{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"  ECNATSNOCSMAILLIW T","gend":1,"add":"DLA 31151TC DOOWRE","city":"CHESTER","state":"VA","zip":23831,"dob":"1990-03-01","age":"","mstatus":"","insh":"9602210*50","cliId":"","pno":"32\/4083472-8","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":23831,"pcpcounty":"","pcpid":"","pcpname":"IRONBRIDGE FAMILY PRACTICE","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":["M54.2","M54.9","R51.","M25.512","G43.809","M25.511","R42.","M54.5","M54.17","O24.410","O24.414","O99.213","Z68.41","Z3A.34","R51.9","K59.00","J30.0","J30.81","J30.1","V58.89","M25.621","M62.81","R73.03","Z71.3","M25.562","M25.662","G89.29","M25.361","R29.3","G44.209","M76.891","NO DATA","I89.0","M54.16","M47.816","M51.37","M54.12","F33.1","F41.0","Z01.810","E66.01","J45.909","F41.1","F43.10","Z91.040","Z88.0","Z79.899","Z86.32","Z87.891","Z79.51","Z83.511","Z82.49","Z83.0","R10.11","R52.","M79.601","M79.602","R19.4","K52.89","K57.30","G44.51","F41.9","E88.81","R60.0","E11.9","K21.9","M19.90","R60.1","K08.89","R53.83","J45.40","L30.9","J30.9","Z34.90","H10.10","Z3A.31","Z3A.33","O80.","Z37.0","Z3A.00","J34.3","J01.90","S16.1XXA","M47.812","G47.33","E66.2","J31.0","J45.20","I10.","G44.211","Z3A.38","J32.9","M25.521","S53.401A","Z00.00","Z13.220","R06.83","M22.12","M25.362","M25.561","R19.7","K52.9","O21.0","Z3A.20","Z3A.35","O24.429","O70.0","O26.893","Z23.","Z67.31","Z30.430","Z32.01","N92.6","Z30.09","F33.0","R09.81","S52.124A","V54.12","O35.8XX0","O24.419","Z3A.32","S53.401D","Z20.828","J01.00","J06.9","R10.2","N83.209","K29.70","T78.40XA","E66.9","Z68.39","R12.","R03.0","J01.10","H66.001","G43.009","R11.2","G89.4","M22.2X1","Z90.3","B34.9","Z03.89","J34.89","Z39.1","Z34.82","Z34.83","Z3A.37","Z71.89","G44.219","Z3A.24","M54.32","S90.562A","R63.5","G89.18","R10.13","K29.00","E55.9","E53.8","D64.9","H66.91","Z20.822","H66.90","H92.09"],"date":["2022-11-18","2021-01-05","2020-09-25","2022-01-19","2022-11-18","2022-01-19","2022-09-18","2020-12-16","2020-12-16","2020-11-09","2020-12-21","2020-12-15","2022-11-01","2020-11-23","2022-10-23","2021-01-05","2021-05-15","2022-09-26","2022-09-26","2021-09-29","2021-08-30","2021-12-27","2022-05-19","2022-02-11","2021-12-27","2021-12-27","2022-05-03","2022-01-11","2021-10-14","2022-08-02","2021-12-14","2022-01-19","2022-01-31","2022-04-06","2022-04-06","2022-04-06","2022-04-06","2022-08-17","2022-08-17","2022-05-02","2022-11-01","2022-10-23","2022-07-13","2022-05-19","2022-05-19","2022-05-19","2022-06-23","2022-05-19","2022-10-23","2022-10-23","2022-05-19","2022-05-19","2022-05-19","2022-11-01","2020-01-22","2020-01-22","2020-01-22","2020-02-25","2020-02-25","2020-02-25","2020-05-04","2022-10-20","2022-08-22","2022-08-19","2022-10-23","2022-10-23","2022-10-23","2022-08-19","2020-05-03","2021-06-24","2022-04-05","2020-09-16","2022-05-10","2020-09-16","2021-09-24","2020-11-02","2020-11-17","2020-12-21","2020-12-21","2020-12-21","2022-05-10","2022-05-10","2021-10-06","2022-03-15","2022-01-09","2022-01-09","2022-04-12","2022-04-12","2022-09-08","2022-09-08","2020-12-21","2021-05-19","2021-06-16","2021-06-16","2021-06-24","2021-06-24","2021-11-01","2021-07-19","2021-09-28","2022-05-03","2020-02-03","2020-02-25","2020-08-21","2020-08-21","2020-12-01","2020-12-20","2020-12-20","2020-12-20","2020-12-20","2020-12-20","2021-02-08","2021-02-08","2021-03-01","2021-03-08","2022-03-15","2021-07-13","2021-06-11","2021-06-15","2020-11-09","2020-11-09","2020-11-09","2021-07-28","2021-12-11","2021-12-11","2022-10-23","2022-04-25","2022-04-25","2022-07-01","2022-07-01","2022-07-01","2022-07-01","2020-05-31","2020-12-29","2021-09-24","2022-09-18","2021-12-28","2022-11-01","2021-11-01","2022-05-03","2022-11-01","2021-12-10","2022-01-21","2022-05-10","2020-11-24","2020-11-24","2020-11-24","2020-12-15","2020-04-29","2020-08-03","2020-08-03","2020-09-30","2021-06-30","2021-08-13","2022-06-05","2022-10-18","2022-07-01","2022-10-18","2022-10-18","2022-10-18","2022-10-23","2022-10-23","2022-10-23","2022-10-23"],"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":""}]}]}