstatus":"","insh":"46500210*35","cliId":"","pno":"83\/7578034-3","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"757\/892-5520","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":23462,"pcpcounty":"","pcpid":"","pcpname":"","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":["F33.1","J02.0","N61.0","N76.4","R07.89","M17.12","M25.512","R10.13","E11.9","Z79.84","Z79.1","Z79.899","Z88.1","Z91.018","Z91.038","M79.605","NO DATA","R50.9","Z20.822","E66.01","Z68.44","R07.9","F17.200","Z88.2","Z91.02","Z91.048","F25.0","K76.0","K29.60","T50.905A","Z72.0","R05.9","K52.9","R10.84","Z28.310","Z91.09","R53.83","R11.2","K59.00","Z88.8","Z88.3","R11.10"],"date":["2020-06-28","2020-12-28","2020-12-28","2021-02-24","2022-04-19","2022-04-19","2022-04-19","2022-05-04","2022-10-29","2022-04-19","2022-04-19","2022-04-19","2022-10-29","2022-10-29","2022-04-19","2022-04-19","2022-04-22","2022-04-25","2022-04-25","2022-10-29","2022-10-29","2022-04-25","2022-10-29","2022-04-22","2022-10-29","2022-04-22","2020-01-12","2021-02-28","2021-02-28","2021-02-28","2021-02-28","2022-04-25","2022-10-29","2022-05-04","2022-04-25","2022-10-29","2022-04-22","2022-05-04","2022-05-04","2022-05-04","2022-10-29","2022-10-29"],"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":""}]}]}