{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"MARIA  V LOPEZ SANCHEZ","gend":1,"add":"15466 JAMES CIR","city":"CAPE CHARLES","state":"VA","zip":23310,"dob":"1960-04-28","age":"","mstatus":"","insh":"2392745*01","cliId":"","pno":"757\/678-2716","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"757\/886-6000","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":23310,"pcpcounty":"","pcpid":"","pcpname":"","plan":"OHP","program":"Medicaid","lob":"M4","region":"TIDEWATER","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"757\/886-6251","pcpnpi":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["R07.9","R94.31","I10.","I24.9","I25.10","E11.9","R07.89","R77.8","I49.3","Z20.822","E87.6","R06.02","R10.11","Z79.4","E78.5","Z51.81","Z48.02","E66.09","Z68.32","Z92.29","Z23.","Z79.84","J02.9","R52.","R05.9","S61.211A","R00.2","Z71.3"],"date":["2021-12-17","2021-12-07","2022-01-18","2021-12-16","2021-12-16","2021-12-16","2021-12-17","2021-12-17","2021-12-07","2022-01-20","2021-12-06","2021-08-17","2021-08-17","2021-11-02","2021-12-13","2021-11-02","2021-11-02","2021-11-02","2021-12-13","2021-11-02","2021-11-02","2021-12-06","2022-01-20","2022-01-20","2022-01-20","2021-10-21","2021-12-13","2021-12-13"],"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":""}]}]}