{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"JACQUELINE  M TOVAR","gend":1,"add":"5525 AUTUMNLEAF DR","city":"RICHMOND","state":"VA","zip":23234,"dob":"1994-01-01","age":"","mstatus":"","insh":"1354677*01","cliId":"","pno":"804\/275-6179","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"540\/549-1285","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":23234,"pcpcounty":"","pcpid":"","pcpname":"","plan":"OHP","program":"Medicaid","lob":"M4","region":"CENTRAL","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"540\/459-1274","pcpnpi":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["Z20.828","U07.1","J12.89","E87.6","E87.1","A41.9","J18.9","A41.89","Z68.41","E11.9","E66.01","E86.0","R06.02","Z04.9","M25.512","Z79.84","B34.9","Z20.822","R11.0","E11.65","F41.0","R51.","R50.9","R42.","F43.0","N39.0","R00.0"],"date":["2021-06-02","2021-01-09","2020-09-07","2020-09-07","2020-09-07","2020-09-02","2020-09-02","2020-09-04","2020-09-04","2022-09-01","2020-09-04","2020-09-04","2022-09-01","2021-09-26","2022-06-27","2022-09-01","2022-04-22","2022-04-22","2022-04-22","2021-09-26","2021-09-26","2020-08-25","2020-09-02","2021-09-26","2022-09-01","2022-09-01","2020-09-02"],"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":""}]}]}