{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"AMBER  N STARKE","gend":1,"add":"303 NINTH AVE UNIT 706","city":"LURAY","state":"VA","zip":22835,"dob":"1984-08-02","age":"","mstatus":"","insh":"2169919*01","cliId":"","pno":"540\/860-8312","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"540\/743-4561","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":22835,"pcpcounty":"","pcpid":"","pcpname":"","plan":"OHP","program":"Medicaid","lob":"M4","region":"NORTHERN\/ WINCHESTER","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"540\/743-3601","pcpnpi":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["M76.61","M76.62","N89.5","Z01.812","C81.90","T86.09","Z20.822","Z23.","M79.662","M25.571","E11.9","E11.69","I10.","E03.4","F34.1","E55.9","C91.01","G89.29","E78.5","Z01.818","Z01.419","M25.572","M67.02","M67.01","M65.9","M77.31","M77.32","M21.41","M21.42","N89.8","N95.2","N94.19","Z85.71","N94.10","V58.89","D22.22","D22.71","D22.72","E89.41","R21.","D48.5","D18.01","Z09.","Z98.890","Z85.6","E28.319","R04.0"],"date":["2021-03-12","2021-03-12","2021-09-17","2021-09-13","2021-09-08","2021-09-08","2021-09-13","2020-11-13","2020-11-13","2021-03-23","2021-03-23","2020-11-13","2020-11-13","2020-11-13","2020-11-13","2020-11-13","2020-11-13","2020-11-13","2020-11-13","2020-05-13","2020-08-17","2021-03-23","2021-03-23","2021-03-23","2021-03-23","2021-03-23","2021-03-23","2021-03-23","2021-03-23","2021-09-17","2021-09-17","2020-08-17","2021-09-17","2021-09-17","2020-08-17","2022-09-28","2022-09-28","2022-09-28","2020-06-02","2022-02-14","2022-02-14","2022-02-14","2020-07-01","2020-07-01","2020-04-24","2021-09-17","2022-01-03"],"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":""}]}]}