{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"ANTHONY LOGAN","gend":0,"add":"10960 STEPNEY ROAD","city":"CHESTER","state":"VA","zip":23831,"dob":"1953-09-07","age":"","mstatus":"","insh":"20031222*01","cliId":"","pno":"804\/225-0830","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"804\/783-2505","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":23831,"pcpcounty":"","pcpid":"","pcpname":"","plan":"OHP","program":"Medicaid","lob":"OHCC","region":"CENTRAL","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"804\/783-2514","pcpnpi":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["F11.20","E11.9","B19.20","I10.","Z23.","D64.9","Z86.010","Z72.0","Z12.11","D12.4","K64.8","E78.5","M54.42","E80.6","B18.2","K74.60","G62.9","E11.8","M54.5","H25.13","H52.203","M62.830","Z79.4","F17.210","M62.838","Z48.00","L02.511","Z79.82","Z79.899","Z87.891","F33.1"],"date":["2022-07-27","2021-11-06","2021-04-23","2021-11-06","2020-10-14","2021-04-23","2021-10-05","2021-04-23","2021-10-05","2021-10-05","2021-10-05","2021-11-06","2021-03-12","2021-03-12","2021-07-23","2021-09-10","2021-06-11","2021-09-10","2020-04-09","2020-11-20","2020-11-20","2020-01-18","2021-11-06","2020-01-18","2020-01-18","2021-11-06","2021-11-06","2021-11-06","2021-11-06","2021-11-06","2021-10-13"],"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":{"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":""}]}]}