{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"LANEISHA WILSON","gend":1,"add":"301   LOCUST LANE","city":"DANVILLE","state":"VA","zip":24540,"dob":"1991-11-30","age":"","mstatus":"","insh":4390168,"cliId":"","pno":7572707957,"cno":"","email":"","ename":"","eno":"","pphy":"WINFIELD II, ALBERT C","ppno":7572707957,"pcpadd":"173 EXECUTIVE DR,","pcpcity":"DANVILLE","pcpstate":"VA","pcpzip":24541,"pcpcounty":"","pcpid":"","pcpname":"PROVIDENCE FAMILY AND SPORTS M","plan":"VPHP","program":"MEDICAID","lob":"VPM4","region":"WESTERN\/CHARLOTTESVILLE","aligned":"","ano":"","add2":"301   LOCUST LANE","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"(434) 791-4003","pcpnpi":""},{"a":{"indx":["","1","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["K05.00","K08.89","Z87.891","S43.401A","M25.511","W51.XXXA","Y93.89","Y92.410","Y99.9","Y04.0XXA","S43.004A","K02.9","F17.210","G51.0","J06.9","Z20.828","R11.0","R11.11","R52","R11.2","R53.1","R53.81","E11.9","Z88.0","Z72.0","R05","J18.9","K59.00","R10.9","Z01.419","Z20.2","H66.002","H69.92","Z11.3","Z32.02","Z20.822","B34.9","J45.909"],"date":["2019-02-23","2020-09-21","2019-02-23","2019-05-27","2019-05-29","2019-05-27","2019-05-27","2019-05-27","2019-05-27","2019-05-27","2019-05-29","2020-09-21","2020-09-21","2021-01-06","2021-03-15","2021-03-15","2021-03-15","2021-03-15","2021-03-15","2021-04-06","2021-03-15","2021-03-15","2021-03-15","2021-04-06","2021-04-06","2021-03-17","2021-03-17","2021-04-06","2021-04-06","2021-08-30","2021-04-16","2021-08-21","2021-08-21","2021-08-30","2021-08-30","2021-12-15","2021-12-01","2021-12-15"],"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":""}]}]}