{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"AMANDA  L CRAWFORD","gend":1,"add":"524 ROCKY ROAD","city":"RUSTBURG","state":"VA","zip":24588,"dob":"1979-07-31","age":"","mstatus":"","insh":"2374660*01","cliId":"","pno":"434\/660-1674","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"434\/947-5967","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":24588,"pcpcounty":"","pcpid":"","pcpname":"","plan":"OHP","program":"Medicaid","lob":"M4","region":"WESTERN\/ CHARLOTTESVILLE","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"434\/929-1093","pcpnpi":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["R21.","M13.0","R60.0","N39.490","NO DATA","I77.6","H90.6","L53.9","M79.604","M79.605","T36.8X5A","H71.12","H72.92","H90.A21","H90.A12","H83.2X1","E11.9","M72.2","T69.1XXA","F31.81","Z77.120","H65.32","H92.02","H61.21","H60.62","G89.4","H69.81","H93.11","M79.7","R10.9","F17.200","H66.3X2","H90.3","H90.0","H69.83","H80.91","Z90.09","M77.11","H90.11","Z20.822","Z88.5","M19.90","F41.9","Z86.73","B19.20","I10.","F43.10","G47.33","Z86.718","H90.A31","H93.13","R07.89","R42.","M79.602","R06.02","F15.10","R20.0","R10.11","Z87.19","R07.9","R11.0"],"date":["2021-08-25","2021-08-25","2021-08-25","2021-08-25","2022-03-19","2022-05-24","2022-06-29","2021-03-08","2021-03-08","2021-03-08","2021-03-08","2021-09-07","2022-08-16","2022-08-16","2022-08-16","2022-08-16","2022-05-12","2021-03-26","2021-03-31","2022-03-08","2022-05-27","2021-08-02","2021-08-02","2021-08-26","2021-08-26","2022-01-20","2022-06-29","2022-06-29","2022-05-24","2021-05-17","2021-06-22","2021-06-22","2021-10-29","2022-05-12","2022-08-16","2022-08-16","2021-10-29","2022-02-23","2022-05-12","2022-05-12","2022-05-12","2022-05-12","2022-05-12","2022-05-12","2022-05-12","2022-05-12","2022-05-12","2022-05-12","2022-05-12","2022-08-16","2022-08-16","2022-11-05","2022-11-05","2022-11-05","2022-11-05","2022-11-05","2022-11-05","2022-11-05","2022-11-05","2022-11-05","2022-11-05"],"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":""}]}]}