{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"LAVERNE  V WILLIAMS","gend":1,"add":"410 N CHALICE CTS","city":"NEWPORT NEWS","state":"VA","zip":23608,"dob":"1956-06-03","age":"","mstatus":"","insh":"20054060*01","cliId":"","pno":"804\/309-7558","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"757\/234-4285","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":23608,"pcpcounty":"","pcpid":"","pcpname":"Riverside Internal Medicine of Denbigh","plan":"OHP","program":"Medicaid","lob":"OHCC","region":"TIDEWATER","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"757\/234-4260","pcpnpi":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["E11.9","Z79.4","Z91.14","I10.","R39.9","F41.9","R14.0","F17.210","R20.0","R20.2","F41.1","H61.892","K08.89","Z79.84","R42.","H66.92","Z91.81","M54.5","R35.0","N89.8","G57.93","F33.0","E55.9","E11.65","F33.1","E78.00","H69.82","L72.3","Z71.9"],"date":["2021-04-08","2021-03-09","2021-03-09","2021-03-09","2021-03-09","2021-03-09","2021-03-09","2021-05-19","2021-05-19","2021-05-19","2021-05-19","2021-04-19","2021-04-19","2021-04-08","2021-04-19","2021-04-19","2021-04-19","2021-07-28","2021-07-28","2021-07-28","2021-07-28","2020-01-07","2020-08-25","2020-08-25","2020-08-25","2020-08-25","2021-04-15","2021-06-24","2021-06-24"],"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":""}]}]}