{"version":"0.4","data":[{"t":"Demographics","q":[{"name":" NONREVROLYAT","gend":0,"add":"YELAHW 9052DVLB ELLIV","city":"SUFFOLK","state":"VA","zip":23434,"dob":"1976-06-14","age":"","mstatus":"","insh":"7113210*11","cliId":"","pno":"38\/7575299-7","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"757\/738-1375","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":23434,"pcpcounty":"","pcpid":"","pcpname":"","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":["M25.512","E11.65","I10.","F51.01","F33.1","F41.9","Z76.0","Z20.822","Z79.899","Z13.6","E11.9","E78.5","Z79.4","R42.","E86.0","R00.0","R55.","K52.9","G89.29","M25.511","M25.521","M25.522","E78.00","R10.9","E11.649","B34.9","U07.1","R11.2","R19.7","S46.912A","Z79.84","R73.9","R10.11","K76.0","A09.","E87.2","Z20.828","E87.6","F32.9","G47.00","S02.5XXA","K04.01","K08.9","K08.89","G43.809","M19.90","R50.9","M77.8","R51.9","H53.9","N20.0","M54.9","M62.830","R35.0","N40.0","Z79.1","N17.9","Z88.5","Z96.41","E11.00","E78.2","NO DATA","K21.9","R10.30","R19.4","R93.89","Z12.11","R43.0","V58.89"],"date":["2021-09-06","2022-09-15","2022-09-15","2022-02-02","2022-02-02","2021-05-14","2022-02-02","2021-10-30","2022-09-12","2022-02-02","2022-02-02","2022-06-16","2022-09-15","2022-09-15","2022-09-15","2022-09-15","2022-09-15","2022-03-15","2021-07-23","2021-09-06","2021-09-06","2021-09-06","2022-06-16","2021-09-08","2021-09-08","2022-10-11","2022-10-11","2020-10-05","2021-11-21","2021-04-08","2022-09-12","2022-09-12","2020-10-02","2020-11-17","2020-10-05","2020-10-05","2020-10-05","2022-09-12","2020-10-05","2020-10-05","2021-06-14","2021-06-14","2021-06-14","2021-06-14","2021-11-21","2022-01-25","2021-12-01","2021-03-08","2021-08-31","2021-08-31","2022-09-10","2022-09-10","2022-09-10","2020-09-29","2022-09-12","2022-06-16","2022-06-16","2022-06-16","2022-06-16","2022-09-12","2022-09-12","2022-09-12","2022-09-12","2021-02-09","2021-02-09","2020-11-17","2020-11-17","2021-12-01","2022-03-15"],"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":""}]}]}