{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"JEFFREY  R BROMBERG","gend":0,"add":"440 MANOR RD DR APT 1","city":"NEWPORT NEWS","state":"VA","zip":23608,"dob":"1972-06-02","age":"","mstatus":"","insh":"1096288*01","cliId":"","pno":"757\/769-5859","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"757\/310-6413","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":23608,"pcpcounty":"","pcpid":"","pcpname":"DEPAUL MEDICAL ASSOCIATES","plan":"OHP","program":"Medicaid","lob":"OHCC","region":"TIDEWATER","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"804\/213-9783","pcpnpi":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["E11.8","Z79.4","K21.9","M43.02","M43.06","M50.20","M54.2","NO DATA","L02.31","E78.2","I10.","F33.9","Z11.59","E66.09","L03.317","R60.0","L03.119","M50.00","E11.42","R29.6","E11.319","R42.","R26.89","M86.9","I11.0","I50.9","E11.65","M86.171","I96.","R65.10","L03.115","K59.09","I89.0","M62.838","T86.821","F32.89","N52.1","R79.89","Z68.41","E29.1","M96.1","M54.5","K59.03","T40.2X5A","E78.00","M21.371","M21.372","M54.32","M48.00","T38.0X5S","E78.5","H65.92","Z68.35","E34.9","L85.3","G89.4","Z51.81","M54.16","E11.69","B96.5","B96.89","B95.61","B96.20","R78.81","Z88.0","Z88.1","A41.52","E11.52","I45.2","M86.8X7","E11.40","A41.9","L02.91","N52.9","M62.81","M48.061","I44.0","Z89.421","R09.89","Z48.01","Z47.81","Z45.2","Z79.2","E66.9","M54.30","Z98.1","E11.9","Z97.8","Z79.899","I36.1","I95.1","R00.0","Z09.","Z89.429","Z48.1","B35.1","T81.31XA","E66.01","E11.621","L97.512","L97.522","Z00.00","Z23.","R25.1","T81.89XA","T87.81","L89.891","V58.89","L53.9"],"date":["2022-10-31","2022-11-03","2022-11-03","2021-11-17","2021-05-03","2021-03-22","2022-02-10","2022-08-09","2021-06-17","2021-09-28","2022-09-22","2021-12-06","2021-06-17","2021-06-17","2021-06-17","2021-12-06","2021-08-26","2021-12-06","2022-08-25","2021-12-06","2021-12-06","2021-12-06","2022-07-11","2022-09-22","2022-08-06","2022-08-06","2022-09-22","2022-08-09","2022-08-25","2022-08-09","2022-08-23","2022-08-09","2022-09-22","2022-08-09","2022-11-03","2020-06-04","2020-03-02","2020-06-04","2022-10-06","2022-04-28","2022-09-20","2021-08-25","2022-08-25","2022-08-25","2022-08-23","2022-03-23","2022-09-20","2022-03-23","2022-03-23","2020-05-12","2022-05-23","2020-09-10","2020-09-10","2021-09-28","2021-09-28","2022-09-20","2022-09-20","2022-09-20","2022-11-03","2022-08-23","2022-08-08","2022-08-23","2022-08-08","2022-08-08","2022-08-08","2022-08-08","2022-08-02","2022-08-06","2022-08-04","2022-08-23","2022-08-02","2022-08-11","2020-06-08","2022-04-28","2021-08-02","2021-07-14","2022-08-04","2022-09-22","2022-08-04","2022-08-23","2022-08-23","2022-08-23","2022-08-23","2022-09-22","2020-05-04","2020-05-04","2022-05-23","2022-05-23","2022-05-23","2022-08-03","2022-08-25","2022-08-25","2022-08-25","2022-08-25","2022-08-06","2022-08-06","2022-10-06","2022-10-06","2022-10-27","2022-10-27","2022-10-12","2022-11-03","2022-11-03","2022-11-03","2022-09-20","2022-09-22","2022-09-22","2022-10-06","2022-10-06"],"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":""}]}]}