{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"ROY  O CIFERS JR III","gend":0,"add":"1635 EBONY ROAD","city":"EBONY","state":"VA","zip":23845,"dob":"1972-11-01","age":"","mstatus":"","insh":"20067238*01","cliId":"","pno":"434\/532-7998","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"434\/447-6969","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":23845,"pcpcounty":"","pcpid":"","pcpname":"","plan":"OHP","program":"Medicaid","lob":"OHCC","region":"CENTRAL","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"434\/676-2390","pcpnpi":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["I10.","M10.9","E66.01","Z68.37","R73.03","F17.290","E11.43","K31.84","R11.0","F17.200","Z79.4","Z79.899","E11.65","E88.81","T38.0X5A","E78.1","E87.1","E87.6","I25.10","R16.0","K76.0","R91.1","Z79.52","L02.413","R07.9","R00.0","E11.621","L89.619","E11.9","M1A.00X0","M1A.9XX1","M1A.0711","U07.1","Z03.818","Z76.89","N17.9","L51.1","T50.4X5S","L97.519","N18.9","R09.81","L03.115","T50.4X5A","E11.3293","D31.31","H52.4","L03.113","R53.83","R05.9","M75.52","M25.512","Z87.891"],"date":["2022-10-25","2021-08-24","2021-08-03","2021-05-27","2021-05-27","2021-05-27","2021-08-03","2021-08-03","2022-10-24","2021-08-03","2021-12-09","2021-08-03","2021-12-09","2021-08-03","2021-08-03","2021-08-03","2021-08-03","2021-08-03","2021-08-03","2021-08-24","2021-08-24","2021-08-03","2021-08-03","2022-10-25","2021-07-30","2021-07-30","2021-08-04","2021-08-04","2021-12-09","2021-12-09","2021-12-09","2021-06-02","2022-01-06","2022-01-06","2022-10-24","2021-07-30","2021-08-01","2021-07-30","2021-07-30","2021-07-30","2020-11-05","2021-05-16","2021-07-31","2021-08-24","2021-08-24","2021-08-24","2022-10-24","2021-08-24","2021-10-27","2022-03-19","2022-03-19","2022-10-25"],"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":""}]}]}