{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"KASWANA L EDMONDS","gend":1,"add":"703 FARRIER CT","city":"STAUNTON","state":"VA","zip":24401,"dob":"1992-04-06","age":"","mstatus":"","insh":6843003,"cliId":"","pno":5409103415,"cno":"","email":"","ename":"","eno":"","pphy":"BROOKINGS, MICHAEL E","ppno":5409103415,"pcpadd":"851 STATLER BLVD ,STE B","pcpcity":"STAUNTON","pcpstate":"VA","pcpzip":24401,"pcpcounty":"","pcpid":"","pcpname":"AUGUSTA HEALTH URGENT CARE STA","plan":"VPHP","program":"MEDICAID","lob":"VPM4","region":"WESTERN\/CHARLOTTESVILLE","aligned":"","ano":"","add2":"703 FARRIER CT","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"","pcpnpi":""},{"a":{"indx":["","1","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["I10","Z22.322","L88","L73.2","O36.80X0","Z3A.15","Z34.81","Z34.82","Z34.90","Z34.80","Z3A.19","O99.212","R93.9","Z34.92","Z36.3","Z3A.21","Z86.14","Z3A.31","R73.02","O24.410","O99.210","E66.01","Z3A.33","O16.3","O26.893","Z3A.34","R51","R10.13","O13.2","O13.3","O24.419","O99.013","O99.333","Z3A.35","Z88.3","O14.92","O11.3","O10.913","O24.415","O99.713","O11.9","O14.14","O10.92","O72.1","O24.425","O34.13","O34.211","O99.214","O99.72","O99.334","O99.820","Z30.2","Z37.0","D25.9","O66.5","O34.212","O75.4","K66.0","O11.4","R68.89","L01.01","Z01.419","Z39.2","D64.9","E55.9","E21.3","L98.8","M79.605","Z72.0","Z88.1","F17.210","M17.9","Z79.1","J22","R22.41","L03.116","Z91.19","Z68.41","M19.90","R65.10","D50.9","D72.829","L97.929","L97.211","I83.212","L97.822","M25.562","M25.561","Z79.899","K04.7","K08.89","F32.9","Z32.01","Z36.87","Z3A.12","Z3A.14","Z3A.16","O24.112","O14.90","O26.892","R07.9","R06.02","O99.332","O10.912","Z3A.22","Z20.822","Z03.818","L02.11","Z68.42","O09.90","Z98.891","D23.5","D23.4","B96.89","D47.2","F41.9","Z33.1","S11.90XA","Z3A.28","Z23","E11.69","Z3A.30","O24.113","Z79.4","O09.293","R10.2","E11.65","Z3A.32","O10.919"],"date":["2021-12-27","2019-06-04","2021-11-24","2021-12-27","2021-10-08","2019-01-25","2021-08-06","2019-01-25","2019-04-22","2021-12-01","2019-02-27","2021-10-08","2019-03-05","2019-03-05","2021-12-13","2021-10-14","2020-04-10","2019-05-23","2019-05-28","2019-06-04","2019-06-04","2020-04-14","2019-06-04","2019-06-11","2021-12-27","2019-06-11","2019-06-11","2019-06-11","2019-06-11","2019-06-17","2019-06-17","2019-06-17","2019-06-17","2019-06-19","2019-06-17","2019-06-17","2019-06-18","2021-12-27","2019-06-18","2021-12-27","2019-06-18","2019-06-18","2019-06-18","2019-06-18","2019-06-19","2019-06-18","2019-06-18","2019-06-19","2019-06-19","2019-06-18","2019-06-18","2019-06-19","2019-06-19","2019-06-19","2019-06-18","2021-12-27","2019-06-19","2019-06-19","2019-06-19","2020-03-21","2019-08-12","2019-08-15","2019-08-15","2020-04-13","2019-08-19","2019-08-19","2021-11-02","2019-09-10","2020-10-29","2021-11-08","2021-11-08","2020-01-22","2020-01-22","2020-02-21","2020-04-10","2020-04-14","2020-04-10","2020-04-10","2020-04-10","2020-04-10","2021-11-08","2020-04-14","2020-04-14","2020-04-14","2020-04-14","2020-04-14","2020-08-19","2020-08-19","2021-11-08","2020-10-29","2020-10-29","2020-10-29","2021-07-28","2021-07-28","2021-08-06","2021-08-23","2021-09-08","2021-10-08","2021-10-08","2021-10-17","2021-10-17","2021-10-17","2021-10-17","2021-10-17","2021-10-21","2021-10-17","2021-10-17","2021-12-01","2021-11-24","2021-12-27","2021-12-27","2021-11-02","2021-11-08","2021-11-08","2021-11-08","2021-11-08","2021-11-08","2021-11-08","2021-12-01","2021-12-13","2021-12-27","2021-12-13","2021-12-27","2021-12-27","2021-12-13","2021-12-27","2021-12-27","2021-12-27","2021-12-27"],"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":{"indx":[["","","",""],[""],[""],[""],[""],[""]],"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":""}]}]}