{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"HENRY  J MARTIN","gend":0,"add":"PO BOX 3833","city":"VIRGINIA BEACH","state":"VA","zip":23454,"dob":"1963-10-04","age":"","mstatus":"","insh":"2266033*01","cliId":"","pno":"757\/848-7855","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"757\/261-5953","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":23454,"pcpcounty":"","pcpid":"","pcpname":"","plan":"OHP","program":"Medicaid","lob":"M4","region":"TIDEWATER","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"757\/261-0146","pcpnpi":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["R97.20","M70.72","S76.212A","M70.62","S76.012A","I25.10","R07.9","R06.09","D22.9","Z20.822","U07.1","J18.9","M25.552","M86.9","H66.90","H60.501","J02.9","Z20.828","S33.8XXA","M79.609","S73.192A","E78.2","I10.","R42.","E66.01","E11.9","R20.0","C61.","T14.8XXA","R39.15","N40.1","Z00.00","Z03.818","G45.9","E78.5","G47.30","R03.0","Z80.0","K51.50","K57.30","K63.89","K64.0","R39.9","N52.9","Z87.442","S76.219A","K51.80","K64.8","M79.605","R20.2","N52.1","K14.8","H10.9","D23.5","L82.0","F41.9","F51.01","Q24.5","R05.","N52.8","Z23.","R09.89","R10.2"],"date":["2020-10-14","2022-03-05","2021-07-07","2022-06-24","2021-12-03","2022-09-12","2020-01-02","2020-01-02","2020-04-08","2022-06-27","2021-12-30","2021-12-26","2022-10-03","2022-10-03","2020-07-27","2020-07-27","2021-01-06","2021-05-29","2022-01-14","2022-01-14","2022-01-14","2022-01-17","2022-05-17","2022-02-15","2022-01-17","2022-05-17","2022-02-11","2022-07-05","2020-05-28","2020-05-28","2020-10-07","2021-03-29","2021-05-03","2022-01-17","2022-06-23","2022-06-23","2022-06-23","2020-08-24","2020-08-24","2021-09-30","2020-08-24","2020-08-24","2021-05-04","2021-05-04","2020-10-26","2021-06-18","2022-05-17","2021-09-30","2022-05-17","2022-02-15","2022-05-24","2020-08-24","2021-03-15","2022-04-22","2022-04-22","2022-05-17","2022-05-17","2022-05-17","2021-03-29","2021-04-15","2021-10-15","2022-01-17","2022-02-09"],"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":""}]}]}