{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"H  MAILLIWRJ REKRAP ","gend":0,"add":"TSEHC E 0001A TPA TS RE","city":"NORFOLK","state":"VA","zip":23503,"dob":"1963-11-07","age":"","mstatus":"","insh":"0614110*29","cliId":"","pno":"16\/7563691-8","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"757\/606-1656","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":23503,"pcpcounty":"","pcpid":"","pcpname":"Velocity Urgent Care - Gloucester","plan":"OHP","program":"Medicaid","lob":"M4","region":"TIDEWATER","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":["M65.331","R52.","U07.1","L23.4","L73.9","R59.0","E11.9","I25.10","I25.2","E66.9","Z68.37","Z79.84","Z88.8","Z20.822","H10.013","B35.3","J02.0","B34.9","E11.65","R06.02","I10.","E66.01","I49.3","R42.","E78.5","NO DATA","Z23.","G47.62","S40.262A","Z79.82","Z79.899","B02.9","Z95.5","Z20.828","E78.1","Z72.0"],"date":["2020-06-08","2020-06-08","2021-01-06","2022-01-06","2022-01-06","2022-01-06","2022-07-21","2022-01-06","2022-07-21","2022-01-06","2022-01-06","2022-07-21","2022-01-06","2022-10-12","2022-09-01","2022-09-01","2022-10-12","2022-10-12","2020-12-10","2020-07-16","2022-07-21","2020-10-08","2020-07-16","2021-08-03","2022-06-07","2020-10-18","2020-10-18","2021-07-12","2022-07-21","2022-07-21","2022-07-21","2020-04-11","2021-10-07","2021-01-21","2022-05-31","2022-05-31"],"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":""}]}]}