{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"NODLEHSSIWEL ","gend":0,"add":"AEPASEHC 0239B TPA DVLB EK","city":"NORFOLK","state":"VA","zip":23503,"dob":"1979-03-12","age":"","mstatus":"","insh":"6533210*71","cliId":"","pno":"83\/7570041-3","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"757\/587-0157","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":23503,"pcpcounty":"","pcpid":"","pcpname":"Bayview Medical Center","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":["T40.1X1A","J96.01","J96.02","J69.0","E87.2","E87.1","T40.2X1A","R00.0","E11.69","E11.65","Z79.4","I10.","Z20.822","S31.21XA","F17.210","Z88.0","Z86.14","Z04.9","F11.20","F15.20","F12.10","F41.9","F32.9","F10.20","G93.41","N17.1","M79.601","F11.10","F15.10","F10.10","N39.0","R07.9","R74.01","E11.9","G56.30","V62.84","F19.94","B19.20","E66.3","F11.90","F15.90","J30.2","Z87.442","G47.00","I51.7","G43.909","N17.9","Z86.79","M25.551","J15.6","H54.7","Z79.899","R41.82","N50.812","F19.21","R55.","R93.0","F19.10","T50.904A","T82.9XXA","I20.8","Z74.3","R09.2","Z45.2","Z21.","M54.5","G89.29","R68.89","R56.9","I49.9","E13.65"],"date":["2021-08-30","2021-04-23","2021-04-23","2021-04-20","2021-04-20","2021-04-20","2021-04-21","2021-04-20","2021-04-23","2022-09-28","2022-09-28","2021-04-20","2021-04-20","2021-04-20","2022-09-28","2022-09-28","2021-04-20","2021-11-29","2021-01-07","2021-01-07","2021-01-07","2021-03-17","2021-01-07","2021-03-17","2021-03-20","2021-03-19","2020-11-06","2020-12-13","2020-12-13","2020-12-13","2020-12-09","2020-12-09","2020-12-09","2021-08-31","2022-06-30","2020-11-30","2020-12-14","2020-12-08","2020-12-08","2020-12-08","2020-12-08","2020-12-08","2020-12-08","2021-03-17","2020-12-08","2020-12-08","2021-03-20","2021-03-17","2021-03-17","2021-03-17","2021-03-17","2021-03-17","2021-08-30","2020-11-28","2021-04-20","2022-09-28","2022-09-28","2021-08-31","2021-04-20","2020-11-06","2020-12-08","2021-08-30","2021-08-30","2020-11-07","2020-11-07","2020-12-01","2020-12-01","2020-12-07","2021-08-31","2021-08-31","2022-09-27"],"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":""}]}]}