{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"EFINNEJHTIMS R","gend":1,"add":" TROF 58TS HTROW","city":"HAMPTON","state":"VA","zip":23669,"dob":"1981-11-11","age":"","mstatus":"","insh":"8920110*64","cliId":"","pno":"87\/7572660-2","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"757\/827-1940","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":23669,"pcpcounty":"","pcpid":"","pcpname":"Riverside Primary Care Mercury West","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":["L50.1","F40.01","Z23.","E11.9","Z79.84","I10.","E11.8","F17.210","F41.9","G47.30","L91.8","E78.2","E66.9","Z68.33","L03.031","E11.65","Z79.899","L84.","NO DATA","E55.9","E11.42","L60.9","L60.0","M79.675","M79.674","L60.3","H52.223","E66.01","Z68.35","S90.211A","B35.1","R80.9","Z68.32","B37.3","S93.601A","J31.0","K42.9","Z98.1","N89.8"],"date":["2022-11-15","2022-02-08","2021-05-13","2022-04-05","2022-05-31","2022-09-25","2020-03-12","2022-09-25","2021-11-05","2020-03-12","2022-01-17","2022-05-31","2022-05-31","2022-01-17","2021-11-18","2022-05-31","2022-09-25","2021-02-15","2022-10-19","2021-11-05","2021-11-18","2020-01-03","2021-04-21","2021-04-21","2021-12-07","2020-01-03","2020-01-07","2022-01-17","2021-01-18","2021-12-07","2021-11-18","2022-05-31","2022-05-31","2022-09-25","2020-08-07","2022-04-20","2022-08-05","2022-09-25","2022-09-25"],"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":""}]}]}