{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"CLYDE POWELL","gend":0,"add":"1055 MILL ROAD","city":"CLOVER","state":"VA","zip":24534,"dob":"1961-09-26","age":"","mstatus":"","insh":"2192234*01","cliId":"","pno":"434\/454-7979","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"276\/670-3300","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":24534,"pcpcounty":"","pcpid":"","pcpname":"","plan":"OHP","program":"Medicaid","lob":"M4","region":"WESTERN\/ CHARLOTTESVILLE","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"276\/634-0379","pcpnpi":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["M54.6","E11.649","N20.1","N13.30","E11.9","I10.","E03.9","N20.0","E11.65","H35.363","M25.511","M75.51","Z20.828","J01.00","H92.01","R09.81","H52.4","R10.9","E78.5","Z79.84","M54.31","R25.2","Z46.6","Z23.","M54.5","M79.604","M54.41"],"date":["2022-04-21","2021-01-08","2022-05-03","2022-04-26","2022-04-25","2022-04-25","2022-04-25","2022-05-03","2021-07-14","2021-07-14","2021-01-07","2020-12-31","2021-01-15","2021-01-21","2021-01-21","2021-01-21","2021-07-14","2022-04-25","2022-04-25","2022-04-25","2021-06-16","2021-06-16","2022-04-25","2021-03-11","2021-05-27","2021-05-13","2021-05-27"],"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":""}]}]}