{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"JEFF  A TRAIL","gend":0,"add":"14514 FOX KNOLL DR","city":"COLONIAL HEIGHTS","state":"VA","zip":23834,"dob":"1964-03-31","age":"","mstatus":"","insh":"2245811*01","cliId":"","pno":"423\/394-6329","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":23834,"pcpcounty":"","pcpid":"","pcpname":"Primary Health Group - Appomattox","plan":"OHP","program":"Medicaid","lob":"M4","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":["NO DATA","I16.1","R73.9","Z76.89","Z00.00","I63.9","I10.","E11.9","Z79.4","R79.89","N28.89","R63.4","E53.8","E55.9","R97.20","N42.9","Z12.11","K64.8","Z51.0","C61.","E78.00","G62.9","I67.7","E78.5","N28.1","M89.9","J98.4","Z01.812","Z20.822","I63.531","H53.462","E11.51","Z79.82","Z87.01","J34.1","E11.65","I77.6","I63.50","H53.452","N18.2","Z01.818","Z79.84","Z91.19","K64.9","I65.23","N52.9","Z86.73","I63.40","I16.0","H53.453"],"date":["2020-11-05","2020-07-17","2020-07-17","2020-07-29","2020-07-29","2022-09-26","2022-09-26","2022-09-26","2020-08-26","2022-09-26","2021-08-09","2020-11-05","2020-11-05","2022-09-26","2022-03-02","2021-06-30","2021-11-08","2021-11-08","2022-02-01","2022-09-30","2022-09-26","2022-09-26","2021-10-06","2021-11-08","2022-02-28","2022-02-28","2022-02-28","2021-11-04","2021-11-04","2020-07-17","2020-11-11","2020-07-17","2020-07-17","2020-07-17","2020-07-17","2020-07-17","2020-07-17","2020-07-19","2020-07-19","2021-04-22","2021-10-29","2021-11-08","2021-11-08","2021-11-08","2020-07-17","2021-07-28","2021-11-08","2020-07-18","2020-07-16","2020-11-11"],"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":""}]}]}