{"version":"0.4","data":[{"t":"Demographics","q":[{"name":" L  AREIKSMAILLIW","gend":1,"add":"RUOC 5142EVA YENT","city":"NORFOLK","state":"VA","zip":23504,"dob":"1989-02-01","age":"","mstatus":"","insh":"7006110*05","cliId":"","pno":"08\/7571995-7","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":23504,"pcpcounty":"","pcpid":"","pcpname":"EVMS Ghent Family Medicine","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":["Z20.828","U07.1","E11.9","I10.","Z76.0","Z87.891","Z88.0","R43.8","R19.7","L72.3","Z20.2","Z97.5","K21.9","R10.11","F41.9","NO DATA","Z01.810","Z01.812","K42.9","Z30.2","F32.1","O24.119","J02.9","R05.9","R19.4","Z86.59","E66.01","Z68.42","E11.65","K46.9","L98.8","F33.0","R10.84","R11.2","Z98.51","E66.9","Z83.3","Z82.49","R10.815","J02.0","Z20.822","R07.9","Z01.818","E28.2","Z01.419","B37.3","Z32.02","R19.8"],"date":["2020-10-21","2021-08-02","2022-10-11","2022-10-11","2021-08-02","2022-10-04","2022-10-04","2021-08-02","2022-06-03","2020-04-24","2020-04-24","2020-04-24","2022-05-10","2022-05-20","2022-05-10","2022-05-10","2021-11-19","2020-07-28","2020-07-30","2020-06-15","2022-05-09","2022-05-09","2022-06-14","2022-06-14","2022-10-04","2022-10-04","2022-10-04","2022-10-04","2021-12-02","2020-06-03","2020-06-03","2021-12-09","2022-05-31","2022-05-31","2022-05-31","2022-05-31","2022-05-31","2022-05-31","2022-05-31","2022-06-14","2022-06-14","2022-06-14","2020-03-11","2021-12-16","2020-02-18","2020-02-18","2020-02-18","2022-10-04"],"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":""}]}]}