{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"MELISSA  A GAINES","gend":1,"add":"769 PROSPECT AVE","city":"CHARLOTTESVILLE","state":"VA","zip":22903,"dob":"1981-07-01","age":"","mstatus":"","insh":"7694091*01","cliId":"","pno":"434\/286-4399","cno":"","email":"","ename":"","eno":"","pphy":"Abdel Shaheed, Samir","ppno":"434\/924-2472","pcpadd":"3925 Portsmouth Boulevard","pcpcity":"Chesapeake","pcpstate":"VA","pcpzip":22903,"pcpcounty":"","pcpid":"","pcpname":"","plan":"OHP","program":"Medicaid","lob":"M4","region":"WESTERN\/ CHARLOTTESVILLE","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"434\/924-8179","pcpnpi":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["G43.109","E78.00","M79.674","N76.0","R05.9","E11.9","I10.","Z20.822","J02.9","R53.83","Z79.84","Z83.511","H52.13","M25.561","M22.41","R10.9","Z01.419","N89.8","G89.18","M79.644","M18.11","G43.909","R42.","E11.00","G43.009","M94.261","M25.641","Z01.818","J01.90","Z11.3","Z00.00"],"date":["2022-03-14","2020-06-18","2020-10-21","2021-10-08","2022-01-19","2022-09-24","2022-03-14","2022-10-17","2022-08-18","2022-08-18","2022-09-24","2022-09-24","2022-09-24","2020-05-14","2020-05-14","2020-10-20","2021-09-03","2021-09-03","2022-03-22","2022-05-31","2022-03-18","2020-07-16","2020-07-16","2020-07-16","2020-12-04","2022-02-09","2022-05-31","2022-03-09","2022-10-17","2021-09-03","2022-10-06"],"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":""}]}]}