{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"  YHTORODNONNAC M","gend":1,"add":"EIVLAB 0321B TPA EVA W","city":"NORFOLK","state":"VA","zip":23503,"dob":"1970-11-08","age":"","mstatus":"","insh":"5261210*55","cliId":"","pno":"83\/7577981-9","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"757\/583-2181","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":23503,"pcpcounty":"","pcpid":"","pcpname":"Roosevelt Family Practice","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":["E11.65","I10.","E78.00","H81.10","E66.9","Z86.73","M79.601","M79.604","R10.9","M25.531","M25.431","M25.631","B37.3","E55.9","S16.1XXA","S46.911A","R07.9","S30.1XXA","M47.812","Z83.3","Z88.0","M54.2","V58.89","S30.1XXS","M62.838","V89.2XXD","M25.511","M77.8","M25.831","E11.9","Z20.828","M65.9","R60.0","R42.","H81.11","V89.2XXA","M25.611","NO DATA","Z79.4","M79.673","R00.0","R03.0","V49.50XA","Z01.419","Z12.39","Z80.0","Z71.85","Z23.","Z02.9"],"date":["2022-08-16","2022-08-16","2022-08-16","2022-08-16","2022-08-16","2022-08-16","2021-12-02","2021-12-02","2022-10-25","2022-11-02","2022-06-14","2022-01-18","2022-01-18","2022-06-14","2021-10-21","2021-10-21","2021-10-21","2021-10-12","2021-10-12","2021-10-12","2021-10-12","2021-12-02","2021-10-14","2021-10-14","2021-10-28","2021-10-14","2022-03-16","2022-11-02","2022-11-02","2021-12-02","2021-08-18","2022-01-26","2022-01-26","2022-10-25","2022-10-25","2021-12-02","2021-12-02","2021-12-02","2022-08-16","2020-02-18","2021-10-11","2021-10-11","2021-10-11","2022-02-15","2022-02-15","2022-02-15","2022-02-15","2021-10-26","2021-10-28"],"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":[]}},{"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":""}]}]}