{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"TIFFANY  R SQUIRE","gend":1,"add":"1325 SKIPPERS RD BLDG 10APT2A","city":"EMPORIA","state":"VA","zip":23847,"dob":"1985-04-02","age":"","mstatus":"","insh":"8615063*01","cliId":"","pno":"434\/637-7276","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"800\/225-0953","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":23847,"pcpcounty":"","pcpid":"","pcpname":"","plan":"OHP","program":"Medicaid","lob":"M4","region":"CENTRAL","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"434\/634-7107","pcpnpi":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["Z20.828","J20.9","N61.0","I10.","K29.50","J45.909","L03.90","E66.01","N61.1","F17.200","K29.90","N39.0","R10.32","Z79.899","N60.09","N92.6","N93.9","D64.9","Z30.41","Z68.41","E66.09","R10.13","G89.29","M25.562"],"date":["2020-10-28","2021-08-05","2021-05-19","2021-05-18","2021-05-19","2021-05-18","2021-05-19","2021-05-19","2022-07-24","2022-04-29","2022-08-06","2020-10-16","2020-10-16","2022-03-10","2021-05-18","2022-01-18","2021-03-03","2021-03-03","2021-03-03","2021-03-03","2021-03-03","2022-07-01","2022-07-01","2020-08-19"],"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":""}]}]}