{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"DAVID  L ENNIS","gend":0,"add":"207 LORRAINE AVE","city":"FREDERICKSBURG","state":"VA","zip":22408,"dob":"1967-05-11","age":55,"mstatus":"Single","insh":"20077587*01","cliId":"","pno":"540\/623-0838","cno":"","email":"ennisdavid64@gmail.com","ename":"Chelsea Sorrell","eno":"5402202830","pphy":"Abdel Shaheed, Samir","ppno":"540\/659-0550","pcpadd":"3925 Portsmouth Boulevard","pcpcity":"Chesapeake","pcpstate":"VA","pcpzip":22408,"pcpcounty":"","pcpid":"","pcpname":"","plan":"OHP","program":"Medicaid","lob":"OHCC","region":"CENTRAL","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"540\/720-2386","pcpnpi":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":{"indx":["","1","",""],"comment":["","","",""],"sub":[]}},{"a":{"indx":["1",""],"comment":["",""],"sub":[]}}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["E11.8","I10.","NO DATA","M54.2","M53.86","E13.40","R06.02","R05.9","E11.40"],"date":["2022-05-10","2022-05-10","2022-02-14","2022-04-11","2022-01-06","2022-04-11","2022-05-10","2022-05-10","2022-03-09"],"priorHcc":["","","","","","","","",""]}}]},{"t":"Covid Screening","q":[{"a":[{"indx":["","1"],"comment":["",""],"sub":[]},{"indx":["","1"],"comment":["",""],"sub":[]},{"indx":["","1"],"comment":["",""],"sub":[]},{"indx":["","1"],"comment":["",""],"sub":[]},{"indx":["","1"],"comment":["",""],"sub":[]},{"indx":["","1"],"comment":["","",""],"sub":[]},{"indx":["","1"],"comment":["",""],"sub":[]}]}]},{"t":"Screenings Needed","q":[{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["1",""],"comment":["",""],"sub":{"indx":[["","1","",""],["332358071"],[""],[""],[""],[""]],"comment":[["","","",""],[""],[""],[""],[""],[""]],"sub":[]}}},{"a":{"indx":["1",""],"comment":["",""],"sub":{"indx":[["","1","",""],["83032095"],[""],[""],[""],[""]],"comment":[["","","",""],[""],[""],[""],[""],[""]],"sub":[]}}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["1",""],"comment":["",""],"sub":{"indx":[["","1",""],["2022-12-09"],["L: No Diabetic Retinopathy R: No Diabetic Retinopathy"],[""],[""]],"comment":[["","",""],[""],[""],[""],[""]],"sub":[]}}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}}]},{"t":"Patient Summary","q":[{"a1":"Left Kit A1c 83032095\nLeft FOBT kit 332358071","a2":"2022-12-09T09:00","a3":"","a4":"","a5":"true","a6":"","a7":[],"a8":"","a9":"In Person","a10":[],"a11":"","a12":"true","a13":"","a15":[]}]}]}