{"version":"0.4","data":[{"t":"Demographics","q":[{"name":" YERFFEJSWERDNA","gend":0,"add":"OR XOC 6452101 LRT DA","city":"PETERSBURG","state":"VA","zip":23803,"dob":"1965-05-14","age":"","mstatus":"","insh":"0074210*85","cliId":"","pno":"68\/4086830-3","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"804\/458-8583","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":23803,"pcpcounty":"","pcpid":"","pcpname":"","plan":"OHP","program":"Medicaid","lob":"M4","region":"CENTRAL","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":["I63.9","M62.81","M21.371","I69.351","Z12.5","N52.9","J30.9","J30.1","H10.45","G47.33","L29.9","R06.83","L50.0","L50.1","R20.0","R07.9","G47.8","R60.0","M79.671","Z86.73","I25.2","I70.213","E11.9","I25.10","I10.","I51.9"],"date":["2022-08-02","2022-08-02","2022-08-12","2022-08-12","2022-10-07","2022-10-07","2022-04-15","2022-04-15","2022-04-15","2022-04-15","2022-04-15","2022-04-15","2022-04-15","2022-04-15","2022-07-15","2022-09-01","2022-05-16","2022-05-16","2022-07-15","2022-07-15","2022-05-18","2022-06-14","2022-07-15","2022-09-01","2022-09-01","2022-09-01"],"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":""}]}]}