{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"BRITTANY  L WADE","gend":1,"add":"3602 DUPUY ROAD","city":"PETERSBURG","state":"VA","zip":23803,"dob":"1992-12-19","age":"","mstatus":"","insh":"20075302*01","cliId":"","pno":"804\/721-4171","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":23803,"pcpcounty":"","pcpid":"","pcpname":"Primary Health Group - Appomattox","plan":"OHP","program":"Medicaid","lob":"OHCC","region":"CENTRAL","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"","pcpnpi":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["N93.9","N92.0","R10.30","R11.0","E11.9","I10.","J45.909","Z79.4","Z79.84","N91.2","E66.01","Z68.41","R53.83","R73.9","L25.9","N76.0","B96.89","Z76.89","Z00.00","R20.2","R20.0","F41.8","E78.00","J45.990","H04.123","H11.153","E10.3313","H43.393","B97.89","N89.8","E08.3512","E11.69","E11.3512","Z04.9","R11.2","E86.0","Z20.822","Z79.899","R51.9","M54.6","E11.65","E08.3511","J45.41","M54.9","R07.9","R07.89","R10.9","M47.816","Z98.1","E11.3511"],"date":["2022-02-03","2022-02-03","2022-02-03","2022-02-03","2022-09-22","2022-02-03","2022-02-03","2022-09-22","2022-04-28","2021-06-21","2021-06-21","2021-06-21","2021-07-06","2022-04-28","2021-09-15","2021-09-15","2021-09-15","2021-06-07","2021-06-07","2021-12-30","2021-12-30","2021-12-30","2021-12-30","2021-12-30","2021-07-15","2021-07-15","2021-07-15","2021-07-15","2021-09-15","2021-09-15","2021-09-27","2021-09-27","2021-09-27","2021-12-01","2022-09-22","2022-09-22","2022-09-22","2022-09-22","2022-09-22","2021-12-01","2022-04-28","2021-07-26","2021-09-29","2021-09-29","2021-09-29","2021-12-01","2021-12-01","2021-06-07","2021-06-07","2021-07-26"],"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":""}]}]}