{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"ALLIONA  N GAUD","gend":1,"add":"7846 AZALEA GARDEN ROAD APT 94","city":"NORFOLK","state":"VA","zip":23518,"dob":"1998-06-13","age":"","mstatus":"","insh":"6601723*01","cliId":"","pno":"757\/300-4333","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"757\/689-8460","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":23518,"pcpcounty":"","pcpid":"","pcpname":"Princess Anne Medical Associates","plan":"OHP","program":"Medicaid","lob":"M4","region":"TIDEWATER","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"757\/689-8435","pcpnpi":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["Z20.828","J04.0","R00.0","E11.9","I10.","Z88.0","R42.","R73.9","B34.9","E55.9","E66.9","Z23.","Z12.4","Z30.019","L60.0","Z00.00","E87.6","R00.2"],"date":["2022-05-08","2022-05-08","2022-08-19","2022-08-19","2022-08-19","2021-10-24","2021-10-24","2020-04-19","2021-02-05","2022-08-19","2022-08-19","2021-11-12","2022-05-13","2022-05-13","2022-08-19","2020-06-18","2021-02-04","2021-02-04"],"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":""}]}]}