{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"DOROTHY COMBS","gend":1,"add":"143 NIGHTINGALE AVE","city":"STEPHENS CITY","state":"VA","zip":22655,"dob":"1959-04-19","age":"","mstatus":"","insh":"20061003*01","cliId":"","pno":"504\/327-1040","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"540\/667-8724","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":22655,"pcpcounty":"","pcpid":"","pcpname":"","plan":"OHP","program":"Medicaid","lob":"OHCC","region":"NORTHERN\/ WINCHESTER","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"540\/723-0741","pcpnpi":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["I83.893","F17.210","I10.","M79.89","I89.0","E11.9","M06.9","F32.9","R60.0","M19.90","R73.03","R42.","S00.03XA","W18.39XA","V58.89","S62.602S","M17.11","Z68.41","Z12.11","D12.2","D12.3","D12.5","K64.8","Z12.31","M79.644","S63.632A","M17.0","S09.90XA","J32.9","E78.5","F17.200","R73.02","Z76.0","R20.2","M25.512","D12.6"],"date":["2021-01-15","2021-01-15","2021-11-16","2021-03-24","2021-04-21","2022-03-24","2022-03-24","2021-11-16","2020-07-20","2020-06-30","2021-05-27","2021-09-06","2021-09-06","2021-09-06","2022-08-18","2022-08-18","2020-07-30","2022-08-18","2021-04-29","2021-04-29","2021-04-29","2021-04-29","2021-04-29","2021-05-27","2022-05-05","2022-05-05","2020-09-11","2021-09-06","2022-03-24","2021-05-27","2021-05-27","2020-06-08","2020-06-08","2020-06-08","2020-01-20","2021-04-29"],"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":""}]}]}