{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"TIFFANY  F WRIGHT","gend":1,"add":"2214 TERRELL LN","city":"HAMPTON","state":"VA","zip":23666,"dob":"1972-05-15","age":"","mstatus":"","insh":"2284576*01","cliId":"","pno":"757\/639-1555","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"757\/253-8722","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":23666,"pcpcounty":"","pcpid":"","pcpname":"","plan":"OHP","program":"Medicaid","lob":"M4","region":"TIDEWATER","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"757\/253-8726","pcpnpi":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["I10.","E11.9","I63.9","G47.14","H04.123","H35.413","H52.13","H52.223","H52.4","M77.9","M19.049","R47.81","R53.1","G43.909","Z01.419","Z00.00","G43.001","G43.109","R29.90","E11.65","J30.1","Z68.36"],"date":["2021-09-20","2021-09-20","2021-02-02","2020-09-24","2020-11-17","2020-11-17","2020-11-17","2020-11-17","2020-11-17","2021-09-20","2021-09-20","2020-09-09","2020-09-09","2021-02-02","2021-02-02","2021-02-02","2021-07-30","2021-07-30","2021-07-30","2020-06-18","2020-06-18","2020-06-18"],"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":""}]}]}