{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"DONALD  L REXRODE","gend":0,"add":"85 SANGER S LN JOAN BECKFORD MARRIOTT","city":"STAUNTON","state":"VA","zip":24401,"dob":"1958-10-26","age":"","mstatus":"","insh":"20042878*01","cliId":"","pno":"540\/280-2011","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"540\/549-1285","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":24401,"pcpcounty":"","pcpid":"","pcpname":"","plan":"OHP","program":"Medicaid","lob":"OHCC","region":"WESTERN\/ CHARLOTTESVILLE","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"540\/459-1274","pcpnpi":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["Z23.","E11.9","I10.","E78.2","G40.89","Z79.899","Z12.11","Z04.9","K40.31","NO DATA","F71.","K46.0","K40.90","E87.1","S00.83XA","K40.30","Z20.822","R62.50","G40.909","N40.0","F03.90","E78.5","E78.00","Z79.84","Z48.02","L60.0","B35.3","B35.1"],"date":["2021-12-15","2022-06-03","2022-06-03","2021-04-19","2022-06-03","2021-04-19","2021-04-19","2021-05-06","2021-05-07","2021-05-10","2022-06-10","2021-05-06","2021-05-10","2021-05-10","2021-06-04","2021-05-07","2021-05-07","2021-05-07","2021-05-07","2021-05-07","2021-05-07","2021-05-07","2021-05-07","2021-05-07","2021-06-23","2021-04-27","2021-04-27","2021-04-27"],"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":""}]}]}