{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"MERIL  I BROWN JR","gend":0,"add":"511 HIGHLAND TERRACE PO BOX 1067","city":"PULASKI","state":"VA","zip":24301,"dob":"1959-04-23","age":"","mstatus":"","insh":"20074905*01","cliId":"","pno":"540\/641-3596","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"540\/980-0550","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":24301,"pcpcounty":"","pcpid":"","pcpname":"","plan":"OHP","program":"Medicaid","lob":"OHCC","region":"ROANOKE\/ ALLEGHANY","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"540\/980-9141","pcpnpi":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["B37.42","R73.9","E11.65","R10.31","R30.0","Z79.4","E11.9","F17.200","J44.9","I10.","Z79.51","Z79.84","R21.","R35.0","E78.5","G40.909","R39.15","F14.90","F15.90","Z72.89","R10.30","N40.1"],"date":["2022-07-27","2022-06-17","2022-07-27","2022-07-27","2022-07-27","2022-07-27","2022-06-08","2022-07-27","2022-07-27","2022-07-27","2022-06-29","2022-07-27","2022-06-08","2022-06-29","2022-06-29","2022-07-27","2022-06-29","2022-07-27","2022-07-27","2022-07-27","2022-07-27","2022-06-29"],"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":""}]}]}