{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"EMAN  H TOUNI","gend":1,"add":"1717 HUNGARY ROAD","city":"HENRICO","state":"VA","zip":23228,"dob":"1984-01-03","age":"","mstatus":"","insh":"2157735*01","cliId":"","pno":"804\/502-3534","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":23228,"pcpcounty":"","pcpid":"","pcpname":"Virginia Women's Center","plan":"OHP","program":"Medicaid","lob":"M4","region":"CENTRAL","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":["R10.9","Z30.09","Z87.828","O24.410","Z3A.20","L28.2","Z3A.23","S50.352A","R07.9","R06.00","Z68.35","O34.211","Z37.0","Z3A.38","L03.113","I80.9","Z3A.25","L03.114","K52.9","Z30.2","Z3A.37","L25.9","O99.72","Z79.1","R11.0","M54.5","L01.00","R60.9","M79.609","M79.89","O99.891","R42.","Z3A.00","Z01.419","Z30.41","R07.89","R21.","O9A.211","S16.1XXA","V87.7XXA","Z3A.01","Z34.82","Z3A.27"],"date":["2020-10-30","2020-10-30","2020-10-30","2021-03-03","2021-02-16","2021-03-22","2021-03-03","2020-05-30","2020-06-23","2020-06-23","2020-06-03","2021-06-14","2021-06-14","2021-06-14","2020-06-06","2020-06-06","2021-03-22","2020-06-06","2020-08-04","2021-06-14","2021-06-14","2021-06-14","2021-06-14","2021-06-14","2020-02-18","2020-02-18","2020-06-07","2020-06-07","2020-06-07","2020-06-07","2020-10-20","2020-10-20","2020-10-20","2020-02-24","2020-03-20","2020-05-30","2020-06-07","2020-11-10","2020-11-10","2020-11-10","2020-11-10","2021-04-05","2021-04-05"],"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":[]}},{"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":""}]}]}