{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"EARNEST GILBERT","gend":0,"add":"308 CHANEY LANE LN","city":"GRETNA","state":"VA","zip":24557,"dob":"1961-12-12","age":"","mstatus":"","insh":"2379367*01","cliId":"","pno":"434\/713-9627","cno":"","email":"","ename":"","eno":"","pphy":"Abdel Shaheed, Samir","ppno":"","pcpadd":"3925 Portsmouth Boulevard","pcpcity":"Chesapeake","pcpstate":"VA","pcpzip":24557,"pcpcounty":"","pcpid":"","pcpname":"","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":["E11.3512","E11.3391","I21.4","I47.2","I50.20","T82.855A","E88.81","I11.0","E11.65","D72.829","E66.9","I25.82","E78.2","I25.10","E13.3512","H43.12","E11.3491","Z68.29","I25.5","Z87.891","Z91.14","Z91.19"],"date":["2022-10-21","2022-10-21","2022-09-14","2022-09-14","2022-09-14","2022-09-14","2022-09-14","2022-09-14","2022-09-14","2022-09-14","2022-09-14","2022-09-14","2022-09-14","2022-09-14","2022-10-12","2022-10-12","2022-10-12","2022-09-14","2022-09-14","2022-09-14","2022-09-14","2022-09-14"],"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":[]}},{"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":""}]}]}