{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"ANA  R MONTESINOS","gend":1,"add":"9430 PACKARD WAY","city":"BURKE","state":"VA","zip":22015,"dob":"1958-04-17","age":"","mstatus":"","insh":"2198820*01","cliId":"","pno":"571\/218-7829","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"843\/237-3378","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":22015,"pcpcounty":"","pcpid":"","pcpname":"","plan":"OHP","program":"Medicaid","lob":"M4","region":"NORTHERN\/ WINCHESTER","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"843\/237-5073","pcpnpi":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["T88.7XXA","I10.","E11.69","F32.9","E78.5","G47.33","E66.01","E55.9","R74.8","R11.0","R63.0","R51.","Z23.","R80.9","R81.","N39.0","Z00.00","D64.9","M19.90","M79.89"],"date":["2020-09-14","2020-12-14","2020-12-14","2020-12-10","2020-12-14","2020-12-10","2020-12-10","2020-12-10","2020-12-10","2020-09-24","2020-09-24","2020-09-24","2021-03-04","2020-12-10","2020-12-10","2020-12-14","2020-08-05","2020-08-05","2020-08-05","2020-08-05"],"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":[]}},{"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":""}]}]}