{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"P K  ADADRAHCTIR","gend":1,"add":"RBCM 98241DAOR TNAY","city":"RUTHER GLEN","state":"VA","zip":22546,"dob":"1990-05-15","age":"","mstatus":"","insh":"6889110*90","cliId":"","pno":"22\/4081890-1","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":22546,"pcpcounty":"","pcpid":"","pcpname":"BON SECOURS INTERNAL MEDICINE OF ASHLAND","plan":"OHP","program":"Medicaid","lob":"M4","region":"CENTRAL","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":["M54.5","G43.009","F41.1","Z79.899","Z68.43","E88.81","E16.1","E66.01","N30.01","R10.2","N92.6","Z23.","G47.33","O02.1","J11.1","Z20.828","Z68.42","R06.00","R07.89","R05.","Z11.52","G43.019","F45.8","R11.2","Z32.01","F33.1","F17.200","O02.81","G89.18","O00.109","R74.01","Z30.432","G43.709","M72.2","N93.9","F41.9","B34.9","Z20.822","Z01.411","E55.9","R20.0","G25.81","R20.2","Z11.59","B37.2","K21.9"],"date":["2021-06-28","2021-06-28","2022-01-14","2021-06-28","2021-11-17","2022-01-12","2022-01-12","2021-11-17","2021-11-16","2021-11-16","2021-11-16","2021-11-16","2022-01-12","2022-04-01","2020-02-13","2020-12-30","2021-09-29","2021-02-04","2021-02-04","2021-02-04","2021-09-09","2021-10-28","2021-10-28","2022-08-18","2022-08-18","2022-01-14","2020-01-21","2022-03-31","2022-04-13","2022-04-13","2021-07-09","2021-07-09","2022-01-14","2022-03-21","2022-03-21","2021-03-25","2021-09-09","2021-04-14","2021-05-06","2021-05-06","2020-10-16","2020-10-16","2020-10-16","2020-12-30","2021-08-05","2022-01-12"],"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":""}]}]}