{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"ALLEN TERRY","gend":0,"add":"866 COOLBROOK RD APT 12","city":"VINTON","state":"VA","zip":24179,"dob":"1969-10-03","age":"","mstatus":"","insh":"2419966*01","cliId":"","pno":"540\/206-9055","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":24179,"pcpcounty":"","pcpid":"","pcpname":"Carilion Family Medicine Parkway Physicians Vinton","plan":"OHP","program":"Medicaid","lob":"M4","region":"ROANOKE\/ ALLEGHANY","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":["E11.9","Z79.4","Z95.810","I50.21","Z23.","E11.65","I10.","E78.5","Z12.11","I25.5","R94.31","I50.22","I11.0","M65.342","R00.2","I25.10","F17.210","Z72.0","Z79.899","S63.639A","R88.8","I42.9","I08.2","NO DATA","R06.02","R53.83","I50.43"],"date":["2022-09-19","2022-09-19","2022-09-26","2021-12-14","2021-12-14","2022-04-25","2021-12-14","2022-09-26","2021-12-14","2022-09-26","2022-09-26","2022-09-26","2022-07-01","2022-06-08","2022-09-26","2021-11-11","2022-07-01","2022-07-01","2021-11-11","2022-04-25","2022-09-15","2022-09-15","2022-03-22","2022-03-22","2022-07-01","2022-07-01","2022-01-17"],"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":""}]}]}