{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"W LEKEMSMAILLI","gend":1,"add":"REKCIW 20451B31 TPA TC ","city":"WOODBRIDGE","state":"VA","zip":22193,"dob":"1990-07-18","age":"","mstatus":"","insh":"6873210*16","cliId":"","pno":"03\/1752515-0","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":22193,"pcpcounty":"","pcpid":"","pcpname":"SOUTHSIDE PHYSICIANS NETWORK - OB\/GYN","plan":"OHP","program":"Medicaid","lob":"M4","region":"NORTHERN\/ WINCHESTER","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":["O35.5XX1","O24.112","O10.212","O99.212","O10.012","O10.219","O99.213","O24.113","O10.013","O14.95","O26.892","O23.42","O32.1XX0","Z3A.20","O24.429","O99.42","O76.","O10.92","T41.3X5A","O77.0","O99.824","Z37.0","Z3A.37","I95.9","O13.4","O10.913","O11.5","O24.13","O99.335","O99.215","E66.9","F17.200","E11.9","Z83.3","Z79.4","O47.03","O24.414","Z3A.36","O60.03","O24.913","E66.01","Z03.79","Z48.89","I10.","E28.2","J45.909","Z79.899","Z87.891","G89.18","O10.213"],"date":["2021-07-20","2021-05-25","2021-05-25","2021-05-25","2021-05-25","2021-07-15","2021-07-26","2021-07-20","2021-07-20","2021-08-07","2021-04-06","2021-04-06","2021-04-06","2021-04-06","2021-07-29","2021-07-29","2021-07-29","2021-07-29","2021-07-29","2021-07-29","2021-07-29","2021-07-31","2021-07-31","2021-07-29","2021-07-29","2021-07-31","2021-08-06","2021-08-06","2021-08-06","2021-08-06","2021-08-06","2021-08-06","2021-08-06","2021-08-06","2021-08-06","2021-07-26","2021-07-22","2021-07-26","2021-07-26","2021-07-26","2021-07-26","2021-07-26","2021-08-03","2021-08-03","2021-08-03","2021-08-03","2021-08-03","2021-08-03","2021-08-01","2021-07-13"],"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":""}]}]}