{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"RAVEN BARTER","gend":1,"add":"917 CHARNELL DR APT 300","city":"VIRGINIA BEACH","state":"VA","zip":23451,"dob":"1999-07-26","age":"","mstatus":"","insh":"2385100*01","cliId":"","pno":"757\/589-7307","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":23451,"pcpcounty":"","pcpid":"","pcpname":"MAWC - Complete Women's Care","plan":"OHP","program":"Medicaid","lob":"M4","region":"TIDEWATER","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":["O24.414","O99.810","O99.013","Z3A.29","Z3A.30","V23.9","O24.113","Z3A.37","G89.18","O90.89","Z39.1","Z34.82","Z34.83","V23.89","Z3A.34","Z3A.35","O65.4","Z3A.39","Z37.0","O26.843","Z36.9","Z23.","Z3A.28","O36.63X0","Z20.822","O24.419","Z71.3","Z3A.33","O66.40","O65.1","Z39.2","Z51.89","L76.34","O90.0","M54.89","O24.013","Z3A.38","O32.4XX0","O24.12","E11.9","O33.9","O77.0","O99.344","F41.9","F32.9","Z79.4","Z79.899","O24.32","Z3A.31","Z3A.32","Z3A.36","Z01.812","O24.410","O99.891","R10.2","M54.9","O99.343","Z03.71"],"date":["2021-09-23","2021-07-25","2021-07-25","2021-07-23","2021-07-25","2021-09-13","2021-09-16","2021-09-13","2021-09-24","2021-10-06","2021-08-13","2021-08-13","2021-08-13","2021-09-20","2021-08-23","2021-08-30","2021-09-23","2021-09-23","2021-09-23","2021-07-12","2021-07-12","2021-07-12","2021-07-12","2021-07-30","2021-09-20","2021-09-23","2021-08-16","2021-08-16","2021-09-23","2021-09-23","2021-10-05","2021-10-14","2021-10-08","2021-10-06","2021-06-21","2021-09-20","2021-09-20","2021-09-23","2021-09-23","2021-09-23","2021-09-23","2021-09-23","2021-09-23","2021-09-23","2021-09-23","2021-09-23","2021-09-23","2021-09-23","2021-07-30","2021-08-09","2021-09-07","2021-09-20","2021-07-23","2021-09-03","2021-09-03","2021-09-03","2021-09-03","2021-09-04"],"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":""}]}]}