{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"MARVIN  J FORE","gend":0,"add":"1616 15TH ST","city":"LYNCHBURG","state":"VA","zip":24501,"dob":"1978-12-17","age":"","mstatus":"","insh":"20058240*01","cliId":"","pno":"434\/535-6272","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"434\/528-4312","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":24501,"pcpcounty":"","pcpid":"","pcpname":"","plan":"OHP","program":"Medicaid","lob":"OHCC","region":"WESTERN\/ CHARLOTTESVILLE","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"434\/528-5504","pcpnpi":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["B35.1","L60.3","S98.131A","E11.42","M79.671","M20.12","E55.9","E11.65","I10.","E78.01","Z68.27","E11.9","M27.9","L23.7","Z68.28","Z20.822","V58.89","M21.612","L85.3","U07.1","E11.628","E78.2","G62.9","R20.2","R53.82","E11.40","L84.","Z86.31","Z79.84","Z89.411","Z79.01","Z87.891","R21.","H52.4","Z12.5","Z00.00"],"date":["2021-07-29","2021-07-29","2020-05-22","2021-07-29","2020-05-22","2020-07-17","2020-07-13","2022-09-14","2022-09-14","2020-07-13","2020-07-13","2020-09-22","2020-08-25","2020-08-25","2020-08-25","2021-11-23","2020-07-17","2020-07-17","2021-07-29","2021-02-09","2020-03-19","2020-03-19","2020-03-19","2020-03-19","2020-03-19","2020-02-14","2021-02-22","2020-02-14","2020-02-14","2020-02-14","2020-02-14","2020-02-14","2020-08-10","2020-09-22","2021-10-06","2021-10-06"],"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":{"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":""}]}]}