{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"CHERMIR MAYFIELD","gend":1,"add":"48 CHINA GROVE ROAD PO BOX 481","city":"BOYDTON","state":"VA","zip":23917,"dob":"1982-01-24","age":"","mstatus":"","insh":"20031708*01","cliId":"","pno":"434\/265-3561","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"434\/791-3630","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":23917,"pcpcounty":"","pcpid":"","pcpname":"","plan":"OHP","program":"Medicaid","lob":"OHCC","region":"CENTRAL","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"434\/791-4126","pcpnpi":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["B35.3","I63.512","G81.91","R47.01","R48.2","R29.723","E66.01","I10.","E11.9","Z68.45","R13.10","NO DATA","E05.90","E87.0","M79.3","Z79.4","J96.01","N17.9","R94.01","R25.2","U07.1","R05.","R06.02","I63.9","R53.1","N28.1","R94.4","Z79.84","G93.6","J69.0","R41.82","R06.82","R45.1","K59.03","T40.2X5A","E05.00","Z66.","L20.9","I89.0","I16.0","R50.9","E78.6","J96.00","A41.9","R43.2","I69.391","I63.522","I11.0","L29.9","D50.9","Z68.44","R01.1","E66.8","E78.5","M79.89","I67.89","I95.9","J98.8","R47.1"],"date":["2021-04-02","2021-08-01","2021-07-30","2021-07-30","2021-07-30","2021-07-30","2021-07-30","2021-08-01","2021-07-30","2021-07-26","2021-07-30","2021-07-28","2021-07-30","2021-08-01","2021-07-26","2021-07-25","2021-07-30","2021-07-30","2021-07-30","2021-07-28","2020-08-25","2020-08-25","2020-08-25","2021-07-17","2021-07-30","2021-07-20","2021-07-20","2021-07-26","2021-07-28","2021-07-30","2021-08-01","2021-08-01","2021-08-01","2021-08-01","2021-08-01","2021-08-01","2021-08-01","2020-01-15","2020-11-20","2021-07-24","2021-07-28","2021-07-28","2021-07-30","2021-07-30","2020-08-23","2021-07-22","2021-07-27","2020-11-20","2020-11-20","2020-11-20","2020-11-20","2020-11-20","2020-11-20","2021-07-19","2021-07-20","2021-07-20","2021-07-26","2021-07-29","2021-07-30"],"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":{"indx":[["","","",""],[""],[""],[""],[""],[""]],"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":""}]}]}