{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"ANTONIO  L SMITH","gend":0,"add":"1501 N 21ST ST APT 311","city":"RICHMOND","state":"VA","zip":23223,"dob":"1978-10-23","age":"","mstatus":"","insh":"2291342*01","cliId":"","pno":"804\/543-7091","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":23223,"pcpcounty":"","pcpid":"","pcpname":"BON SECOURS SPORTS MEDICINE & PRIMARY CARE","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":["K64.4","M25.512","M79.602","M54.2","R20.0","F33.1","F31.81","M75.22","F12.21","F31.9","R07.9","M47.812","M47.22","S66.911A","E11.9","I10.","F17.200","Z79.899","Z79.4","M79.89","M54.12","Z11.59","S92.355A","Z20.822","Z79.84","S63.601A","X50.0XXA","S16.1XXA","S46.812A","M79.672","Z87.81","F17.210","R53.1","R20.2","R00.1","R94.31","M50.122","S93.602A","M79.675","S13.9XXA","S46.912A","E78.5","Z68.29","S63.91XA","S29.012A","X50.9XXA"],"date":["2021-03-27","2022-10-27","2021-04-14","2022-06-12","2021-04-14","2021-08-29","2021-09-22","2021-07-14","2020-04-21","2020-06-23","2020-07-01","2020-07-07","2020-11-16","2021-09-02","2022-09-19","2022-09-19","2021-09-02","2022-09-19","2022-09-19","2021-09-02","2020-11-13","2020-11-13","2021-09-26","2021-08-09","2022-09-19","2021-09-07","2021-09-07","2022-09-19","2022-09-19","2022-03-28","2022-03-28","2022-09-19","2020-07-03","2020-07-14","2020-11-04","2020-11-04","2020-11-16","2022-06-08","2022-06-08","2022-06-12","2022-10-27","2021-03-11","2021-03-11","2021-09-07","2022-10-27","2022-10-27"],"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":""}]}]}