{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"VINCENT  R FRANQUIZ","gend":0,"add":"115 ROBINETTE VALLEY ROAD","city":"DUFFIELD","state":"VA","zip":24244,"dob":"1964-03-29","age":"","mstatus":"","insh":"20040626*01","cliId":"","pno":"276\/940-3120","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"423\/230-2420","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":24244,"pcpcounty":"","pcpid":"","pcpname":"","plan":"OHP","program":"Medicaid","lob":"OHCC","region":"SOUTHWEST","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"423\/230-2421","pcpnpi":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["D64.9","E11.49","R60.9","Z79.899","R60.0","F17.200","H25.11","H25.12","H52.213","E11.40","E11.65","F13.20","R74.8","R79.89","F31.9","G89.29","Z79.4","F11.20","E78.5","I10.","Z12.5","M51.37","NO DATA","M79.673","J30.9","E11.8","G57.93","E11.51","M79.671","M79.672","E11.69","R10.84","R91.1","E11.9","V49.40XA","F17.210","R55.","S09.8XXA","M54.2","F10.929","E66.9","E11.59","H25.813","Z96.1","R05.","H02.831","H02.834","H53.413","Z23.","I15.2"],"date":["2020-06-12","2022-07-25","2020-03-20","2022-10-24","2020-03-30","2020-03-20","2021-04-14","2021-03-10","2021-03-04","2022-10-24","2022-10-24","2021-06-03","2020-03-30","2020-03-30","2022-10-24","2022-07-28","2022-10-24","2022-10-24","2022-07-28","2022-10-24","2020-06-12","2022-07-28","2022-07-28","2022-07-28","2022-07-28","2022-10-24","2022-07-28","2021-07-13","2021-07-13","2021-07-13","2022-10-24","2020-03-12","2020-03-12","2020-12-16","2020-03-12","2020-03-12","2020-03-12","2020-03-12","2020-03-12","2020-03-12","2022-10-24","2022-10-24","2021-04-15","2021-04-15","2020-03-12","2020-12-16","2020-12-16","2020-12-16","2022-10-24","2022-10-24"],"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":""}]}]}