{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"  ARDNASDEER H ","gend":1,"add":"            ENAL  SNEVIG   103                              ","city":"BLACKSBURG                    ","state":"VA","zip":"24063-0389","dob":"1953-11-10","age":"","mstatus":"","insh":"50016067","cliId":"","pno":"5904556233","cno":"","email":"","ename":"","eno":"","pphy":"FREEMAN, JEREMY                                             ","ppno":5409518380,"pcpadd":"1420 N Main St                                              ,                                                            ","pcpcity":"Blacksburg                    ","pcpstate":"VA","pcpzip":240602522,"pcpcounty":"","pcpid":"","pcpname":"CARILION FAMILY MEDICINE NORTH MAIN","plan":"VPHP","program":"MEDICAID","lob":"MLTSS","region":"ROANOKE\/ ALLEGHANY","aligned":"","ano":"","add2":"301   GIVENS  LANE                                          ","add3":"","madd1":"301   GIVENS  LANE                                          ","madd2":"LOT 126 PO BOX 389                                          ","madd3":"","mcity":"BLACKSBURG                    ","mstate":"VA","mzip":"24063-0389","pcpfaxno":"","pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["Z12.31","Z78.0","I10","E11.69","M25.569","E78.5","B35.1","E11.628","L84","E11.9","Z79.84","H25.13","H25.013","H04.123","H25.11","H25.12","E66.9","K21.9","Z13.820","Z23","R79.89","K76.0","K76.9","R16.0","M21.962","M21.961","L30.9","E11.29"],"date":["2021-06-09","2021-06-09","2022-10-25","2022-10-25","2019-05-08","2022-10-25","2022-03-10","2020-09-29","2020-09-29","2022-10-18","2021-09-29","2020-08-05","2020-07-08","2020-07-08","2020-08-17","2020-08-27","2021-12-15","2021-12-15","2021-06-09","2022-10-25","2021-09-14","2021-12-15","2021-09-29","2021-12-15","2022-05-12","2022-05-12","2022-07-22","2022-10-25"],"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":[]}},{"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":""}]}]}