{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"ELIJAH  T EDWARDS","gend":0,"add":"147 FRIENDLY DR APT C","city":"NEWPORT NEWS","state":"VA","zip":23605,"dob":"1980-07-21","age":"","mstatus":"","insh":"2274770*01","cliId":"","pno":"757\/659-6119","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"757\/594-3800","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":23605,"pcpcounty":"","pcpid":"","pcpname":"Riverside Brentwood Medical Center","plan":"OHP","program":"Medicaid","lob":"M4","region":"TIDEWATER","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"757\/594-3818","pcpnpi":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["R51.","I10.","F14.10","Z91.14","F10.10","F10.21","H53.2","H02.402","F17.210","R73.9","L72.11","L72.9","Z71.9","F10.239","F14.20","F12.20","K04.7","F34.1","H49.00","H57.12","F12.10","R93.0","I65.21","I67.1","E11.41","Q28.3","E11.65","F14.188","H49.02","Z79.899","L72.0","R03.0","F17.200","R09.81","R68.84","R10.11","E11.40","F05.","E11.9","Z79.4","R80.9","E11.319","D17.0"],"date":["2020-05-28","2022-05-06","2022-05-06","2020-05-14","2022-05-06","2020-03-21","2020-05-28","2020-05-28","2020-05-28","2020-05-28","2022-08-09","2022-08-09","2022-08-09","2020-03-18","2020-03-18","2020-03-18","2020-03-18","2020-03-18","2020-05-28","2020-05-28","2020-05-28","2020-05-28","2020-05-27","2020-05-27","2020-05-27","2020-05-27","2020-05-27","2020-05-27","2020-05-27","2020-05-27","2022-07-08","2020-03-18","2022-05-06","2020-03-18","2020-03-18","2021-01-05","2022-05-06","2020-03-18","2022-05-06","2022-05-06","2022-05-06","2022-05-06","2022-05-06"],"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":""}]}]}