{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"  DRAHCIRYELDEM A","gend":0,"add":"UH 682TS TR","city":"CHATHAM","state":"VA","zip":24531,"dob":"1967-04-10","age":"","mstatus":"","insh":"0113210*00","cliId":"","pno":"08\/6728748-6","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"434\/656-1274","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":24531,"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":["E11.65","I10.","E11.59","E11.69","E78.5","E55.9","Z53.20","Z68.36","E11.9","Z23.","E78.2","Z68.37","Z68.32","Z12.11","M25.462","M25.469","M54.5","M79.642","Z79.84","E66.9"],"date":["2021-04-12","2021-08-18","2022-10-28","2022-10-28","2021-08-18","2022-10-28","2021-08-18","2021-04-12","2022-10-28","2022-10-28","2020-10-01","2020-10-01","2021-08-18","2021-08-18","2020-10-23","2020-10-23","2021-09-01","2021-10-21","2022-10-28","2022-10-28"],"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":""}]}]}