{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"MELISSA KOLTOS","gend":1,"add":"6317 WILMINGTON DR","city":"BURKE","state":"VA","zip":22015,"dob":"1973-09-15","age":"","mstatus":"","insh":"2265627*01","cliId":"","pno":"703\/732-1413","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"703\/591-4100","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":22015,"pcpcounty":"","pcpid":"","pcpname":"","plan":"OHP","program":"Medicaid","lob":"M4","region":"NORTHERN\/ WINCHESTER","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"703\/591-5380","pcpnpi":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["R05.","J01.90","R73.09","E78.2","E03.9","R94.5","E11.65","E66.9","F41.9","K76.0","R16.2","M79.641","M79.642","M25.561","M25.562","L30.9","D23.9","N92.0","E07.9","E11.9","E28.2","N84.0","N93.9","E55.9","D73.89","U07.1","R05.9","R74.8","M54.5","M54.2","L85.3","M79.7","L20.89","M79.676","L20.9","R21.","F43.0","R10.31","R10.32","L84.","NO DATA","J45.909","Z79.899","R07.9","H04.123","H52.203","R87.612","S64.02XA","S50.02XA","W10.8XXA","M54.42","D25.1","Z79.84","N94.89","Z91.040","Z87.891","R10.9","K21.9","K44.9","G47.30","Z90.49","Z79.4","R26.89","R30.0"],"date":["2020-03-16","2020-03-16","2020-03-09","2022-10-31","2022-10-31","2022-10-31","2021-06-08","2022-06-22","2022-10-31","2022-10-31","2020-05-26","2021-01-14","2021-01-14","2021-06-08","2021-06-08","2022-08-02","2021-06-29","2021-09-27","2021-09-27","2022-10-31","2021-12-16","2021-12-16","2021-12-16","2022-10-31","2021-12-15","2022-05-17","2022-05-17","2020-04-24","2021-06-08","2022-11-15","2020-11-25","2021-12-16","2022-08-02","2022-08-02","2022-08-02","2020-03-05","2020-03-05","2020-03-05","2020-03-05","2021-09-21","2022-11-15","2022-06-22","2022-06-22","2022-05-17","2020-02-11","2020-02-11","2021-03-19","2021-06-24","2021-06-24","2021-06-24","2021-10-14","2021-12-16","2021-10-14","2021-10-14","2021-10-14","2021-10-14","2021-10-14","2021-12-16","2021-12-16","2021-12-16","2021-12-16","2021-12-16","2022-11-15","2022-10-31"],"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":""}]}]}