{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"ALFONZA  J BANKS","gend":0,"add":"16564 NANTICOKE WAY APT 202","city":"WOODBRIDGE","state":"VA","zip":22191,"dob":"1986-12-31","age":"","mstatus":"","insh":"20060286*01","cliId":"","pno":"571\/575-6083","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"703\/832-8023","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":22191,"pcpcounty":"","pcpid":"","pcpname":"","plan":"OHP","program":"Medicaid","lob":"OHCC","region":"NORTHERN\/ WINCHESTER","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"703\/689-0077","pcpnpi":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["F11.20","M54.17","G89.28","G89.4","M62.830","M43.06","G43.111","R55.","R42.","Z79.891","M54.16","M47.817","M47.814","Z79.899","I10.","E11.9","R09.81","R05.","I82.443","NO DATA","F17.210","Z88.6","Z79.01","R20.2","E11.65","I82.409","Z11.59","F11.23","E11.43","K31.84","R00.0","Z79.4","Z86.718","R11.2","R11.10","S39.012A","Z20.822","Z20.828","G89.29","E78.5","J69.0","E10.42","Z28.310","Z88.8","M79.2","Z00.01","M79.604","M79.605","I82.4Z3","E11.40","R63.4","I25.9","R56.9","E11.42","F11.90","F11.93","F19.10","Z72.0"],"date":["2021-05-27","2021-02-09","2021-02-09","2022-10-24","2021-02-09","2021-02-09","2021-02-09","2021-02-09","2021-02-09","2021-02-09","2022-10-06","2022-10-06","2022-10-06","2022-10-06","2022-08-24","2022-07-18","2020-10-07","2020-10-07","2021-12-31","2022-10-25","2022-08-09","2022-08-09","2022-08-09","2021-12-31","2022-08-09","2022-01-26","2022-03-29","2022-08-09","2022-08-09","2022-08-09","2022-08-09","2022-08-09","2022-08-09","2022-08-09","2022-08-24","2021-02-04","2022-07-18","2020-09-21","2021-12-23","2022-07-18","2022-07-18","2022-07-18","2022-07-18","2022-07-18","2022-07-29","2021-04-29","2021-12-31","2021-12-31","2021-12-31","2022-03-29","2022-03-29","2022-10-25","2022-10-25","2022-10-24","2022-10-25","2022-10-25","2022-10-24","2022-10-24"],"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":""}]}]}