{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"  ENROBSOYELSAEB D","gend":0,"add":"K 2204TS GNI","city":"PORTSMOUTH","state":"VA","zip":23707,"dob":"1981-08-30","age":"","mstatus":"","insh":"73200210*82","cliId":"","pno":"26\/7578747-3","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":23707,"pcpcounty":"","pcpid":"","pcpname":"Hampton Roads Community Health Center","plan":"OHP","program":"Medicaid","lob":"OHCC","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":["R00.0","R73.9","R41.82","F19.10","E11.65","Z68.32","K08.89","F17.210","E78.5","E86.0","N17.9","E86.1","F14.10","K21.9","E13.9","Z72.0","E11.9","N28.9","Z68.28","I10.","L85.3"],"date":["2021-03-19","2021-03-22","2021-03-21","2021-03-19","2021-03-21","2021-03-20","2021-03-14","2021-03-21","2021-06-23","2021-03-21","2021-03-21","2021-03-21","2021-03-21","2021-03-21","2022-09-29","2022-09-29","2021-03-22","2021-03-22","2021-03-22","2022-09-29","2022-09-29"],"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":""}]}]}