{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"AREATHA  L GUEST","gend":1,"add":"3094 BETHLEHEM RD","city":"CHARLOTTE COURT HOUSE","state":"VA","zip":23923,"dob":"1968-04-20","age":"","mstatus":"","insh":"9139435*01","cliId":"","pno":"434\/568-8465","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"434\/542-5560","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":23923,"pcpcounty":"","pcpid":"","pcpname":"","plan":"OHP","program":"Medicaid","lob":"M4","region":"WESTERN\/ CHARLOTTESVILLE","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"434\/542-4670","pcpnpi":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["Z23.","W57.XXXA","T63.301A","J01.10","F41.1","E11.29","E11.69","E78.5","I10.","E66.9","Z68.38","Z79.4","Z11.59","J98.8","R68.89","J98.9","A53.9","A60.9","H53.2","R19.7","R10.9","K59.00","H47.333","H52.13","H52.223","F43.23","L03.90","N95.1","H53.9"],"date":["2021-07-19","2020-11-02","2021-06-29","2021-06-29","2022-07-22","2022-05-03","2022-05-03","2022-05-03","2022-05-03","2022-05-03","2022-05-03","2022-05-03","2021-08-23","2022-01-14","2022-01-14","2022-02-16","2022-10-24","2022-10-24","2021-08-18","2022-01-14","2020-07-09","2020-07-09","2021-08-09","2021-08-09","2021-08-09","2021-08-24","2022-04-10","2021-05-25","2021-08-18"],"priorHcc":["","","","","","","","","","","","","","","","","","","","","","","","","","","","",""]}}]},{"t":"Covid Screening","q":[{"a":[]}]},{"t":"Screenings Needed","q":[{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["1",""],"comment":["",""],"sub":{"indx":[["","","",""],[""],[""],[""],[""],[""]],"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":""}]}]}