{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"CRESCENT  C COVINGTON","gend":1,"add":"135 LOWELL ST","city":"DANVILLE","state":"VA","zip":24540,"dob":"1992-03-23","age":"","mstatus":"","insh":"1612132*01","cliId":"","pno":"434\/203-6391","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":24540,"pcpcounty":"","pcpid":"","pcpname":"","plan":"OHP","program":"Medicaid","lob":"M4","region":"WESTERN\/ CHARLOTTESVILLE","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"","pcpnpi":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["O24.425","Z37.0","O99.02","D64.9","Z3A.39","O80.","K42.9","R53.1","E11.65","N20.0","R31.9","R10.9","R11.0","K43.9","Z76.89","F41.9","R13.10","R10.32","N13.30","R42.","R73.9","Z01.419","Z30.011","Z30.432","E11.21","T14.8XXA","R63.2","O36.8130","O24.415","Z3A.30","N13.2","K59.00","Z87.442","R30.9","R20.0","R20.2","R51.9","Z20.822","U07.1","R59.0"],"date":["2021-05-19","2021-05-19","2021-05-19","2021-05-19","2021-05-19","2021-05-19","2021-10-13","2022-07-28","2022-08-03","2021-09-23","2021-07-31","2021-08-11","2021-09-23","2021-10-13","2022-08-03","2022-09-19","2022-08-03","2021-09-23","2021-09-23","2022-07-28","2022-07-28","2020-05-28","2020-05-28","2020-05-28","2022-09-19","2022-09-19","2022-07-29","2021-03-19","2021-03-19","2021-03-19","2021-09-23","2021-09-23","2021-09-23","2021-07-31","2021-08-05","2021-08-05","2022-07-12","2022-07-12","2022-07-12","2022-10-03"],"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":[]}},{"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":""}]}]}