{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"JENNIFER DONNELLA","gend":1,"add":"5007 YORKTOWN BLVD","city":"ARLINGTON","state":"VA","zip":22207,"dob":"1969-05-21","age":"","mstatus":"","insh":"2175194*01","cliId":"","pno":"703\/401-2977","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"703\/535-5568","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":22207,"pcpcounty":"","pcpid":"","pcpname":"","plan":"OHP","program":"Medicaid","lob":"M4","region":"NORTHERN\/ WINCHESTER","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"703\/224-3629","pcpnpi":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["F32.1","I51.7","R39.15","N39.41","I10.","R01.1","Z23.","F32.9","E03.9","E11.9","Z12.31","R22.1","E66.01","R00.0","Z12.11","E65."],"date":["2021-06-24","2020-06-22","2021-01-04","2021-01-04","2021-10-07","2020-04-08","2021-10-07","2020-01-06","2021-10-07","2021-10-07","2021-10-07","2021-10-07","2020-10-13","2020-10-13","2020-10-13","2021-09-18"],"priorHcc":["","","","","","","","","","","","","","","",""]}}]},{"t":"Covid Screening","q":[{"a":[]}]},{"t":"Screenings Needed","q":[{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["1",""],"comment":["",""],"sub":{"indx":[["","","",""],[""],[""],[""],[""],[""]],"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":""}]}]}