{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"SAMANTHA M THOMAS","gend":1,"add":"28437 VIRGINIA AVENUE","city":"MELFA","state":"VA","zip":23410,"dob":"1989-06-05","age":"","mstatus":"","insh":4403442,"cliId":"","pno":7577095173,"cno":"","email":"","ename":"","eno":"","pphy":"STARK, HEATHER R","ppno":7577095173,"pcpadd":"20306 BADGER LN,","pcpcity":"ONANCOCK","pcpstate":"VA","pcpzip":23417,"pcpcounty":"","pcpid":"","pcpname":"ONLEY COMMUNITY HEALTH CENTER","plan":"VPHP","program":"MEDICAID","lob":"VPM4","region":"TIDEWATER","aligned":"","ano":"","add2":"28437 VIRGINIA AVENUE","add3":"","madd1":"28437 VIRGINIA AVENUE","madd2":"","madd3":"","mcity":"MELFA                         ","mstate":"VA","mzip":"23410-2906","pcpfaxno":"","pcpnpi":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["R05","U07.1","R06.00","R50.9","J12.89","E11.9","D69.6","N39.0","Z79.01","D68.51","R19.7","R10.13","R10.33","E66.9","E11.65","R11.0","M54.9","R16.1","R19.09","Z79.899","Z87.440","Z90.49","R10.11","R10.31","K52.9","R18.8","I86.8","Z79.4","Z51.81","K57.92","I85.00","Z28.21","Z71.3","R14.0","K76.9","K74.60","I85.10","K76.6","K31.89","Z88.2","K29.50","K83.1","R03.0","Z32.01","B00.9","K74.69","F41.9","O99.891","R10.9","M54.5","O99.111","O24.111","O99.341","F32.9","O09.291","O09.211","O99.211","Z3A.01","O09.91","O36.80X0","O09.299","L02.412","L73.9","Z86.14","L73.2","R94.31","Z3A.00","O20.0","D68.318","O46.091","O46.91","Z3A.10","O35.9XX0","Z31.5","O35.2XX0","O20.9","O26.891","O24.911","Z3A.12","Z3A.11","R00.2","O09.92","O44.02","O09.892","Z3A.14","R82.90","I81","O34.30","O99.212","Z3A.20","Z01.812","Z20.822","Z20.828","O99.612","K21.9","O26.612","O24.112","O99.112","O22.8X2","Z79.82","O09.90","O26.899","O36.5920","Z3A.24","D64.9","E03.9","Z86.718","Z86.711","Z68.37","O09.93","O24.113","Z14.8","Z3A.28","O26.893","Z67.91","O26.619","Z3A.29","Z3A.30","O36.5930","O99.213","O34.211","O80","O99.42","O24.12","O99.12","O98.32","O99.62","O99.214","O99.344","O99.284","E55.9","O99.113","Z3A.31","Z3A.32","O99.013","Z37.0","Z30.2","R91.8","G89.18","M79.622","O90.89","M79.89","M79.10","M79.602","E10.9","Z98.890","Z88.1","Z45.2","Z03.89","R11.2","Z51.89","P07.35","E66.09"],"date":["2020-04-26","2020-05-01","2020-05-01","2020-05-01","2020-05-01","2021-07-26","2021-10-22","2020-05-01","2021-09-16","2021-11-17","2020-11-24","2020-11-02","2020-11-02","2021-07-26","2021-11-17","2020-11-02","2020-11-02","2020-11-13","2020-11-02","2021-04-17","2020-11-02","2021-06-28","2020-12-02","2020-11-05","2020-11-05","2020-11-05","2020-11-05","2021-11-17","2021-11-17","2021-03-01","2021-11-17","2020-11-13","2020-11-13","2021-09-16","2020-11-24","2021-07-26","2021-11-17","2021-09-21","2021-07-26","2021-09-16","2020-12-03","2021-08-17","2021-11-17","2021-03-01","2021-11-17","2021-11-17","2021-11-17","2021-03-10","2021-04-17","2021-03-10","2021-04-17","2021-04-13","2021-03-10","2021-03-10","2021-04-13","2021-03-10","2021-04-06","2021-03-18","2021-04-27","2021-03-18","2021-07-19","2021-03-20","2021-03-18","2021-03-20","2021-03-20","2021-05-11","2021-04-06","2021-04-06","2021-04-06","2021-04-06","2021-04-06","2021-04-13","2021-06-23","2021-04-13","2021-04-13","2021-04-17","2021-04-17","2021-04-17","2021-04-17","2021-04-17","2021-05-11","2021-07-06","2021-05-14","2021-06-23","2021-05-14","2021-08-03","2021-11-24","2021-06-23","2021-06-23","2021-06-23","2021-07-22","2021-07-22","2021-06-23","2021-06-28","2021-06-28","2021-06-28","2021-07-19","2021-06-28","2021-06-28","2021-07-26","2021-07-19","2021-07-19","2021-07-19","2021-07-19","2021-07-26","2021-11-01","2021-07-26","2021-07-26","2021-11-17","2021-08-24","2021-09-13","2021-08-17","2021-08-20","2021-08-17","2021-08-17","2021-08-17","2021-08-27","2021-09-03","2021-09-03","2021-09-03","2021-09-21","2021-09-06","2021-09-21","2021-09-21","2021-09-06","2021-09-06","2021-09-06","2021-09-06","2021-09-06","2021-09-06","2021-09-06","2021-09-13","2021-09-10","2021-09-13","2021-09-13","2021-09-13","2021-09-13","2021-09-13","2021-09-14","2021-09-16","2021-09-16","2021-09-16","2021-09-16","2021-09-16","2021-09-16","2021-09-16","2021-09-16","2021-09-16","2021-09-20","2021-09-22","2021-09-27","2021-10-06","2021-11-17"],"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":""}]}]}