{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"  EIBBEDYELIAB A","gend":1,"add":" TS HTFIF N 042TS HTFIF N 042","city":"SUFFOLK","state":"VA","zip":23434,"dob":"1961-01-29","age":61,"mstatus":"","insh":"4248110*13","cliId":"","pno":"33\/7572316-4","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":23434,"pcpcounty":"","pcpid":"","pcpname":"NANSEMOND SUFFOLK FAMILY PRACTICE","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":{"indx":["","","",""],"comment":["","","",""],"sub":[]}},{"a":{"indx":["",""],"comment":["",""],"sub":[]}}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["E78.2","I10.","L81.9","E11.9","E03.9","Z71.2","E06.3","E55.9","F43.20","F17.219","Z91.19","L67.8","Z51.81","Z71.89","Z12.11","K57.30","E11.8","M54.5","M25.562","E66.9","Z72.0","G89.29","Z68.37"],"date":["2022-06-21","2021-12-07","2021-05-12","2021-12-07","2021-06-22","2021-05-12","2022-06-21","2022-06-21","2021-11-09","2021-12-07","2021-12-07","2021-12-07","2021-12-07","2021-12-07","2022-06-24","2022-06-24","2021-03-08","2021-03-08","2020-02-07","2020-02-07","2020-02-07","2020-02-07","2020-02-07"],"priorHcc":["","","","","","","","","","","","","","","","","","","","","","",""]}}]},{"t":"Covid Screening","q":[{"a":[{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]},{"indx":["",""],"comment":["",""],"sub":[]}]}]},{"t":"Screenings Needed","q":[{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":{"indx":[["","","",""],[""],[""],[""],[""],[""]],"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":"2022-11-15T15:45","a3":"","a4":"","a5":"","a6":"","a7":[],"a8":"","a9":"In Person","a10":[],"a11":"","a12":"","a13":"","a15":[]}]}]}