{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"STANLEY WILKINS","gend":0,"add":"29445 WALTERS HWY","city":"CARRSVILLE","state":"VA","zip":23315,"dob":"1973-02-17","age":"","mstatus":"","insh":"2370578*01","cliId":"","pno":"757\/510-0076","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"757\/562-2158","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":23315,"pcpcounty":"","pcpid":"","pcpname":"Bayview Hospitalist","plan":"OHP","program":"Medicaid","lob":"M4","region":"TIDEWATER","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"757\/516-8019","pcpnpi":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["M54.16","Z98.1","M51.36","Z01.810","M47.816","I51.7","S71.151A","E11.9","F17.210","Z79.899","R19.5","K63.5","D12.5","K57.30","K64.9"],"date":["2022-05-10","2022-05-02","2022-05-10","2021-04-27","2021-04-27","2021-04-27","2021-07-23","2021-07-23","2021-07-23","2021-07-23","2022-10-28","2022-10-28","2022-10-28","2022-10-28","2022-10-28"],"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":""}]}]}