{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"JACKIE BROOKMAN","gend":1,"add":"PO BOX 594","city":"RUSTBURG","state":"VA","zip":24588,"dob":"1977-12-04","age":"","mstatus":"","insh":4463133,"cliId":"","pno":4344207691,"cno":"","email":"","ename":"","eno":"","pphy":"CROW, WILLIAM C","ppno":4344207691,"pcpadd":"7202 FORDSON RD,","pcpcity":"ALEXANDRIA","pcpstate":"VA","pcpzip":22306,"pcpcounty":"","pcpid":"","pcpname":"TRISTATE QUALITY CARE CORP","plan":"VPHP","program":"MEDICAID","lob":"VPM4","region":"WESTERN\/CHARLOTTESVILLE","aligned":"","ano":"","add2":"PO BOX 594","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"","pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["E11.9","F31.9","R30.0","Z00.00","R03.0","F31.81","F41.1","Z87.440","E66.01","N39.3","R53.81","H53.2","R42","Z79.84","Z88.5","Z79.899","E03.9","R91.8","R53.1","F33.2","E11.8","N39.0","J34.89","J06.9","H69.91","E11.59","E11.69","Z32.02","F90.9","E11.65","N32.81","N89.8","F32.9","Z23","H92.01","N76.0","Z20.828","M26.629","R22.1","F33.1","N39.46","K21.9","J02.9","J30.89","R09.81","R00.0","B37.9"],"date":["2021-10-11","2019-03-25","2020-01-28","2021-09-10","2019-03-25","2020-11-23","2021-01-15","2019-05-10","2021-10-11","2019-05-10","2019-05-21","2019-05-21","2020-10-08","2019-05-21","2019-05-21","2019-05-21","2019-05-21","2019-05-21","2019-05-21","2021-01-15","2019-12-20","2021-01-15","2020-02-13","2020-12-15","2020-02-28","2021-01-08","2020-10-08","2020-05-08","2021-01-15","2021-01-15","2020-06-24","2020-08-04","2020-08-04","2020-10-08","2020-12-12","2020-12-12","2020-12-15","2021-01-05","2021-01-05","2021-01-12","2021-01-15","2021-01-15","2021-10-11","2021-09-10","2021-09-10","2021-10-11","2021-10-11"],"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":""}]}]}