{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"WANDA WHITE","gend":1,"add":"3703 BRIDLEPATH LN","city":"SUFFOLK","state":"VA","zip":23435,"dob":"1959-09-07","age":"","mstatus":"","insh":"20074103*01","cliId":"","pno":"757\/646-8885","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"757\/606-1656","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":23435,"pcpcounty":"","pcpid":"","pcpname":"Cedar Road Medical Associates","plan":"OHP","program":"Medicaid","lob":"OHCC","region":"TIDEWATER","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"757\/606-1657","pcpnpi":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["E11.9","I10.","E78.00","Z00.00","E55.9","Z23.","R20.2","M24.572","M24.571","M20.5X2","M20.5X1","M79.672","M79.671","E78.5","Z12.31","K21.9","J30.9"],"date":["2022-04-28","2022-04-28","2022-04-28","2022-04-28","2022-04-28","2021-10-27","2021-11-12","2021-11-12","2021-11-12","2022-02-17","2022-02-17","2021-11-12","2021-11-12","2022-04-28","2022-04-28","2022-04-28","2022-04-28"],"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":""}]}]}