{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"NOTNILCNOSLIW ","gend":0,"add":"DAOR NEDRAG ALEAZA 6513NOSLIW ENEG RM 42 TPA ","city":"NORFOLK","state":"VA","zip":23513,"dob":"1962-03-18","age":"","mstatus":"","insh":"7042210*59","cliId":"","pno":"45\/7577964-6","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":23513,"pcpcounty":"","pcpid":"","pcpname":"EVMS Internal 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":["N30.00","N18.9","I10.","F17.210","S00.83XA","S60.222A","W01.0XXA","M25.561","M25.562","F17.200","M54.9","G89.29","Z00.00","E11.9","F33.2","T16.1XXA","B18.2","I25.2","Z91.013","Z23.","Z76.0","E11.65","B19.20","N52.9","Z79.4","Z72.0","N52.1","Z79.899","E11.69","Z82.49","Z13.9","Z13.31","S97.81XA","V29.9XXA","Y92.9","Y93.89","E78.5","I25.10","R06.02","B20.","F43.21","J20.9","I12.9","E11.22","R77.8","Z20.822","Z91.048","R20.2","R53.1","M79.89","M79.642","Z87.891","Z78.9","L60.3","E11.42","R23.4","L85.3","F06.4"],"date":["2020-07-13","2022-08-08","2022-09-02","2022-08-08","2021-03-01","2021-02-28","2021-02-28","2021-05-04","2021-05-04","2022-03-08","2021-05-03","2021-05-03","2021-04-16","2022-09-02","2022-08-19","2022-02-23","2022-02-23","2022-09-02","2022-09-02","2021-05-04","2021-01-05","2022-03-08","2022-03-08","2022-03-08","2020-11-27","2020-11-27","2020-11-27","2020-11-27","2020-11-27","2020-11-27","2021-01-26","2021-01-26","2020-09-09","2020-09-09","2020-09-09","2020-09-09","2020-10-26","2022-09-02","2022-08-08","2021-05-04","2022-11-02","2022-08-08","2022-08-08","2022-08-08","2022-09-02","2022-08-08","2022-08-08","2022-09-02","2022-09-02","2022-09-02","2022-09-02","2021-05-04","2021-05-04","2021-02-25","2021-02-25","2021-02-25","2021-02-25","2022-11-02"],"priorHcc":["","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","",""]}}]},{"t":"Covid Screening","q":[{"a":[]}]},{"t":"Screenings Needed","q":[{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["1",""],"comment":["",""],"sub":{"indx":[["","","",""],[""],[""],[""],[""],[""]],"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":""}]}]}