{"version":"0.4","data":[{"t":"Demographics","q":[{"name":" LEUQARRENNERB","gend":1,"add":"RE 5003NL TSEN","city":"WILLIAMSBURG","state":"VA","zip":23188,"dob":"1970-04-27","age":"","mstatus":"","insh":"4880210*43","cliId":"","pno":"05\/7572930-8","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"757\/220-8300","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":23188,"pcpcounty":"","pcpid":"","pcpname":"Riverside Internal Medicine & Family Care","plan":"OHP","program":"Medicaid","lob":"M4","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":["R55.","R42.","R51.","NO DATA","M25.50","R70.0","R29.818","M31.6","M22.2X1","M22.2X2","M17.0","S83.242A","G24.3","M54.81","G43.119","Z86.73","S93.401A","S93.601A","M79.605","R22.42","S86.112A","E78.2","E11.9","Z79.84","R73.9","K21.9","E55.9","T50.905A","M19.90","M06.00","F31.9","F41.1","G24.9","M54.5","G89.29","H69.82","F43.21","F51.3","D50.9","R53.1","M54.12","M35.3","E53.8","R27.0","R63.5","R60.9","F41.9","Z79.52","L82.1","L81.4","Z71.9","M67.833","M25.511","M25.512","R51.9","G43.019","R20.9","Z20.828","S93.411A","S93.491A","S90.31XA","M25.571","Z71.3","R19.7","R13.10","R10.13","R14.0","Z80.0","R11.0","J20.9","R20.0","R20.2","R25.8","Z72.820","Z79.899","M54.2","H53.9","G43.419","R21.","Z79.02","Z98.890","Z90.49","Z90.710","Z88.5","Z88.6","Z91.040","J06.9","H92.03"],"date":["2021-03-11","2021-08-19","2020-04-29","2022-02-14","2022-11-01","2021-03-29","2020-06-08","2020-06-08","2020-07-24","2020-07-24","2022-06-08","2020-07-24","2022-10-04","2022-10-04","2022-11-01","2022-11-01","2021-03-04","2021-03-04","2021-06-03","2021-06-03","2021-06-03","2022-11-01","2022-11-01","2022-11-01","2022-06-28","2022-11-01","2022-05-16","2022-06-28","2021-09-07","2021-08-11","2022-06-28","2022-06-28","2022-10-04","2021-09-07","2022-11-01","2022-07-21","2020-12-23","2020-02-12","2021-05-13","2020-11-02","2022-03-22","2022-05-16","2022-05-16","2020-01-08","2020-06-19","2020-06-19","2020-06-19","2021-06-03","2020-11-25","2020-11-25","2020-11-25","2020-04-13","2021-03-29","2021-03-29","2022-09-08","2020-01-13","2020-05-29","2020-11-28","2021-03-11","2021-03-11","2021-03-11","2021-03-11","2021-03-11","2021-07-15","2021-07-15","2021-07-15","2021-07-15","2021-07-15","2021-08-19","2021-11-23","2022-02-14","2022-02-14","2022-02-14","2022-02-14","2022-02-14","2022-09-08","2022-09-08","2020-02-07","2021-05-13","2021-06-03","2021-06-03","2021-06-03","2021-06-03","2021-06-03","2021-06-03","2021-06-03","2022-11-08","2022-11-08"],"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":""}]}]}