{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"RONNIE  D BURTON JR","gend":0,"add":"1016 BURTON TRL","city":"HALIFAX","state":"VA","zip":24558,"dob":"1964-10-23","age":"","mstatus":"","insh":"2301312*01","cliId":"","pno":"434\/579-9226","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"434\/835-4876","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":24558,"pcpcounty":"","pcpid":"","pcpname":"","plan":"OHP","program":"Medicaid","lob":"M4","region":"WESTERN\/ CHARLOTTESVILLE","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"434\/836-4875","pcpnpi":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["I50.42","I08.8","R07.89","R06.09","I42.0","G47.33","I11.0","I50.9","E11.9","E66.9","Z88.8","G47.10","I10.","R06.00","R60.0","R53.83","E03.9","E10.9","E66.01","F32.1","E11.65","H40.013","H52.4","E03.8","I50.22","I42.9","E78.2","R07.9","G47.30","R19.7","I95.1","F41.9","I50.20","G47.00","R21.","T63.791A","U07.1","I42.8","R94.39","M79.642","M65.30","Z79.84","M25.561","M17.11","I51.7","I08.1","I25.10","R06.83","M72.0","M25.532"],"date":["2022-06-03","2021-05-20","2022-02-23","2022-10-17","2022-10-17","2022-08-04","2022-07-26","2022-07-26","2022-07-26","2022-07-26","2022-07-26","2022-07-26","2022-10-17","2021-06-08","2022-06-03","2021-05-11","2022-08-10","2022-08-10","2022-08-10","2022-08-10","2020-06-26","2020-07-17","2020-06-26","2021-01-11","2022-09-12","2022-03-22","2022-10-17","2021-02-09","2022-05-16","2020-06-10","2020-06-10","2020-06-10","2020-06-10","2020-06-10","2021-05-18","2021-05-18","2022-01-18","2022-04-06","2022-04-06","2022-08-10","2022-08-10","2022-08-10","2022-08-10","2022-08-29","2022-09-30","2022-09-30","2022-04-22","2022-05-10","2022-11-08","2022-11-08"],"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":""}]}]}