{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"JIMI  W DAVIS","gend":0,"add":"C\/O GRAY RIDGE 155 RIDGEFIELD DR","city":"MARION","state":"VA","zip":24354,"dob":"1971-07-16","age":"","mstatus":"","insh":"20070655*01","cliId":"","pno":"276\/210-5434","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"540\/674-5260","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":24354,"pcpcounty":"","pcpid":"","pcpname":"","plan":"OHP","program":"Medicaid","lob":"OHCC","region":"SOUTHWEST","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"276\/783-2879","pcpnpi":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["F31.31","Z23.","M62.838","Z11.1","L84.","G62.9","M26.621","K12.0","I10.","M79.651","M62.81","F17.210","Z79.899","R53.1","M25.571","E87.5","G40.89","E55.9","E11.9","M20.10","S61.401A","J44.9","Z79.82","M79.673","F41.1","F17.200","B35.1","M79.674","M79.675","E53.8","E85.9","G89.29","M00.251","L89.611","M79.671","R52.","M16.11","Z79.02","Z86.73","M25.851","S76.011A","I25.10","E78.5","K21.9","M19.90","R51.0","M79.661","L89.892","E11.40","M25.551","R27.0","Z79.01","S99.911A","S91.311A"],"date":["2021-05-13","2021-02-19","2021-05-29","2021-05-29","2021-08-07","2022-08-09","2022-03-08","2022-03-08","2022-09-13","2022-06-14","2022-06-09","2022-06-14","2022-10-04","2022-06-09","2021-05-08","2021-02-12","2022-10-04","2022-10-04","2022-07-08","2021-06-11","2021-06-11","2022-06-14","2022-06-14","2021-11-30","2021-12-01","2021-12-01","2022-07-08","2021-12-11","2021-12-11","2022-10-04","2022-03-15","2022-08-09","2022-06-14","2021-06-01","2021-08-17","2022-05-29","2022-06-14","2022-06-14","2022-06-14","2022-08-05","2022-08-05","2022-09-13","2022-09-13","2022-09-13","2022-01-18","2022-01-18","2022-06-14","2021-06-15","2021-06-15","2022-06-21","2022-06-21","2021-05-08","2021-05-08","2021-05-18"],"priorHcc":["","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","",""]}}]},{"t":"Covid Screening","q":[{"a":[]}]},{"t":"Screenings Needed","q":[{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["1",""],"comment":["",""],"sub":{"indx":[["","","",""],[""],[""],[""],[""],[""]],"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":""}]}]}