{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"JESSICA BAKER","gend":1,"add":"3053 TAYLORS MILL RD LOT 19","city":"GRETNA","state":"VA","zip":24557,"dob":"1987-07-06","age":"","mstatus":"","insh":"1160617*01","cliId":"","pno":"434\/426-7447","cno":"","email":"","ename":"","eno":"","pphy":"Abdel Shaheed, Samir","ppno":"434\/656-2224","pcpadd":"3925 Portsmouth Boulevard","pcpcity":"Chesapeake","pcpstate":"VA","pcpzip":24557,"pcpcounty":"","pcpid":"","pcpname":"","plan":"OHP","program":"Medicaid","lob":"M4","region":"WESTERN\/ CHARLOTTESVILLE","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"434\/656-3988","pcpnpi":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["F11.21","F33.0","Z51.81","F11.20","F41.9","F33.1","Z71.51","B19.20","E11.69","Z23.","E03.9","R80.9","D64.9","M54.40","R30.0","M08.00","F41.8","E66.9","G47.9","Z81.4","B34.9","Z20.822","E11.65","E11.9","D50.9","J30.9","M25.551","M54.5","F13.20","F41.1","F33.2","F43.0","Z71.6","R50.9","NO DATA","F32.9","L25.5","H04.123","H52.13","R10.2","R11.10","R10.84","R11.2","G47.30","G47.10","R06.83","U07.1","F17.200","F17.201","R19.7","F32.0","Z13.21","A74.9","R94.31","R06.02"],"date":["2022-10-21","2021-04-06","2022-03-22","2022-05-20","2022-03-22","2022-04-19","2022-03-22","2021-02-02","2021-10-27","2021-10-27","2022-04-06","2021-10-27","2021-10-27","2021-10-27","2021-10-27","2021-10-27","2021-10-27","2021-10-27","2022-03-22","2022-03-22","2021-11-23","2021-11-23","2022-10-10","2022-03-16","2021-03-02","2021-03-02","2021-03-02","2021-03-02","2020-03-12","2020-03-12","2020-03-12","2020-03-12","2020-03-12","2020-04-28","2020-04-28","2020-04-28","2020-04-14","2022-10-10","2022-10-10","2021-02-23","2022-03-16","2021-03-25","2022-03-16","2022-01-13","2022-01-21","2022-01-13","2022-01-20","2020-01-14","2020-01-14","2022-03-16","2020-02-11","2020-04-01","2020-04-01","2022-01-20","2022-01-20"],"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":""}]}]}