{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"ROSA FOSTER","gend":1,"add":"9768 LOUISA ROAD","city":"GORDONSVILLE","state":"VA","zip":22942,"dob":"1965-04-10","age":"","mstatus":"","insh":"2145226*01","cliId":"","pno":"540\/395-6997","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"540\/967-9401","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":22942,"pcpcounty":"","pcpid":"","pcpname":"","plan":"OHP","program":"Medicaid","lob":"M4","region":"WESTERN\/ CHARLOTTESVILLE","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"540\/967-9405","pcpnpi":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["R06.02","M25.561","R13.19","K57.30","Z86.010","Z83.71","R07.0","E11.9","E78.2","E66.01","R53.83","Z68.42","R10.12","K30.","R11.0","Z80.0","M25.512","M77.8","D23.30","F41.0","R03.0","M17.11","H57.13","K57.32","I10.","K58.2","R10.9","R09.89","K21.9","R10.32","E11.65","Z11.59","J44.1","R68.89","R51.9","R14.0","D72.829","K57.90","J44.9","G47.33","F17.210","J45.909","Z79.899","Z88.5","Z88.8","Z91.040","R00.2","M25.461","M79.661","Z23.","E78.1","D12.2","K63.5","K62.1","I08.1","R07.9","R20.2","R60.9","R50.9","R52.","R53.82","R07.89"],"date":["2021-11-29","2022-06-06","2020-11-11","2020-11-11","2020-11-11","2020-10-16","2022-02-11","2022-10-26","2022-05-18","2022-10-26","2022-05-18","2022-10-26","2022-09-15","2020-10-09","2020-10-16","2020-11-11","2020-12-30","2020-12-30","2020-12-11","2020-12-11","2020-12-11","2022-06-13","2020-03-16","2020-09-03","2022-09-15","2020-09-03","2020-03-24","2020-03-24","2020-03-24","2020-09-03","2022-10-26","2021-08-30","2021-08-30","2021-08-30","2022-09-15","2022-09-15","2022-09-15","2022-09-15","2022-09-15","2022-09-15","2022-09-15","2022-09-15","2022-09-15","2022-09-15","2022-09-15","2022-09-15","2021-12-14","2022-06-06","2022-06-06","2020-11-27","2022-10-26","2020-10-16","2020-10-16","2020-10-16","2021-11-29","2021-11-29","2022-06-06","2022-06-06","2022-06-06","2022-06-06","2021-11-09","2021-11-18"],"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":[]}},{"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":""}]}]}