{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"DAVID PELLETIER","gend":0,"add":"104 N WITCHDUCK RD STE 316","city":"VIRGINIA BEACH","state":"VA","zip":23462,"dob":"1962-11-05","age":"","mstatus":"","insh":"2311245*01","cliId":"","pno":"423\/914-5405","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"757\/975-5200","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":23462,"pcpcounty":"","pcpid":"","pcpname":"","plan":"OHP","program":"Medicaid","lob":"M4","region":"TIDEWATER","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"757\/223-0829","pcpnpi":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["R07.89","R11.2","E87.6","E83.42","R07.9","R06.02","E11.9","M20.42","M20.41","K74.60","K29.70","M54.41","I10.","Z79.899","Z79.84","M79.604","Z68.30","F32.1","F39.","N17.9","H53.8","R42.","K85.90","Z59.01","Z79.02","Z87.448","R04.2","NO DATA","E11.65","R19.7","K63.5","K57.90","Z01.812","Z20.822","V62.84","D69.6","E78.5","E11.29","R45.851","E87.5","K85.00","Z00.6","D61.818","T50.2X5A","E86.0","K75.81","K21.9","F41.9","D64.89","Z82.49","R51.9","Z20.828","K76.6","R16.1","N40.0","I70.0","R10.9","D12.8","K64.9","Z86.010","K76.0","K52.9","R45.850","R79.89","R73.09","F32.9","R10.32","Z68.29","M79.652","R10.84","R53.83","R20.2","E11.8","R04.0","D64.9","B35.1","Z23.","J06.9","D50.9","E53.8","D69.59","R05.9","R11.15","E07.9","K40.90","K62.5","G89.29","K08.89","F33.1","K82.9","N19.","R16.2","R11.10","K86.1","K57.92","Z02.2","I25.10","F32.2","Z62.810","Z65.9"],"date":["2022-06-05","2022-06-24","2022-07-18","2022-06-24","2022-07-18","2022-07-18","2022-07-18","2020-12-01","2020-12-01","2022-10-11","2020-12-21","2021-01-19","2022-07-18","2022-06-06","2021-01-19","2021-01-19","2021-04-07","2022-08-29","2021-07-23","2022-07-18","2021-11-24","2021-11-24","2022-07-18","2021-11-28","2021-11-28","2021-11-28","2021-11-28","2022-04-07","2022-04-07","2022-04-07","2020-10-08","2020-10-08","2021-03-25","2021-11-21","2021-07-05","2021-12-03","2022-05-19","2021-07-06","2021-07-07","2021-07-06","2021-11-22","2021-11-21","2021-11-21","2021-11-21","2021-11-21","2022-06-30","2022-07-18","2022-05-19","2021-11-21","2022-06-06","2021-12-02","2021-12-02","2022-10-11","2022-10-11","2022-10-11","2022-10-11","2022-10-11","2020-10-08","2020-10-08","2022-09-23","2021-01-20","2021-05-26","2021-06-08","2022-06-06","2021-06-08","2021-07-14","2021-06-07","2021-01-04","2021-08-09","2021-11-21","2021-11-22","2021-11-21","2021-11-22","2021-12-03","2021-12-03","2020-12-16","2020-10-22","2021-01-05","2021-10-04","2021-10-04","2021-10-04","2022-05-19","2022-06-30","2022-06-15","2020-08-14","2020-08-11","2020-08-11","2020-09-21","2021-11-21","2021-11-23","2021-11-23","2021-11-23","2022-06-06","2021-12-02","2022-07-18","2021-07-07","2021-07-07","2021-07-07","2022-08-29","2022-08-29"],"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":""}]}]}