{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"CHARLES WHITE","gend":0,"add":"13785 HEATH BROTHERS DR APT 24","city":"GLADE SPRING","state":"VA","zip":24340,"dob":"1968-01-13","age":"","mstatus":"","insh":"2336705*01","cliId":"","pno":"276\/356-5560","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"276\/628-1106","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":24340,"pcpcounty":"","pcpid":"","pcpname":"","plan":"OHP","program":"Medicaid","lob":"M4","region":"SOUTHWEST","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"276\/676-0215","pcpnpi":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["F11.20","F13.20","I25.10","R53.82","I10.","E78.2","N20.1","I70.90","D64.9","R93.5","R10.31","Z87.891","Z86.79","Z86.2","I73.00","Z86.39","E29.1","Z87.442","F17.200","M41.9","J43.2","R06.02","D86.9","J45.20","S80.01XA","W19.XXXA","Z51.81","F17.210","I49.3","I51.7","R94.31","I25.2","F17.290","E78.5","Z79.899","Z79.82","M25.561","R07.9","R31.29","N20.0","Z46.6","Z96.0","Z87.19","R10.9"],"date":["2022-11-03","2022-11-03","2022-05-15","2022-01-11","2022-10-18","2022-01-11","2022-04-27","2022-10-18","2022-10-18","2020-12-31","2021-02-19","2022-01-05","2021-08-06","2022-04-06","2022-04-06","2022-04-06","2022-04-06","2022-05-04","2020-11-23","2020-12-10","2022-02-07","2022-02-07","2022-02-07","2022-01-05","2022-05-15","2022-05-15","2020-12-02","2022-02-07","2022-04-27","2022-04-27","2022-04-27","2022-05-15","2022-05-15","2022-05-15","2022-05-15","2022-05-15","2022-05-15","2021-05-03","2022-04-01","2022-04-01","2022-04-27","2022-05-04","2021-02-08","2021-02-08"],"priorHcc":["","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","",""]}}]},{"t":"Covid Screening","q":[{"a":[]}]},{"t":"Screenings Needed","q":[{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["1",""],"comment":["",""],"sub":{"indx":[["","","",""],[""],[""],[""],[""],[""]],"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":""}]}]}