{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"ERNEST  J CONNER","gend":0,"add":"3406 WESTERN ST","city":"HOPEWELL","state":"VA","zip":23860,"dob":"1988-11-23","age":"","mstatus":"","insh":"6110193*01","cliId":"","pno":"804\/222-1001","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"804\/796-2373","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":23860,"pcpcounty":"","pcpid":"","pcpname":"","plan":"OHP","program":"Medicaid","lob":"M4","region":"CENTRAL","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"804\/748-9160","pcpnpi":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["R06.02","Z20.2","E11.9","G47.33","Z68.43","E78.2","Z11.3","F41.9","I10.","S93.411A","R09.81","R05.","F17.200","G47.30","Z79.899","E11.65","N17.9","E86.0","E66.01","F41.1","Z13.6","Z13.220","Z79.84","G44.309","Z88.9","Z68.42","Y93.61","Z79.4","R51.9","E78.00","E87.1","R65.10","E78.5","Z88.1","Z88.8","R00.0","Z01.30"],"date":["2021-05-30","2021-10-11","2022-06-22","2022-07-27","2022-03-04","2022-10-25","2022-10-25","2022-03-04","2022-10-25","2020-01-08","2020-03-24","2020-03-24","2021-12-03","2022-02-20","2022-03-11","2022-01-27","2021-07-09","2021-07-09","2022-10-25","2022-10-25","2022-01-27","2022-01-27","2022-01-27","2022-06-22","2022-05-23","2022-10-25","2020-01-08","2022-06-22","2022-06-22","2021-12-16","2021-07-07","2021-07-07","2021-07-07","2021-07-07","2021-07-07","2021-07-07","2022-09-20"],"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":[]}},{"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":""}]}]}