{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"BEVERLY  G CLEMENTS","gend":1,"add":"349 CUMBERLAND DR","city":"DANVILLE","state":"VA","zip":24541,"dob":"1990-08-19","age":"","mstatus":"","insh":"7461909*01","cliId":"","pno":"434\/799-8436","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":24541,"pcpcounty":"","pcpid":"","pcpname":"Carilion Medical Associates Martinsville","plan":"OHP","program":"Medicaid","lob":"M4","region":"WESTERN\/ CHARLOTTESVILLE","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":["E11.9","R79.89","Z79.84","Z68.36","N91.2","Z79.4","M62.81","R26.81","E11.65","N90.89","R10.2","O24.319","V23.9","Z91.19","R09.81","R51.9","O24.312","Z31.5","O24.111","Z3A.12","E55.9","R53.1","O24.911","O36.8330","O47.1","Z3A.37"],"date":["2020-03-18","2020-02-05","2020-02-05","2020-02-05","2020-03-18","2020-03-18","2022-09-06","2022-09-06","2022-09-06","2022-06-14","2022-06-14","2020-10-01","2020-10-01","2020-10-01","2022-09-06","2022-09-06","2020-07-03","2020-04-24","2020-04-24","2020-04-24","2022-07-28","2022-09-26","2020-04-24","2020-10-16","2020-10-16","2020-10-16"],"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":""}]}]}