{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"KENT  G GRIMES","gend":0,"add":"1012 BAINBRIDGE BLVD","city":"NORFOLK","state":"VA","zip":23523,"dob":"1967-08-26","age":"","mstatus":"","insh":"2465917*01","cliId":"","pno":"757\/803-2956","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"757\/228-1288","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":23523,"pcpcounty":"","pcpid":"","pcpname":"","plan":"OHP","program":"Medicaid","lob":"M4","region":"TIDEWATER","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"757\/425-3625","pcpnpi":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["Z12.11","K92.1","R63.4","K29.70","K31.89","Z79.899","Z79.84","Z79.1","Z79.4","E11.9","Z13.89","E11.40","E11.65","Z91.09","M25.529","G62.9"],"date":["2022-03-11","2022-03-11","2022-03-11","2022-03-11","2022-03-11","2022-03-11","2022-03-11","2022-03-11","2022-03-11","2022-06-21","2022-06-21","2022-08-09","2022-08-09","2022-08-09","2022-08-09","2022-08-09"],"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":""}]}]}