{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"SHARON EDWARDS","gend":1,"add":"1797 GREENLEAF DR","city":"NORFOLK","state":"VA","zip":23523,"dob":"1967-03-30","age":"","mstatus":"","insh":"20026909*01","cliId":"","pno":"757\/201-1212","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"757\/623-3038","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":23523,"pcpcounty":"","pcpid":"","pcpname":"","plan":"OHP","program":"Medicaid","lob":"OHCC","region":"TIDEWATER","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"757\/623-2116","pcpnpi":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["R06.89","Z74.3","U07.1","J12.89","J96.01","I10.","E11.9","E78.2","R80.9","J96.90","NO DATA","J84.9","Z99.81","R60.0","M79.605","F90.9","Z79.899","J96.00","N32.81","F41.1","M79.7","R11.0","F98.8","D64.9","R73.03","M79.604","T14.90XS","Z60.2","Z88.8","R06.02","J44.9","J45.909","J30.9","F19.10","F29."],"date":["2021-02-22","2021-02-22","2021-03-05","2021-03-04","2021-03-05","2022-04-25","2022-04-25","2022-04-25","2022-04-25","2021-03-04","2021-03-09","2021-02-22","2021-02-22","2021-07-28","2021-02-22","2022-10-14","2021-09-14","2021-03-03","2022-04-25","2021-09-14","2021-02-22","2021-02-22","2021-02-22","2021-02-22","2021-02-22","2021-02-22","2021-02-22","2021-02-22","2021-02-22","2021-02-22","2021-03-09","2021-03-09","2021-03-09","2021-03-09","2021-03-09"],"priorHcc":["","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","",""]}}]},{"t":"Covid Screening","q":[{"a":[]}]},{"t":"Screenings Needed","q":[{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["1",""],"comment":["",""],"sub":{"indx":[["","","",""],[""],[""],[""],[""],[""]],"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":""}]}]}