{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"NICOLE  J NELSON","gend":1,"add":"9210 MONARCH CRES","city":"HENRICO","state":"VA","zip":23228,"dob":"1971-11-29","age":"","mstatus":"","insh":"2381570*01","cliId":"","pno":"804\/878-3852","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"804\/364-8802","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":23228,"pcpcounty":"","pcpid":"","pcpname":"","plan":"OHP","program":"Medicaid","lob":"M4","region":"CENTRAL","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"804\/362-1288","pcpnpi":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["E11.65","N30.00","I10.","F17.210","Z71.3","Z79.84","Z79.899","Z83.3","Z80.3","E11.9","B37.3","M19.90","R06.00","E86.0","F17.200","R73.9","J39.8","Z04.9","L84.","M79.672","E78.5","K21.9","Z79.82","Z20.828","J10.89","E66.9","M17.11","Z68.41","M25.561"],"date":["2021-11-04","2021-09-29","2022-09-16","2021-09-29","2021-09-29","2022-09-16","2021-10-28","2021-09-29","2021-09-29","2022-09-16","2021-10-31","2022-09-16","2021-06-29","2021-10-23","2022-09-16","2021-10-28","2022-01-06","2021-06-29","2022-01-07","2022-01-07","2022-09-16","2022-01-07","2022-09-16","2021-12-23","2021-12-23","2022-09-16","2022-09-16","2022-09-16","2022-09-16"],"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":{"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":""}]}]}