{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"TAYLOR  S SPROUSE","gend":0,"add":"2240 LAKE TERRACE DR","city":"HARRISONBURG","state":"VA","zip":22802,"dob":"1992-05-23","age":"","mstatus":"","insh":"2156593*01","cliId":"","pno":"540\/908-1121","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":22802,"pcpcounty":"","pcpid":"","pcpname":"Harrisonburg Family Practice Associates","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":["E10.8","Z79.4","F90.0","E10.9","E03.9","F90.9","F41.1","R63.5","T50.905A","J45.909","R09.1","K31.84","E10.43","Z20.828","F90.2","R51.9","R05."],"date":["2020-02-29","2020-02-29","2022-11-16","2022-05-27","2022-08-03","2021-09-16","2021-04-27","2021-04-27","2021-04-27","2020-04-27","2022-08-03","2021-12-29","2021-09-16","2020-12-30","2020-12-30","2020-12-30","2020-12-30"],"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":""}]}]}