{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"JAMES  E JENKINS","gend":0,"add":"18039 JEFFERSON DAVIS HWY APT 107","city":"RUTHER GLEN","state":"VA","zip":22546,"dob":"1968-04-11","age":"","mstatus":"","insh":"2215084*01","cliId":"","pno":"804\/839-5020","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":22546,"pcpcounty":"","pcpid":"","pcpname":"BON SECOURS CHESTERFIELD FAMILY MEDICINE","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":["L03.313","I48.91","G47.33","U07.1","Z01.810","NO DATA","E78.5","I11.0","I50.20","E66.01","I42.0","R94.31","Z79.01","Z68.41","J96.01","E87.1","Z68.42","E11.65","E87.6","T38.0X5A","Z91.14","R05.","A41.9","R50.9","D72.9","R61.","E66.9","R68.83","L02.92"],"date":["2021-10-05","2021-10-07","2021-10-05","2021-10-05","2021-11-15","2021-11-15","2021-11-15","2021-11-15","2021-11-15","2021-11-15","2021-11-15","2021-11-15","2021-11-15","2021-11-15","2021-09-21","2021-09-21","2021-09-21","2021-09-21","2021-09-21","2021-09-21","2021-09-21","2021-09-21","2021-10-05","2021-10-05","2021-10-07","2021-10-07","2021-10-07","2021-10-07","2021-10-07"],"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":""}]}]}