{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"ASHLEY BOWERS","gend":1,"add":"219 SOUTH RIVERVIEW RD APT B","city":"MADISON HEIGHTS","state":"VA","zip":24572,"dob":"1975-07-10","age":"","mstatus":"","insh":"7995563*01","cliId":"","pno":"434\/446-6036","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"434\/835-4876","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":24572,"pcpcounty":"","pcpid":"","pcpname":"","plan":"OHP","program":"Medicaid","lob":"M4","region":"WESTERN\/ CHARLOTTESVILLE","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"434\/836-4875","pcpnpi":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["E11.40","R50.9","Z76.89","L02.612","F41.1","L65.9","E11.65","K59.04","Z20.828","J20.9","A09.","F11.20","R07.89","F11.10","M54.6","F41.8","N76.0","F11.23","L03.116","E83.42","F17.210","F43.10","Z79.4","F19.10","Z11.59","Z79.2","Z88.1","Z88.6","R13.10","F15.20","R53.83","G43.911","R30.0","R35.0","B00.1","R52.","M54.42","M54.41","R05.","J06.9"],"date":["2020-09-09","2021-01-19","2020-05-24","2020-06-09","2020-06-09","2020-06-09","2021-03-26","2020-08-28","2021-03-11","2021-01-25","2021-02-17","2021-03-24","2021-03-26","2021-03-26","2020-07-10","2021-03-24","2020-11-04","2020-04-30","2020-05-24","2020-05-24","2020-05-24","2020-05-24","2020-05-24","2020-05-24","2020-05-24","2020-05-24","2020-05-24","2020-05-24","2021-02-22","2020-05-05","2021-03-11","2021-02-09","2021-02-25","2021-02-25","2021-01-22","2021-03-11","2020-03-22","2020-03-22","2020-07-10","2021-01-19"],"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":{"indx":[["","","",""],[""],[""],[""],[""],[""]],"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":""}]}]}