{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"VICTORIA  N SHORES","gend":1,"add":"21445 UNICORN DR","city":"BRISTOL","state":"VA","zip":24202,"dob":"2002-07-11","age":"","mstatus":"","insh":"2130307*01","cliId":"","pno":"276\/475-5018","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"276\/619-6128","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":24202,"pcpcounty":"","pcpid":"","pcpname":"","plan":"OHP","program":"Medicaid","lob":"M4","region":"SOUTHWEST","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"276\/619-6138","pcpnpi":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["A41.9","N12.","N10.","Z16.12","K76.0","B96.20","N20.0","E11.65","I10.","G47.30","K59.00","E66.9","R00.0","R16.2","R53.83","R63.0","Z68.54","Z91.14","Z88.0","F11.20","S93.401A","W01.0XXA","K12.2","R69.","F15.20","R10.9","R30.0","N30.00","M25.571","L03.211","E11.9","Z79.899","Z79.4","Z79.84","L02.01","B96.89","R16.0"],"date":["2021-04-13","2021-04-13","2021-04-13","2021-04-13","2021-04-13","2021-04-13","2021-04-13","2021-04-13","2022-08-14","2021-04-13","2021-04-13","2021-04-13","2021-04-13","2021-04-13","2021-04-13","2021-04-13","2021-04-13","2021-04-13","2021-04-13","2021-07-22","2021-10-12","2021-10-12","2020-09-03","2020-09-03","2021-07-22","2020-10-11","2020-10-11","2020-10-11","2021-10-12","2022-08-14","2022-08-14","2022-08-14","2022-08-14","2022-08-14","2022-08-14","2021-04-13","2021-04-13"],"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":""}]}]}