{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"ANASTASIA  S JOHNSON","gend":1,"add":"PO BOX 45","city":"WEEMS","state":"VA","zip":22576,"dob":"2001-09-17","age":"","mstatus":"","insh":"7304943*01","cliId":"","pno":"804\/480-9869","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":22576,"pcpcounty":"","pcpid":"","pcpname":"BON SECOURS LIVELY MEDICAL CENTER","plan":"OHP","program":"Medicaid","lob":"M4","region":"CENTRAL","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":["F43.23","F80.1","E11.9","F90.2","F34.1","F63.81","E10.9","J45.20","E78.2","E66.9","Z68.34","E10.65","E10.42","Z79.4","Z30.42","Z01.411","Z11.3","Z32.02","M79.605","E11.65","E86.0","I10.","J45.909","Z79.899","Z82.49","R53.83","R03.0","Z68.36","Z01.419","Z30.09","B97.29","R50.9","R51.9","R53.1","E87.6","R06.00","R06.02","J45.21","F17.200","Z79.3","R11.10","F41.9"],"date":["2021-07-18","2021-07-18","2022-11-05","2020-06-30","2020-06-30","2020-06-30","2022-11-09","2020-11-17","2021-03-25","2020-11-17","2020-11-17","2022-01-28","2021-03-25","2022-11-05","2022-09-29","2022-07-06","2022-07-06","2022-01-10","2021-06-10","2022-04-28","2022-04-28","2022-11-05","2022-11-02","2022-11-05","2022-11-02","2022-04-28","2022-01-28","2022-01-28","2021-01-27","2021-01-27","2021-08-31","2021-08-31","2021-08-31","2021-08-31","2022-11-04","2022-11-04","2022-11-13","2022-11-05","2022-11-05","2022-11-05","2022-11-05","2022-11-02"],"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":""}]}]}