{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"APRIL  T STATEN","gend":1,"add":"11302 JEFFERSON DAVIS HWY APT 5C","city":"RICHMOND","state":"VA","zip":23237,"dob":"1986-05-30","age":"","mstatus":"","insh":"1205784*01","cliId":"","pno":"804\/925-7137","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":23237,"pcpcounty":"","pcpid":"","pcpname":"MEMORIAL MEDICAL CENTER","plan":"OHP","program":"Medicaid","lob":"M4","region":"CENTRAL","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":["J30.89","Z00.8","E11.65","R23.2","Z88.9","Z79.84","K21.9","M17.11","M17.12","M23.92","M23.91","J32.8","M17.0","E11.3293","H52.13","M22.41","M22.11","E11.9","M25.561","M25.562","Z00.00","V58.89"],"date":["2022-11-17","2022-05-06","2022-11-03","2022-11-03","2022-11-03","2022-11-03","2022-10-11","2022-06-21","2020-02-04","2022-01-31","2022-03-04","2022-10-11","2022-07-18","2021-02-23","2021-02-23","2022-03-04","2022-03-04","2022-03-04","2020-06-26","2020-06-26","2020-06-26","2022-01-10"],"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":""}]}]}