{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"LORI BALDWIN","gend":1,"add":"PO BOX 1803","city":"HALIFAX","state":"VA","zip":24558,"dob":"1958-09-03","age":"","mstatus":"","insh":"20050135*01","cliId":"","pno":"434\/476-2963","cno":"","email":"","ename":"","eno":"","pphy":"Abdel Shaheed, Samir","ppno":"434\/835-4876","pcpadd":"3925 Portsmouth Boulevard","pcpcity":"Chesapeake","pcpstate":"VA","pcpzip":24558,"pcpcounty":"","pcpid":"","pcpname":"","plan":"OHP","program":"Medicaid","lob":"OHCC","region":"WESTERN\/ CHARLOTTESVILLE","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"434\/836-4875","pcpnpi":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["F32.89","F41.9","Z01.810","Z01.812","I10.","Z20.822","D24.1","H25.13","H04.123","H52.4","Z12.39","R21.","J45.909","M81.0","E55.9","E87.6","E78.1","R73.03","E78.5","E66.9","E10.9","H35.033","NO DATA","I87.1","E86.0","Z20.828","N64.52","E11.9","Z87.891","R10.9","R05.9","Z82.49","Z88.1","Z88.8","M25.511","K52.9","M25.519","B37.2"],"date":["2021-04-23","2022-10-07","2021-08-09","2021-08-09","2022-10-07","2021-08-09","2021-08-12","2022-10-17","2022-10-17","2022-10-17","2022-09-21","2022-09-21","2022-10-07","2022-10-07","2022-10-07","2022-10-07","2022-10-07","2022-10-07","2022-07-07","2022-10-07","2022-10-17","2022-10-17","2021-07-30","2022-01-25","2022-01-25","2022-06-13","2021-07-19","2022-01-25","2022-01-25","2022-07-07","2022-01-25","2022-01-25","2022-01-25","2022-01-25","2022-01-25","2022-07-07","2022-01-25","2022-10-18"],"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":[]}},{"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":""}]}]}