{"version":"0.4","data":[{"t":"Demographics","q":[{"name":" MALNEIL","gend":0,"add":"CNIL TS SSILBMAHC N 0174SECNEDISER ROINES AINLO","city":"ALEXANDRIA","state":"VA","zip":22312,"dob":"1959-10-30","age":"","mstatus":"","insh":"00200210*93","cliId":"","pno":"15\/3079990-9","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"703\/642-3220","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":22312,"pcpcounty":"","pcpid":"","pcpname":"","plan":"OHP","program":"Medicaid","lob":"OHCC","region":"NORTHERN\/ WINCHESTER","aligned":"","ano":"","add2":"","add3":"","madd1":"","madd2":"","madd3":"","mcity":"","mstate":"","mzip":"","pcpfaxno":"","pcpnpi":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["E11.42","B35.1","E11.9","I10.","E78.5","E11.610","M17.0","I51.7","H26.9","Z79.84","Z91.81","Z23.","Z11.59","M62.81","Z51.5"],"date":["2022-10-12","2022-10-12","2022-10-04","2022-10-04","2022-10-04","2020-12-21","2020-12-21","2020-12-21","2020-12-21","2020-12-21","2020-12-21","2021-10-05","2020-10-16","2020-10-16","2020-10-16"],"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":{"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":""}]}]}