{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"ANNAZUSARRAP ","gend":1,"add":"AL DOOW 13DAOR GNIDN","city":"FREDERICKSBURG","state":"VA","zip":22405,"dob":"1984-05-07","age":"","mstatus":"","insh":"4853210*73","cliId":"","pno":"99\/0459206-3","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"703\/799-9500","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":22405,"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":["F10.20","V23.9","Z3A.22","O99.891","M54.2","Z3A.28","O09.513","O10.013","O99.213","E66.09","O99.283","Z3A.35","O99.843","Z3A.36","O99.313","F10.220","O11.4","O98.32","Z37.0","O32.1XX0","E66.9","O99.343","Z3A.38","Z98.84","A60.09","O99.284","E03.9","E28.2","E78.2","O99.214","F41.9","F32.9","O99.02","E11.9","Z23.","E53.8","F98.8","M47.894","K21.9","E78.1","R11.0","F10.129","O9A.213","O16.3","Z3A.29","M54.89","M54.6","M54.16","M47.816","NO DATA","Z79.891","Z51.81","Z79.899","G89.4","M54.12","M54.14","F10.10","W22.10XA","Z3A.33","D53.1","Z39.1","Z34.82","Z34.83","Z20.828","J01.00","J06.9","U07.1","R19.7","E86.0","R03.0","R41.0","Z3A.21","I51.89","Z3A.31","O09.93","Z3A.34","Z3A.37","O09.512","O99.282","O99.212","O99.842","Z82.79","O99.512","Z3A.20","Z36.86","O99.312","D50.9","K22.70","J45.909","E07.9","Z39.2","K59.04","K62.3","D28.1","N84.1","Z11.1","O13.3","J45.20","E78.5","R73.03","J40.","O10.913","Z04.1","V89.2XXA","O70.1","O69.81X0","O80.","Z00.00","R63.5","E55.9","S69.91XA","D50.8","S63.602A","R31.0","F17.200","F10.929","J00.","Z20.822","Z01.818","D51.9","R50.9","Z91.09","M47.26","J45.21","J02.9","R05.9","Z01.419","Z12.4","M99.05","R94.31","R00.0","R07.9","I10.","Z79.82","R00.2","M79.602"],"date":["2021-02-07","2021-06-02","2021-02-11","2021-03-30","2021-03-30","2021-03-31","2021-05-17","2021-05-17","2021-05-17","2021-05-17","2021-05-17","2021-05-17","2021-05-17","2021-05-21","2021-05-21","2021-05-21","2021-06-03","2021-06-03","2021-06-05","2021-06-03","2021-06-03","2021-06-03","2021-06-05","2022-03-22","2021-06-03","2021-06-03","2021-06-03","2021-06-03","2021-06-03","2021-06-03","2022-05-26","2021-06-03","2021-06-03","2022-03-22","2021-07-20","2022-03-22","2022-05-26","2022-06-09","2022-05-26","2022-05-26","2022-07-27","2022-11-19","2021-03-31","2021-03-31","2021-04-01","2021-04-29","2022-03-22","2022-06-23","2022-03-22","2022-11-07","2022-09-08","2022-09-08","2022-03-30","2022-03-30","2022-09-08","2022-09-29","2021-02-08","2021-03-30","2021-05-04","2021-05-04","2021-05-07","2021-05-07","2021-05-07","2022-03-02","2022-01-06","2021-12-11","2022-07-10","2022-07-10","2022-07-10","2022-07-10","2021-02-06","2021-02-08","2021-02-23","2021-04-20","2021-05-11","2021-05-11","2021-06-02","2021-02-02","2021-02-02","2021-02-02","2021-02-02","2021-02-02","2021-02-02","2021-02-02","2021-02-02","2021-02-08","2022-05-12","2022-02-07","2022-05-12","2022-05-12","2021-08-06","2021-08-06","2021-08-06","2021-08-06","2021-08-06","2021-08-28","2021-10-18","2021-10-18","2022-11-08","2022-08-09","2022-10-24","2021-03-31","2021-03-31","2021-03-31","2021-06-05","2021-06-05","2021-06-05","2022-03-22","2022-03-22","2022-03-22","2022-03-22","2022-03-22","2022-03-26","2022-07-10","2022-07-27","2022-07-27","2022-08-16","2022-10-24","2021-06-02","2022-05-12","2022-07-08","2022-01-06","2022-01-06","2022-01-06","2022-07-08","2022-07-08","2022-07-26","2022-07-26","2022-07-26","2022-11-08","2022-10-22","2022-11-08","2022-11-08","2022-11-19","2022-10-24","2022-10-24"],"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":""}]}]}