{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"PORTIA DEW","gend":1,"add":"514 E BRAMBLETON AVE","city":"NORFOLK","state":"VA","zip":23510,"dob":"1971-06-04","age":"","mstatus":"","insh":"3227006*01","cliId":"","pno":"757\/776-1553","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"757\/622-1661","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":23510,"pcpcounty":"","pcpid":"","pcpname":"","plan":"OHP","program":"Medicaid","lob":"M4","region":"TIDEWATER","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"757\/627-0704","pcpnpi":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["R51.0","E11.9","I10.","K58.9","D51.1","R10.9","D64.9","D51.8","R40.0","F98.3","E66.9","G47.62","B34.2","G43.019","G44.52","S99.912A","M79.672","Z98.84","Z91.048","M79.89","NO DATA","M25.572","E55.9","B35.4","R10.13","U07.1","J12.89","R51.","R10.12","Z12.11","K57.30","K63.89","G47.33","K52.9","R10.84","R11.0","R93.5","R51.9","E11.65","Z48.815","E10.9","H35.033","G47.00","Z86.19","J01.90","M79.602","G44.209","J06.9","Z20.822","E78.5","Z03.818","Z11.59","Z90.49","Z90.710"],"date":["2021-08-20","2022-11-01","2022-11-01","2022-09-20","2021-02-02","2022-05-31","2022-01-04","2021-02-02","2021-10-12","2022-03-22","2022-06-14","2022-06-14","2022-06-14","2022-09-20","2022-06-14","2021-11-13","2021-11-13","2022-04-25","2021-11-13","2021-11-13","2022-11-01","2021-12-07","2022-07-26","2022-05-31","2022-09-07","2020-09-04","2020-09-04","2020-09-04","2021-03-25","2021-03-25","2021-03-25","2021-03-25","2021-08-20","2020-05-28","2021-07-25","2020-11-11","2020-05-28","2022-02-10","2020-12-22","2021-02-15","2020-12-09","2020-02-28","2020-08-11","2020-11-05","2021-08-20","2020-11-11","2021-08-02","2021-08-02","2021-08-02","2022-11-01","2020-09-04","2020-09-04","2022-04-25","2022-04-25"],"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":""}]}]}