{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"JEFFREY  L WADE","gend":0,"add":"56 MAPLE DR","city":"VERONA","state":"VA","zip":24482,"dob":"1971-08-06","age":"","mstatus":"","insh":"2277133*01","cliId":"","pno":"540\/908-7793","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":24482,"pcpcounty":"","pcpid":"","pcpname":"Carilion Clinic Family Medicine Waynesboro","plan":"OHP","program":"Medicaid","lob":"M4","region":"WESTERN\/ CHARLOTTESVILLE","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":["R73.01","I10.","E78.2","D75.1","N20.0","N52.9","R97.20","E11.9","F43.21","Z11.52","Z20.822","F41.9","Z79.899","Z00.00","Z12.5","F41.1","F41.8","A60.00","M25.531","Z23."],"date":["2022-03-15","2022-03-15","2022-03-15","2022-03-15","2022-03-15","2021-08-03","2022-04-01","2021-08-03","2020-06-05","2021-09-24","2021-09-24","2020-04-29","2020-04-29","2022-03-15","2020-10-26","2022-03-15","2022-03-15","2020-10-26","2020-03-10","2021-09-09"],"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":""}]}]}