{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"  HTEBAZILENOSREDNA M","gend":1,"add":"N22 4131WN TS D","city":"ROANOKE","state":"VA","zip":24017,"dob":"1976-12-30","age":"","mstatus":"","insh":"0535110*41","cliId":"","pno":"92\/0451676-3","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":24017,"pcpcounty":"","pcpid":"","pcpname":"Carilion Family Medicine North Roanoke","plan":"OHP","program":"Medicaid","lob":"M4","region":"ROANOKE\/ ALLEGHANY","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":["Z00.00","R73.9","Z12.4","I10.","M25.532","E11.69","E78.5","D64.9","R68.89","R06.83","E55.9","E66.9","J06.9","D50.9","Z20.822","M79.602","R06.81","G47.00","E61.1","E11.9","F17.210","Z68.42","N93.9","Z01.810","Z01.818","E66.01","Z79.84","Z79.82","R07.9","M25.511","M25.50","M25.561","M25.512","M25.562","J01.90"],"date":["2021-12-14","2021-12-14","2021-12-14","2022-10-21","2022-01-14","2022-10-21","2022-10-21","2022-07-06","2022-01-14","2022-04-11","2022-10-21","2022-10-21","2022-01-19","2022-10-21","2022-01-19","2021-10-30","2022-04-11","2022-04-11","2022-04-11","2022-07-06","2022-07-06","2022-04-11","2022-07-06","2022-06-22","2022-07-01","2022-07-06","2022-07-06","2022-07-06","2022-10-21","2022-02-14","2022-02-14","2022-02-14","2022-02-14","2022-02-14","2022-11-02"],"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":[]}},{"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":""}]}]}