{"version":"0.4","data":[{"t":"Demographics","q":[{"name":" ALEIRBAGZEUQSALEV","gend":1,"add":"AWOT 8073DAOR ADN","city":"ALEXANDRIA","state":"VA","zip":22303,"dob":"1968-02-15","age":"","mstatus":"","insh":"0813210*05","cliId":"","pno":"62\/3077197-9","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"703\/535-5568","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":22303,"pcpcounty":"","pcpid":"","pcpname":"","plan":"OHP","program":"Medicaid","lob":"M4","region":"NORTHERN\/ WINCHESTER","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":["E11.9","Z13.220","Z12.11","Z13.29","Z13.0","Z12.31","Z11.4","V58.89","Z01.30","M67.811","R79.89","E05.90","Z23.","T22.212A","E04.2","Z13.21"],"date":["2021-07-27","2020-09-29","2020-09-29","2020-09-29","2020-09-29","2020-09-29","2020-09-29","2020-11-13","2020-11-24","2022-01-15","2021-03-19","2021-07-23","2021-05-05","2020-11-11","2021-03-19","2020-10-14"],"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":""}]}]}