{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"BARBARA  R BOBENHAUSEN","gend":1,"add":"826 E 28TH ST APT 2","city":"NORFOLK","state":"VA","zip":23504,"dob":"1975-01-07","age":"","mstatus":"","insh":"5945259*01","cliId":"","pno":"757\/588-8888","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":23504,"pcpcounty":"","pcpid":"","pcpname":"DEPAUL MEDICAL ASSOCIATES","plan":"OHP","program":"Medicaid","lob":"M4","region":"TIDEWATER","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":["E86.0","R19.7","R11.2","R10.11","T14.8XXA","Z20.822","J20.9","F17.200","Z13.31","Z01.89","R23.8","E16.2","K27.9","E11.65","R10.9","L50.9","J44.9","E11.9","F17.210","Z88.5","Z91.041","E66.9","Z68.43","Z87.11","R21.","J41.0","E66.01","J40.","Z20.828","I10.","Z72.0"],"date":["2021-04-25","2021-04-25","2021-04-25","2022-10-15","2021-04-25","2022-06-11","2020-12-07","2021-01-14","2020-12-07","2020-12-07","2022-06-11","2022-10-15","2022-10-15","2022-10-15","2021-04-25","2022-06-11","2022-06-11","2022-06-11","2022-06-11","2022-06-11","2022-06-11","2022-06-11","2022-06-11","2022-06-11","2022-06-11","2021-01-14","2021-01-14","2022-06-01","2022-06-01","2022-06-01","2022-06-01"],"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":""}]}]}