{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"TERESA RICKS","gend":1,"add":"200 LOW GROUND ROAD","city":"EMPORIA","state":"VA","zip":23847,"dob":"1976-08-27","age":"","mstatus":"","insh":"1088143*01","cliId":"","pno":"434\/430-1786","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"800\/225-0953","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":23847,"pcpcounty":"","pcpid":"","pcpname":"SOUTHSIDE PHYSICIANS NETWORK - FAMILY MEDICINE","plan":"OHP","program":"Medicaid","lob":"M4","region":"CENTRAL","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"434\/634-7107","pcpnpi":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["H90.11","H69.83","Z20.828","Z11.59","R06.00","I10.","I42.8","E11.65","E78.2","E83.42","M79.674","E66.01","F41.1","Z79.4","Z68.42","V58.89","M25.572","W19.XXXD","S87.01XA","S79.929A","N92.0","R10.33","R07.89","Z01.419","E66.9","H65.21","R07.9","F41.9","H90.A31","G47.33","E11.9","E78.5","NO DATA","G62.9","R25.2","N76.0","L02.31","I50.9","Z68.43","M25.372","S93.402A","G47.30","R06.83","H90.3","L65.9","L21.8","L85.3","E11.42","L60.3","M72.2","Z98.51","R51.9","R04.0","M20.10","M20.60","L85.1","E10.9","M77.40","R60.0","R10.84","M62.838","E78.00","I11.0","Z79.899","Z87.891","M79.605","K44.9","Z01.818","K29.50","B96.81","Z79.84","Z79.85"],"date":["2020-08-19","2021-09-02","2020-11-03","2020-11-03","2021-04-01","2022-10-12","2022-02-17","2022-10-19","2022-02-17","2021-10-29","2021-10-29","2022-10-19","2022-07-04","2022-10-19","2022-10-19","2022-06-22","2022-06-27","2022-06-22","2022-05-10","2022-05-10","2022-06-15","2022-06-15","2022-07-18","2022-10-12","2021-09-01","2021-09-02","2021-05-15","2022-10-19","2021-09-02","2022-03-03","2022-10-19","2022-03-03","2022-10-19","2022-03-03","2021-01-07","2021-07-20","2021-07-20","2022-10-19","2022-01-31","2022-06-27","2022-07-19","2022-08-01","2022-08-01","2020-08-19","2020-11-16","2020-11-16","2022-07-20","2022-10-19","2021-12-07","2021-12-07","2022-10-12","2020-12-24","2020-12-24","2022-07-20","2022-07-20","2022-07-20","2022-07-20","2022-07-20","2022-07-20","2022-09-18","2020-11-28","2022-10-19","2022-10-19","2022-10-19","2020-11-28","2020-11-28","2022-10-19","2022-10-19","2022-10-19","2022-10-19","2022-10-19","2022-10-19"],"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":""}]}]}