{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"MARY VERGHESE","gend":1,"add":"55 FROZEN LAKE ROAD","city":"HILLSVILLE","state":"VA","zip":24343,"dob":"1969-02-14","age":"","mstatus":"","insh":"2336632*01","cliId":"","pno":"562\/225-6606","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"276\/228-4860","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":24343,"pcpcounty":"","pcpid":"","pcpname":"","plan":"OHP","program":"Medicaid","lob":"M4","region":"SOUTHWEST","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"276\/228-4879","pcpnpi":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["I10.","R73.03","Z13.0","Z13.29","Z13.220","M94.9","E11.65","E55.9","D58.2","R00.2","R07.9","E78.2","Z12.31","R74.8","I34.0","R06.02","D75.1"],"date":["2022-03-30","2021-02-09","2021-02-09","2022-03-30","2022-03-30","2021-02-09","2022-03-30","2022-03-30","2021-04-06","2021-04-06","2021-07-12","2022-03-30","2022-03-30","2021-07-12","2021-07-12","2021-07-12","2021-04-21"],"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":""}]}]}