{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"ZAKIYA  J JACKSON","gend":1,"add":"5450 BARNHOLLOW ROAD","city":"NORFOLK","state":"VA","zip":23502,"dob":"1991-10-05","age":"","mstatus":"","insh":"20045881*01","cliId":"","pno":"757\/383-5606","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"757\/395-4455","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":23502,"pcpcounty":"","pcpid":"","pcpname":"","plan":"OHP","program":"Medicaid","lob":"OHCC","region":"TIDEWATER","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"757\/518-1110","pcpnpi":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["E10.65","Z39.1","E10.41","R87.612","F43.25","Z01.411","NO DATA","E10.9","Z79.4","S89.91XA","S80.219A","Z71.89","Y09.","V87.7XXA","Z01.419","Z11.3","R45.86","E28.2","E10.29","R80.9","N12.","K59.00","S05.02XA","R53.83","E10.649","V58.89","J40.","N73.9","Z11.4","N76.5","A59.01","E10.42"],"date":["2022-11-07","2022-11-07","2022-11-07","2021-07-13","2022-04-04","2022-06-13","2022-06-13","2022-11-07","2022-11-07","2020-05-30","2020-05-30","2020-05-30","2020-05-30","2020-05-30","2021-04-19","2021-04-19","2022-02-02","2022-02-02","2022-10-03","2022-10-03","2020-02-21","2020-02-21","2020-11-10","2021-05-17","2020-06-25","2020-11-11","2020-11-11","2021-01-31","2021-01-31","2021-01-31","2021-01-31","2021-07-26"],"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":""}]}]}