{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"  YNOHTNAODNOTOR M","gend":0,"add":"UG 712EVA Y","city":"CREWE","state":"VA","zip":23930,"dob":"1986-02-27","age":"","mstatus":"","insh":"0551210*72","cliId":"","pno":"99\/4089629-3","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"804\/828-2161","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":23930,"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":["N50.3","N50.811","E11.9","I10.","E11.65","K04.7","E11.311","Z78.9","Z68.43","E11.69","E66.01","Z68.42"],"date":["2022-10-11","2022-10-04","2022-10-04","2022-09-19","2022-06-20","2022-05-19","2022-05-19","2022-05-19","2022-05-19","2022-09-19","2022-09-19","2022-09-19"],"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":""}]}]}