{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"ZACHARY  C BAILEY","gend":0,"add":"460 HOLINESS HOLLOW ROAD","city":"EWING","state":"VA","zip":24248,"dob":"1996-11-14","age":"","mstatus":"","insh":"2189587*01","cliId":"","pno":"865\/585-1346","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"606\/242-3100","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":24248,"pcpcounty":"","pcpid":"","pcpname":"","plan":"OHP","program":"Medicaid","lob":"M4","region":"SOUTHWEST","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"606\/242-3984","pcpnpi":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["E10.9","Z79.4","F41.9","E66.9","N52.9","Z68.32","R03.0","R10.9","Z79.899","R53.83","E11.9","E53.8","Z91.011","Z23.","Z11.59","R07.9","Z86.19"],"date":["2021-01-27","2021-01-27","2021-01-27","2020-10-21","2020-10-21","2020-09-29","2020-09-29","2020-09-29","2020-12-29","2020-12-29","2020-09-29","2020-09-29","2020-09-29","2020-09-29","2021-08-26","2020-12-29","2020-12-29"],"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":""}]}]}