{"version":"0.4","data":[{"t":"Demographics","q":[{"name":" A  AICIRTAPGNIK NRUBYLC","gend":1,"add":"7 6011TS HT8","city":"NEWPORT NEWS","state":"VA","zip":23605,"dob":"1964-12-28","age":"","mstatus":"","insh":"0877310*16","cliId":"","pno":"92\/7576620-1","cno":"","email":"","ename":"","eno":"","pphy":"Route,  barbara","ppno":"757\/380-8709","pcpadd":"5424 Discovery Park Blvd BLDB A STE 201","pcpcity":"WILLIAMSBURG","pcpstate":"VA","pcpzip":23605,"pcpcounty":"","pcpid":"","pcpname":"","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":["S16.1XXA","S39.012A","I10.","F17.210","Z79.82","Z79.899","NO DATA","E11.9","E78.5","Z72.0","R91.1","K63.5","E04.1","Z28.21","Z12.31","R60.0","L92.3","T30.0","E04.2","E01.0","S60.452A","M79.644","Z23.","D48.1","K04.7"],"date":["2022-05-18","2022-05-18","2022-09-03","2022-09-03","2022-09-03","2022-09-03","2022-05-18","2022-07-25","2022-07-25","2022-07-25","2022-07-25","2022-07-25","2021-07-20","2022-01-27","2022-07-25","2021-06-11","2021-06-11","2021-07-19","2021-09-27","2021-06-29","2022-09-03","2022-09-03","2020-01-15","2022-09-13","2021-12-22"],"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":""}]}]}