{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"TAMIA  A MARTIN","gend":1,"add":"128 BERMAN DR","city":"DANVILLE","state":"VA","zip":24540,"dob":"1998-03-02","age":"","mstatus":"","insh":"2150712*01","cliId":"","pno":"434\/710-9988","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":24540,"pcpcounty":"","pcpid":"","pcpname":"","plan":"OHP","program":"Medicaid","lob":"M4","region":"WESTERN\/ CHARLOTTESVILLE","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"","pcpnpi":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["F41.9","H66.002","H61.21","G89.3","Z79.899","L73.2","E11.9","N76.0","Z68.44","M76.821","M76.822","K92.9","R10.9","M72.2","M79.673","M20.10","M77.30","M79.671","M77.31","M76.829","M20.11","M79.672","M20.12","Z03.818","R10.84","R52.","M54.89","J02.9"],"date":["2021-07-28","2021-04-26","2021-04-26","2022-03-15","2022-03-15","2022-09-15","2022-09-14","2022-08-02","2022-08-02","2021-08-23","2021-08-23","2021-10-12","2021-10-12","2022-03-29","2022-03-29","2022-03-29","2022-03-29","2022-03-29","2022-03-29","2021-08-23","2021-08-23","2021-08-23","2021-08-23","2020-11-12","2021-09-19","2021-09-19","2021-09-19","2022-09-14"],"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":""}]}]}