{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"  ERISEDNAROM M","gend":1,"add":"EIVENIP 56261 TOL DR W","city":"DANVILLE","state":"VA","zip":24541,"dob":"1985-10-14","age":"","mstatus":"","insh":"0076810*31","cliId":"","pno":"86\/4341895-8","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"434\/791-2273","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":24541,"pcpcounty":"","pcpid":"","pcpname":"","plan":"OHP","program":"Medicaid","lob":"M4","region":"WESTERN\/ CHARLOTTESVILLE","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":["O69.2XX0","O69.81X1","O24.425","O10.02","Z37.0","Z3A.36","R06.02","N87.1","Z01.812","Z01.83","N87.9","O24.414","O09.523","O14.13","O99.213","O99.513","Z3A.35","J45.909","D06.9","N92.0","E66.9","M65.4","D06.0","D06.1","E11.9","Z68.35","Z79.84","Z79.899","Z87.891","R87.613","Z34.83","D64.9","I10.","F41.9","NO DATA","O14.14","O60.14X0","O24.424","O69.81X0","Z30.2","O80.","J02.9","K04.7","E11.22","R80.8"],"date":["2021-06-25","2021-06-25","2021-06-25","2021-06-25","2021-06-25","2021-06-25","2021-07-21","2022-04-15","2022-04-08","2022-04-08","2022-04-08","2021-06-23","2021-06-23","2021-06-23","2021-06-23","2021-06-23","2021-06-23","2022-04-15","2022-04-15","2022-04-15","2022-04-15","2021-11-09","2021-10-01","2021-10-01","2022-04-15","2021-10-01","2022-04-15","2021-10-01","2022-04-15","2022-04-15","2022-04-15","2022-04-15","2022-04-15","2022-04-15","2022-04-15","2021-06-23","2021-06-23","2021-06-23","2021-06-23","2021-06-26","2021-06-23","2021-11-16","2021-12-05","2021-08-31","2021-08-31"],"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":""}]}]}