{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"RACHEL  A VANFOSSEN","gend":1,"add":"271 COUNTRY ESTS","city":"CRIMORA","state":"VA","zip":24431,"dob":"2000-05-10","age":"","mstatus":"","insh":"2199897*01","cliId":"","pno":"540\/649-2420","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":24431,"pcpcounty":"","pcpid":"","pcpname":"Radford Student Health Center","plan":"OHP","program":"Medicaid","lob":"M4","region":"WESTERN\/ CHARLOTTESVILLE","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":["E11.65","R09.81","H10.9","N83.201","R10.31","J02.9","B34.9","G43.909","R11.2","E11.9","R63.8","Z79.4","Z79.899","Z79.3","Z96.41","K12.1","E10.9","E10.65","R50.9","E02.","R63.5","R58.","Z68.37","R21.","E66.01","R13.10","K59.09","F33.9","K59.04","K21.9","K62.5","K31.84","NO DATA","K44.9","R10.9","K92.1","K64.0","F32.9","M25.561","E10.69","J03.90","K59.00","Z71.3","R51.9","R11.10","R05.9","H92.03","E03.9","R09.89","R68.81","E66.9","U07.1","Z23.","Z20.828"],"date":["2021-01-05","2021-02-17","2021-02-17","2021-03-25","2021-03-25","2022-01-27","2022-01-19","2022-08-07","2022-08-07","2022-08-07","2022-08-07","2022-08-07","2022-08-07","2022-08-07","2022-08-07","2022-08-19","2022-07-29","2022-08-23","2021-11-30","2022-06-03","2022-03-01","2022-06-03","2022-06-03","2020-08-12","2022-08-23","2022-01-25","2020-06-08","2022-02-17","2022-03-23","2022-03-23","2022-03-08","2022-03-23","2022-03-23","2022-03-23","2022-03-23","2022-03-23","2022-03-23","2020-06-11","2020-12-22","2021-11-30","2021-12-15","2020-03-03","2020-03-03","2020-10-25","2020-10-25","2022-01-25","2022-01-25","2022-01-25","2022-01-19","2022-03-23","2022-03-23","2022-01-11","2022-01-11","2021-09-10"],"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":""}]}]}