{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"  REFINNEJOREDROC M","gend":1,"add":" YRREF 1821DAOR TNIOP","city":"VIRGINIA BEACH","state":"VA","zip":23464,"dob":"1992-01-24","age":"","mstatus":"","insh":"6720210*23","cliId":"","pno":"13\/7578852-9","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":23464,"pcpcounty":"","pcpid":"","pcpname":"COASTAL INTERNAL MEDICINE AND TIDEWATER BARIATRICS","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":["F33.1","F41.1","F43.10","F33.41","F60.89","Z91.52","Z91.51","F51.04","Z65.8","F33.2","F41.0","R51.","Z72.0","N93.9","F17.200","R10.9","F39.","F32.9","F41.9","F60.3","Z01.419","S61.432A","E11.9","G47.33","R05.","R68.83","Z79.899","Z56.6","Z62.810","Z79.84","Z81.8","S61.512A","L03.032","Z20.828","S61.502A","J02.9","X78.9XXA","R10.2","K58.1","K62.5","Z87.19","Z87.891","K59.00","R10.30","R19.4","K63.89"],"date":["2022-11-04","2022-11-04","2022-11-04","2022-11-04","2022-11-04","2021-12-27","2022-11-04","2022-04-15","2021-12-27","2022-07-29","2022-11-04","2020-02-16","2020-02-16","2021-08-31","2021-08-31","2021-08-31","2022-11-04","2022-11-04","2022-11-04","2020-11-18","2020-08-31","2021-06-03","2021-11-24","2022-05-17","2020-12-01","2020-12-01","2021-12-20","2021-12-20","2021-12-20","2021-12-20","2021-12-20","2021-11-27","2022-02-25","2021-01-07","2021-11-19","2020-12-01","2021-11-20","2022-11-07","2022-10-13","2022-10-28","2022-10-13","2022-10-13","2022-10-13","2022-10-28","2022-10-28","2022-10-28"],"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":""}]}]}