{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"JASMINE PENDLETON","gend":1,"add":"4737 WINDERMERE CT APT 102","city":"VIRGINIA BEACH","state":"VA","zip":23455,"dob":"1992-05-08","age":"","mstatus":"","insh":"1709231*01","cliId":"","pno":"757\/305-7603","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":23455,"pcpcounty":"","pcpid":"","pcpname":"EVMS OB\/GYN","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":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["R51.9","R03.0","E11.65","Z79.84","Z30.46","Z30.9","E11.9","Z01.419","Z20.2","N76.0","B96.89","B37.9","R73.9","Z86.39","Z32.02","R10.84","R11.0","R87.612","A59.9","E07.9","Z79.890","Z91.040","Z91.018","Z91.010","B00.9","R87.7","Z23.","E66.9","E03.9","Z68.34","Z79.899"],"date":["2021-12-13","2021-12-13","2022-07-09","2022-07-09","2022-06-23","2022-06-23","2022-06-23","2021-02-23","2021-02-23","2021-07-27","2021-07-27","2021-07-27","2021-07-27","2021-07-27","2021-08-24","2022-07-09","2022-07-09","2021-03-25","2021-04-02","2021-12-13","2021-12-13","2022-07-09","2021-12-13","2022-07-09","2021-04-02","2021-04-02","2021-04-02","2022-07-09","2022-07-09","2022-07-09","2022-07-09"],"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":""}]}]}