{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"JAYME EYLER","gend":1,"add":"PO BOX 1174","city":"RUSTBURG","state":"VA","zip":24588,"dob":"1982-09-28","age":"","mstatus":"","insh":"20027105*01","cliId":"","pno":"434\/841-0205","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"434\/455-5330","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":24588,"pcpcounty":"","pcpid":"","pcpname":"","plan":"OHP","program":"Medicaid","lob":"OHCC","region":"WESTERN\/ CHARLOTTESVILLE","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"434\/455-3273","pcpnpi":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["M48.02","M25.559","M25.569","G89.4","M54.2","Z79.899","G89.29","G89.21","M54.16","F31.10","F43.9","G47.00","Z48.89","J42.","R07.81","J45.30","Z72.0","F31.32","S23.3XXA","R53.83","Z01.411","N92.6","L02.215","Z87.2","N93.9","R07.9","S22.32XA","L02.416","L08.89","R11.0","K21.9","Z98.1","T81.89XS","M76.62","Z18.9","T84.84XA","M25.572","Z18.89","L73.2","E53.8","G43.909","K12.2","N39.0","R31.29","N12.","R35.0","R30.0","E66.01","G47.33","Z87.891","Z79.2","R10.9","R10.13","R11.2","K04.7","K08.89","R22.0","B37.9","T36.95XA","R87.610","M25.562","J40.","R05.","J06.9","I10.","R68.81","R19.7","R10.84","Z22.322","Z71.9","F41.9","N99.71","J45.909","F30.9","G62.9","F43.10","M77.11","M70.61","M77.12","M70.62","M79.7","E66.9","M19.071","M25.511","M25.512","R31.9","B37.3","J32.9","H69.90","M54.5","Z87.39","Z20.828","R73.03","E78.5","J01.90","Z20.822","L03.211","N92.1","M10.9","M51.37","Z71.6","J30.2","R09.82","M54.6","R07.89","F51.01","F41.1","J18.9","J34.89","J02.9","F41.8","J01.40","S03.40XA","S90.32XA","M79.672"],"date":["2022-07-12","2020-01-16","2020-01-16","2022-07-12","2022-09-01","2022-07-12","2022-07-12","2022-07-12","2022-07-12","2022-01-14","2022-09-26","2021-10-25","2022-01-24","2022-09-26","2022-04-11","2022-05-23","2022-05-23","2022-09-26","2020-01-06","2020-07-31","2022-05-02","2022-01-07","2021-04-26","2021-04-26","2022-01-07","2022-04-06","2022-04-06","2020-05-12","2020-05-12","2021-09-09","2022-09-26","2020-06-05","2020-06-05","2020-06-05","2020-06-05","2020-06-05","2020-06-05","2020-06-05","2020-10-30","2021-11-29","2021-10-28","2021-03-31","2021-09-09","2021-09-09","2021-09-09","2021-09-09","2021-09-09","2022-09-26","2022-01-07","2021-09-09","2021-09-09","2021-09-09","2021-10-04","2021-10-04","2022-04-04","2022-04-04","2022-04-04","2022-04-04","2022-04-04","2022-05-02","2020-05-04","2021-01-18","2021-01-18","2021-01-18","2022-09-26","2021-08-19","2021-08-19","2021-08-19","2021-08-19","2021-08-19","2022-01-07","2022-01-07","2022-01-07","2022-01-07","2022-01-07","2022-01-07","2020-07-31","2020-07-31","2020-07-31","2020-07-31","2020-07-31","2021-03-17","2020-07-31","2020-07-31","2020-07-31","2021-09-29","2021-09-29","2021-11-03","2021-11-03","2020-04-24","2020-04-24","2021-01-06","2022-09-26","2022-09-26","2021-07-09","2021-10-08","2021-10-08","2022-01-07","2022-09-26","2022-09-26","2022-09-26","2021-08-16","2021-08-16","2021-08-16","2021-08-16","2021-09-23","2021-09-23","2021-11-29","2021-11-29","2021-11-29","2020-02-18","2022-11-09","2022-11-09","2022-01-28","2022-01-28"],"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":""}]}]}