{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"AMANDA  L PHILLIPS","gend":1,"add":"11104 OLD INDIAN CREEK ROAD","city":"POUND","state":"VA","zip":24279,"dob":"1982-08-13","age":"","mstatus":"","insh":"1851966*01","cliId":"","pno":"276\/796-7363","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":24279,"pcpcounty":"","pcpid":"","pcpname":"","plan":"OHP","program":"Medicaid","lob":"M4","region":"SOUTHWEST","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":["F41.9","G43.909","F32.9","R03.0","Z00.00","Z97.5","R53.81","R53.83","H01.021","H01.022","H01.024","H01.025","E87.6","NO DATA","M54.9","M25.551","E88.81","E66.3"],"date":["2022-01-04","2022-01-04","2021-09-28","2020-06-25","2021-02-09","2021-02-09","2020-10-27","2020-10-27","2021-03-05","2021-03-05","2021-03-05","2021-03-05","2022-01-04","2022-01-04","2020-05-27","2020-05-27","2022-05-08","2021-06-29"],"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":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["1",""],"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":""}]}]}