{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"ERIC  C HERRIN","gend":0,"add":"1467 CARRSVILLE HWY RM 232","city":"FRANKLIN","state":"VA","zip":23851,"dob":"1961-07-26","age":"","mstatus":"","insh":"2310541*01","cliId":"","pno":"757\/408-1023","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":23851,"pcpcounty":"","pcpid":"","pcpname":"Select Specialty Hospital","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":["M17.11","K21.9","I10.","G89.18","T84.84XA","M25.561","M10.9","Z96.651","Z90.49","Z79.899","Z82.49","Z20.828","Z01.818","Z00.00","R10.11","K80.21","F10.10","K85.20","R74.8","K70.30","NO DATA","M1A.09X0","R74.01","D69.6","K80.20","M75.51","G89.29","M25.511","F41.9","G40.909","E11.9","K70.9","Z72.89","R79.0","Z12.11","F19.21","Z01.812","Z20.822"],"date":["2021-01-22","2022-03-30","2022-04-06","2021-01-21","2021-01-24","2021-03-29","2021-01-24","2021-01-24","2021-01-24","2021-01-24","2021-01-24","2021-02-06","2021-01-14","2021-03-29","2022-03-18","2022-03-18","2022-03-17","2022-04-06","2022-03-17","2022-03-18","2022-03-17","2022-03-30","2022-03-17","2022-03-17","2022-03-18","2020-11-10","2021-03-29","2020-08-27","2020-10-15","2022-04-06","2022-04-06","2020-10-15","2020-10-15","2020-10-15","2020-10-15","2020-10-15","2021-01-14","2021-01-14"],"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":[]}},{"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":""}]}]}