{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"KIMBERLY  S FIELDS","gend":1,"add":"626 E 5TH AVE","city":"KENBRIDGE","state":"VA","zip":23944,"dob":"1981-04-24","age":"","mstatus":"","insh":"9193103*01","cliId":"","pno":"434\/755-5101","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"434\/696-2165","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":23944,"pcpcounty":"","pcpid":"","pcpname":"","plan":"OHP","program":"Medicaid","lob":"M4","region":"CENTRAL","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"434\/696-1557","pcpnpi":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["M06.00","Z79.899","E11.65","I10.","E78.5","Z23.","M06.80","E66.9","E11.9","Z68.39","E78.2","Z79.4","Z68.41","E66.01","I47.1","E66.8","M25.512","M70.62","M70.61"],"date":["2021-03-26","2021-01-22","2021-07-29","2021-08-05","2021-06-29","2020-10-01","2021-06-29","2021-03-25","2021-08-05","2021-06-29","2021-07-29","2021-07-29","2021-08-05","2020-10-02","2021-08-05","2021-08-05","2020-07-07","2020-02-10","2020-02-10"],"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":""}]}]}