{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"MARY SARTOR","gend":1,"add":"4348 CYPRESS DR","city":"PRINCE GEORGE","state":"VA","zip":23875,"dob":"1956-01-26","age":"","mstatus":"","insh":"20034519*01","cliId":"","pno":"804\/914-2305","cno":"","email":"","ename":"","eno":"","pphy":"Abdel Shaheed, Samir","ppno":"434\/949-7211","pcpadd":"3925 Portsmouth Boulevard","pcpcity":"Chesapeake","pcpstate":"VA","pcpzip":23875,"pcpcounty":"","pcpid":"","pcpname":"","plan":"OHP","program":"Medicaid","lob":"OHCC","region":"CENTRAL","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"434\/949-7134","pcpnpi":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["I10.","H61.22","E78.2","E11.42","F32.9","K21.00","I69.993","Z74.09","R39.81","K59.1","N39.0","F41.1","NO DATA","Z71.89","Z23.","Z71.3","E11.3312","E11.3391","Z96.1","Z79.4","R53.1","R73.9","I63.9","G93.40","E11.65","E11.3313","H35.81","E11.3293","K52.9","R11.0","J30.89","R35.1","R31.9","E11.3553","Z79.899","Z72.0","E21.0","Z68.22","R94.31","F80.81","E11.40","E11.22","E11.69","E66.9","Z68.25","M81.0","E11.3291","S91.209A","R60.0","R35.0","L60.3","B35.1","B35.3","N18.4","G60.9","R41.82","R80.1","R55."],"date":["2021-10-11","2021-06-09","2022-03-17","2021-10-11","2021-06-09","2021-06-09","2021-10-11","2021-12-09","2021-12-09","2021-12-09","2021-09-14","2021-07-23","2022-03-17","2021-07-23","2021-10-11","2021-07-23","2021-01-04","2021-01-04","2021-04-23","2022-03-17","2021-07-11","2021-07-11","2021-07-15","2021-07-15","2022-03-17","2021-04-23","2020-01-31","2020-01-31","2021-01-14","2021-02-09","2021-07-23","2021-01-14","2021-01-14","2021-02-08","2021-04-23","2021-04-23","2021-10-11","2020-10-26","2021-10-03","2021-07-15","2022-03-17","2022-03-17","2022-03-17","2022-03-17","2022-03-17","2022-09-06","2020-11-23","2021-08-13","2021-08-13","2021-09-14","2021-09-14","2021-09-14","2021-09-14","2021-10-11","2021-07-12","2021-07-14","2021-10-01","2021-10-03"],"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":{"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":""}]}]}