{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"ROLENA  M PUFFINBERGER","gend":1,"add":"160 WILDLIFE CT","city":"WINCHESTER","state":"VA","zip":22603,"dob":"1964-11-15","age":"","mstatus":"","insh":"20055073*01","cliId":"","pno":"540\/877-8975","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"540\/722-2369","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":22603,"pcpcounty":"","pcpid":"","pcpname":"","plan":"OHP","program":"Medicaid","lob":"M4","region":"NORTHERN\/ WINCHESTER","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"540\/722-6601","pcpnpi":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["J31.0","J34.2","J06.9","E11.65","I10.","E78.2","Z13.6","R19.5","D12.6","R09.81","Z20.822","R05.","D75.1","Z23.","K91.1","Z79.4","J01.00","J32.4","D12.5","U07.1","NO DATA","J32.9","R11.10","H92.02","H60.8X2","K05.6","R05.9","E11.42","M65.872","M77.32"],"date":["2021-05-23","2020-01-13","2020-01-13","2022-06-01","2022-04-28","2022-04-28","2021-10-28","2020-10-16","2020-10-16","2022-01-26","2021-04-17","2021-04-17","2022-04-28","2022-06-01","2020-05-26","2020-05-26","2022-08-16","2020-12-09","2020-10-16","2022-01-28","2021-08-21","2021-05-23","2022-01-28","2022-06-01","2022-06-01","2022-06-01","2022-08-16","2022-07-13","2022-07-13","2022-07-13"],"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":""}]}]}