{"version":"0.4","data":[{"t":"Demographics","q":[{"name":" D  YNOTSNILLUM","gend":0,"add":" DNE DAED 692002A TPA DAOR","city":"CLINTWOOD","state":"VA","zip":24228,"dob":"1967-09-26","age":"","mstatus":"","insh":"5861210*66","cliId":"","pno":"54\/6723810-5","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"276\/889-0433","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":24228,"pcpcounty":"","pcpid":"","pcpname":"","plan":"OHP","program":"Medicaid","lob":"M4","region":"SOUTHWEST","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":["L02.411","E11.65","E87.6","R07.9","H25.042","F41.1","J44.9","J44.1","M54.41","M54.42","E11.40","E78.2","Z79.4","Z13.83","K21.9","R68.89","R61.","I25.10","I77.810","F17.210","H26.9","I10.","E11.9","E78.5","E11.69","R06.02","I15.9","Z79.899","K29.70","R07.89","E87.2","E87.3","R79.1","F15.10","R06.00","Z00.00","NO DATA","I49.9","I50.9","D50.9","R39.12","R05.9","Z12.5","H25.812","R79.89","F17.200","M79.604","M25.511","M75.110","M54.9","R13.10","Z12.11","Z09.","G89.29","M25.512","R94.2","E66.01","Z68.37"],"date":["2020-05-15","2021-10-25","2020-08-04","2020-09-24","2020-10-21","2021-12-02","2021-06-22","2021-08-22","2022-07-20","2021-08-22","2022-08-29","2022-07-20","2021-10-25","2021-10-25","2022-07-20","2020-05-15","2020-05-15","2020-09-16","2020-09-16","2021-06-22","2020-10-21","2020-10-21","2020-10-21","2020-10-27","2020-10-27","2020-10-27","2020-10-27","2022-06-22","2021-10-03","2020-09-14","2020-09-14","2020-09-14","2020-09-14","2020-09-14","2021-08-22","2021-05-25","2022-08-29","2020-09-15","2020-09-15","2022-03-08","2022-03-08","2022-03-08","2022-03-08","2020-08-07","2020-09-15","2020-09-24","2020-08-04","2020-09-24","2020-08-04","2020-09-24","2020-08-04","2020-08-04","2020-09-24","2020-09-24","2020-09-24","2020-10-06","2021-10-25","2021-10-25"],"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":""}]}]}